The newly hired public health nurse understands that which of the following is an example of moral distress?
Having the knowledge and skill set needed to advocate for the patient, but not being able to act on it due to not having the authority to do so.
Having the authority to call off a code, then realizing the decision was harmful to the patient.
Having the authority to override a physician's order for pain medication.
Having the knowledge and skill set needed to provide culturally competent care.
The Correct Answer is A
A. Having the knowledge and skill set needed to advocate for the patient, but not being able to act on it due to not having the authority to do so. Moral distress occurs when a nurse knows the right action to take but is constrained by external factors such as policies, hierarchy, or legal limitations.
B. Having the authority to call off a code, then realizing the decision was harmful to the patient. This describes moral regret or ethical uncertainty, not moral distress. Moral distress occurs when a nurse is unable to act according to their ethical beliefs.
C. Having the authority to override a physician's order for pain medication. This describes an ethical dilemma rather than moral distress. Moral distress arises when a nurse cannot act despite knowing the right course of action.
D. Having the knowledge and skill set needed to provide culturally competent care. Cultural competence is an important aspect of nursing, but it does not describe moral distress, which involves ethical conflict and external barriers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Salmonella is a bacterial infection." Salmonella is a gram-negative bacterium that causes foodborne illness.
B. "Salmonella symptoms include headaches, abdominal pain, diarrhea, nausea, vomiting, and fever." These are common symptoms of Salmonella infection, particularly gastroenteritis.
C. "Salmonella may be spread by spores that form once contaminated blood is exposed to the air." Salmonella is a bacterial infection that spreads primarily through contaminated food, water, or direct contact with infected animals. It does not form spores, and exposure to air does not play a role in its transmission.
D. "Salmonella has a 48-hour incubation period." While the incubation period can range from 6 to 72 hours, 48 hours falls within the expected time frame.
Correct Answer is A
Explanation
A. Elevated growths with a "cauliflower" appearance: HPV lesions, or genital warts, present as raised, rough-textured growths resembling a cauliflower, often found in the genital and anal areas.
B. Thin-walled pustules that rupture to form honey-colored crusts: This describes impetigo, a bacterial skin infection, not HPV.
C. Vesicles that ulcerate and crust within 1 to 4 days: This describes herpes simplex virus (HSV) lesions, which differ from HPV warts in appearance and progression.
D. Solitary growth with elevated borders and a central depression: This describes basal cell carcinoma, not HPV-related lesions.
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