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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Imposition: Cultural imposition refers to forcing one’s own beliefs on another person, which is not the case here.
B. Brokering: Cultural brokering involves mediating between the patient and the healthcare system, which is not applicable in this scenario.
C. Awareness: Awareness means recognizing cultural differences but does not involve taking action, as demonstrated in this case.
D. Accommodation: Cultural accommodation involves making adjustments to support a patient's cultural practices without causing harm to others. By repositioning the bed, the nurse respects the patient’s religious beliefs and enhances comfort.
Correct Answer is A
Explanation
A. Being bitten by an infected mosquito: A vector is an organism (e.g., a mosquito, tick, or flea) that transmits pathogens from one host to another. Mosquitoes transmit diseases like malaria, dengue fever, and Zika virus.
B. A group of partygoers hugging and shaking hands: This describes direct contact transmission, not vector-borne transmission.
C. Disease spreading from infected mother to infant via the placenta: This describes vertical transmission (from mother to child during pregnancy), not vector-borne transmission.
D. Two persons, one of whom is infected, sharing a glass of soda: This describes indirect contact transmission through fomites (contaminated objects), not vector-borne transmission.
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