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 D
Explanation
A. Risk communication: Risk communication involves informing the public about health risks but does not specifically address social inequalities in environmental hazards.
B. Tertiary prevention: Tertiary prevention focuses on managing existing health conditions, not preventing environmental injustices.
C. Environmental epidemiology: Environmental epidemiology studies the relationship between environmental exposures and health outcomes but does not directly advocate against environmental injustice.
D. Environmental justice: Environmental justice focuses on ensuring that all communities, regardless of race or socioeconomic status, receive equal protection from environmental hazards. Opposing the construction of a waste site in a disadvantaged area aligns with this principle.
Correct Answer is B
Explanation
A. Hepatitis B: Hepatitis B is a bloodborne disease, primarily spread through contact with infected bodily fluids, not through a vector.
B. Rocky Mountain spotted fever: Rocky Mountain spotted fever is a vector-borne disease transmitted by tick bites. Vectors are living organisms, such as mosquitoes or ticks, that carry infectious agents.
C. E. coli O157:H7: E. coli is a foodborne illness that spreads through contaminated food or water, not via a vector.
D. Anthrax: Anthrax is a bacterial infection that spreads through direct contact, ingestion, or inhalation of spores, not through a vector.
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