A public health nurse is struggling with moral distress. What are actions the nurse can take to handle moral distress? (Select all that apply)

Communicate concern with chain of command.

Seek support from ethic committees.

Be proactive.

Examine ways to work toward addressing the stressors.

Avoid discussing with others situations leading to moral distress.

Answer and Explanation

Correct Answer : A,B,C,D

A. Communicate concern with chain of command: Addressing moral distress requires advocating for ethical concerns. Reporting issues to supervisors or the chain of command can initiate discussions and potential solutions.

B. Seek support from ethics committees: Ethics committees provide guidance and a structured way to resolve ethical dilemmas, helping nurses navigate morally distressing situations.

C. Be proactive: Taking a proactive approach—such as staying informed on ethical policies and seeking resolution early—can help prevent worsening distress.

D. Examine ways to work toward addressing the stressors: Identifying specific causes of moral distress and finding ways to address them, whether through self-reflection or systemic changes, promotes resilience and ethical practice.

E. Avoid discussing with others situations leading to moral distress: Suppressing concerns can worsen distress and lead to burnout. Open discussions with trusted colleagues, mentors, or support groups can help process emotions and develop solutions.

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Correct Answer is D

Explanation

A. Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care. This disregards cultural norms and imposes a Western view of postpartum care, which is not culturally competent.

B. Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities. This is judgmental and does not acknowledge that bonding can occur in different ways, including through family support.

C. State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge. This approach is rigid and does not consider the patient's cultural background or alternative ways to assess knowledge.

D. Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion. Cultural competence involves respecting diverse traditions and practices while ensuring safe patient care. In many cultures, postpartum care emphasizes maternal rest while family members care for the newborn. The nurse should assess the mother's knowledge without forcing her into an unfamiliar practice.

A. Call the local hospital and arrange a referral. B. Attempt communication using an English-Spanish phrase book. C. Emphatically state, "No hablo Español" (I don't speak Spanish). D. Obtain an interpreter to translate.

Correct Answer is D

Explanation

A. Call the local hospital and arrange a referral: A referral does not immediately address the family’s communication needs. The nurse should first attempt to provide care with proper interpretation.

B. Attempt communication using an English-Spanish phrase book: A phrase book is inadequate for complex medical discussions and could lead to miscommunication.

C. Emphatically state, "No hablo Español" (I don't speak Spanish): This response is dismissive and does not help the family receive the care they need.

D. Obtain an interpreter to translate: The best practice is to use a professional interpreter to ensure accurate communication and avoid misunderstandings in medical care.

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A public health nurse is struggling with moral distress. What are actions the nurse can take to handle moral distress? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?

Correct Answer is D

Explanation

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