A middle adult client tells the nurse, 'I feel so useless now that my children do not need me anymore.' Which of the following responses should the nurse make?

Correct Answer: A

Rationale: The correct answer is A because it validates the client's feelings by acknowledging the common experience of middle adults feeling a sense of purpose through nurturing others. This response shows empathy and understanding, which can help the client feel heard and supported. Choice B is incorrect because it immediately delves into exploring the reasons behind the feelings without first acknowledging or validating them. This approach may come off as dismissive or insensitive. Choice C is incorrect because it brushes off the client's feelings by emphasizing the positive aspect of children becoming independent, without addressing the client's emotional distress. Choice D is incorrect because it makes a generalization about happiness related to children leaving home without directly addressing the client's specific feelings of uselessness. It does not acknowledge or validate the client's emotions.

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Nurses are held to high professional standards, and unprofessional actions can lead to license revocation. 2. Maintaining professionalism is crucial to ensuring patient safety and trust in the healthcare system. 3. Highlighting consequences reinforces the importance of adhering to ethical standards. Summary: A: Irrelevant to professional behavior expectations. B: While encouraged, passion must be expressed appropriately. C: True, but does not emphasize the serious consequences of unprofessional behavior.

Correct Answer: D

Rationale: The correct answer is D: Multiple generations in the workforce. This factor contributes to conflicts in professional nursing today because different generations may have different communication styles, work preferences, and values, leading to misunderstandings and tension in the workplace. For example, older nurses may prefer traditional methods of communication, while younger nurses may be more tech-savvy and prefer digital communication. This generation gap can result in conflicts and challenges in collaboration and teamwork. A: Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation - While this may contribute to workforce dynamics, it is not a primary factor in conflicts among nurses. B: Balancing state practice acts, codes of ethics, and standards of practice - This is important for maintaining professionalism but does not directly contribute to conflicts among nurses. C: Advances in technology - While technology can impact nursing practice, it is not a primary factor in conflicts among nurses compared to the generational differences.

Correct Answer: C

Rationale: The correct answer is C: Planning. In an ethical dilemma, once the decision-makers are identified, the next step is to plan the course of action to address the issue. Planning involves considering the ethical principles, potential outcomes, and identifying the best course of action to resolve the dilemma. Assessment (A) involves gathering information, Diagnosis (B) involves analyzing the information, and Implementation (D) involves executing the chosen plan. Therefore, the RN is currently in the planning stage as he is strategizing on how to address the ethical dilemma effectively.

Correct Answer: C

Rationale: The correct answer is C because virtue ethics focuses on developing moral character rather than following strict rules. Virtue ethics emphasizes cultivating good habits and virtues to guide behavior. This approach values the inherent qualities of a person rather than relying on external rules or consequences. Option A is incorrect as virtue ethics does not rely on fixed moral rules. Option B is incorrect as virtue ethics does not base behavior solely on knowledge of consequences. Option D is incorrect as virtue ethics does not provide a formal statement of rules but rather encourages individuals to embody virtuous traits.