A nurse is discussing the responsibility of caring for clients with clostridium difficile infection. Which of the following information should the nurse include in the teaching?

Correct Answer: A

Rationale: The correct answer is A because having family members wear a gown and gloves when visiting a client with C. difficile infection helps prevent the spread of the bacteria to others. This infection is highly contagious and can be transmitted through contact with contaminated surfaces or feces. By wearing protective gear, family members can reduce the risk of spreading the infection to themselves or others. Choice B is incorrect because while cleaning contaminated surfaces with a bleach solution is important, it is not directly related to family members' responsibilities. Choice C is incorrect because alcohol-based hand sanitizers are not effective against C. difficile spores, so proper handwashing with soap and water is recommended. Choice D is incorrect because assigning the client to a room with a private bathroom is not directly related to the responsibility of family members visiting the client.

Correct Answer: B

Rationale: The correct answer is B: She may lose her RN license for driving without a license. As a registered nurse, she is held to a high standard of professional conduct. Driving without a valid license is illegal and unethical, potentially endangering herself and others. This behavior could be viewed as a violation of professional ethics, leading to disciplinary action by the licensing board. Choices A, C, and D are incorrect because they do not address the legal and ethical implications of driving without a valid license for a healthcare professional. A nurse should always adhere to legal and ethical standards to maintain the trust and integrity of the profession.

Correct Answer: D

Rationale: The correct answer is D, practicing active and assertive communication techniques. This recommendation is effective in reducing potential generational conflicts because clear and direct communication helps bridge the gap between different generations by promoting understanding and mutual respect. By using active listening and assertively expressing thoughts and feelings, team members can communicate effectively and resolve conflicts efficiently. Summary: A: Involving only millennials in technology decisions can lead to exclusion of other generations, increasing conflicts. B: Focusing on the team as a whole is important, but specific strategies for addressing generational differences are necessary. C: Involving only baby boomers in technology decisions can create resentment and conflict among other generations.

Correct Answer: B

Rationale: The correct answer is B: Moral distress. Moral distress occurs when individuals know the ethically correct action to take but are constrained from doing so due to various reasons, such as organizational constraints or lack of support. In this scenario, the nurses feel unease and discomfort due to an ethical issue, indicating a conflict between their moral values and actions. The unit manager addressing the issue at the team meeting suggests that the nurses are experiencing moral distress. A: Moral suffering is a broader term encompassing various negative emotions related to moral issues, not specifically the conflict between knowing the right action and being unable to act on it like in moral distress. C: Ethical dilemma refers to a situation where individuals must choose between conflicting moral principles, which is not explicitly described in the scenario. D: Veracity refers to truthfulness or honesty and is not directly related to the nurses' uneasiness and discomfort in dealing with the ethical issue.

Correct Answer: A

Rationale: The correct answer is A: Autonomy. Autonomy is the ethical principle that emphasizes respecting the patient's right to make their own decisions about their healthcare. In this scenario, the RN respects the patient's autonomy by providing all necessary information and allowing the patient to choose whether or not to accept a blood transfusion, despite the potential risks. This decision-making process aligns with the patient's right to self-determination. Summary of other choices: B: Nonmaleficence - Focuses on avoiding harm to the patient, but in this case, the patient's autonomy takes precedence over nonmaleficence. C: Beneficence - Involves acting in the patient's best interest, but in this scenario, the patient's autonomy to make decisions is the primary focus. D: Distributive justice - Concerns fair distribution of resources, which is not directly relevant to the patient's right to autonomy in decision-making.