A recent ethical issue has resulted in uneasiness and discomfort for several nurses on a unit. The unit manager has decided to discuss the issues at the next team meeting. The situation has resulted in which of the following for some of the nurses?

Correct Answer: A

Rationale: The correct answer is A: Moral suffering. This is because moral suffering refers to the emotional and psychological distress experienced when one's moral values or beliefs are compromised. In this scenario, the nurses are feeling uneasiness and discomfort due to an ethical issue, which aligns with the concept of moral suffering. Incorrect choices: B: Moral distress: While moral distress involves the awareness of the morally right course of action but feeling unable to follow it due to external constraints, it doesn't fully capture the emotional turmoil experienced by the nurses in this situation. C: Ethical dilemma: An ethical dilemma involves having to choose between two conflicting moral principles or courses of action, which may not fully encapsulate the emotional distress experienced by the nurses. D: Veracity: Veracity refers to truthfulness or accuracy in communication, which is not directly related to the emotional distress experienced by the nurses in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Statutory laws. Nursing practice is primarily governed by statutory laws, which are laws enacted by legislative bodies such as state nursing practice acts. These laws outline the scope of practice, licensure requirements, and standards of care for nurses. Common law, administrative laws, and constitutional laws do not specifically regulate nursing practice. Common law refers to legal precedents established by court decisions, administrative laws pertain to regulations set by administrative agencies, and constitutional laws deal with the fundamental principles outlined in the constitution. Therefore, A is the correct choice as it directly relates to the specific legal framework that governs nursing practice.

Correct Answer: B

Rationale: The correct answer is B: Only use approved abbreviations. Using approved abbreviations helps prevent misinterpretation and errors in documentation, ensuring legal credibility. Shortcuts in documentation (A) can lead to incomplete or inaccurate information. Subjective documentation (C) may lack objectivity and legal validity. Documenting after care is provided (D) may result in memory bias and inaccuracies. Therefore, emphasizing the use of approved abbreviations is crucial for ensuring accurate, clear, and legally credible nursing documentation.

Correct Answer: B

Rationale: The correct answer is B: Deliver a whole continuum of care. Integrated health care systems are designed to provide comprehensive and coordinated care across various settings to meet the diverse needs of patients. This model emphasizes preventive care, primary care, specialty care, and even mental health services to ensure holistic healthcare delivery. A: Deliver selective care only - This is incorrect as integrated health care systems aim to offer a wide range of services beyond selective care. C: Treat patients only in the hospital - This is incorrect as integrated systems provide care across different settings, not just in hospitals. D: Provide care only in the primary care setting - This is incorrect as integrated systems offer care in multiple settings, not limited to primary care.

Correct Answer: A

Rationale: The correct answer is A: Special attention. The Hawthorne effect states that individuals modify their behavior when they know they are being observed. Providing special attention to individuals can lead to increased productivity as they are more motivated to perform well. This concept emphasizes the importance of personal interactions and recognition in improving productivity. Summary: - B: Organizations - While organizations play a role in productivity, the Hawthorne effect focuses on individual behavior rather than organizational structure. - C: Creativity - While creativity can enhance productivity, the Hawthorne effect specifically highlights the impact of attention and observation on behavior. - D: Groups - While group dynamics can influence productivity, the Hawthorne effect focuses on individual responses to attention and observation.