A nurse is providing an educational program for guardians of toddlers. Which of the following activity recommendations should the nurse include in the program? (Select all that apply.)

A. Deciding when to transport residents who are symptomatic to an urgent care center: This decision involves clinical judgment and prioritization based on symptoms and urgency. While challenging, it follows standard nursing protocols and is not typically considered an ethical dilemma unless resources are severely limited.

B. Deciding which workers will wear the limited personal protective equipment available: This presents an ethical dilemma because the nurse must balance staff safety, fairness, and duty to care amid limited resources. The difficult decision may place some staff at greater risk, raising concerns about justice, equity, and ethical responsibility.

C. Determining the arrangement of residents within the shelter to prevent spread of infection: While this requires logistical planning and public health knowledge, it generally does not involve conflicting moral principles. The focus is on infection control and best practices for spatial distancing to reduce disease transmission.

D. Determining how to keep meals warm when serving each of the homeless shelter residents: This is a practical challenge involving meal service logistics and client satisfaction but does not involve conflicting ethical principles or significant risks to health or well-being.

A. Neither of the child's parents are financially stable: Chronic financial instability can contribute to elevated stress levels in the household, which may overwhelm coping mechanisms and increase the likelihood of neglect or physical abuse. Limited access to support services and basic needs can further exacerbate family tensions.

B. The child spends the weekends with their grandparents: Regular visits with grandparents are a typical caregiving arrangement and do not, in themselves, suggest risk factors for abuse. This may instead provide additional support and oversight for the child’s well-being.

C. The child's family has an indoor cat that sleeps with the child: Pet ownership and animals sharing space with children are not associated with an increased risk of abuse. This may indicate a nurturing environment, as many families find emotional comfort in pets.

D. One of the child's parents appears frightened of the other parent: Fear in a partner often points to intimate partner violence, which can create an unsafe environment for children. Children in households with domestic abuse are at higher risk for both direct abuse and emotional trauma.

E. One of the child's parents has a history of alcohol use disorder: Alcohol use disorder can impair parenting ability, increase impulsivity and aggression, and reduce the capacity to provide a safe and stable environment. This raises the risk for both neglect and intentional harm toward children.