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: Hydrocolloid dressing. For a stage 2 pressure injury, a hydrocolloid dressing is ideal as it maintains a moist environment to promote healing, absorbs excess exudate, and provides a barrier against bacteria. Transparent dressings (B) are more suitable for superficial wounds. Gauze dressings (C) may adhere to the wound bed and cause trauma upon removal. Alginate dressings (D) are better for wounds with heavy exudate, not typically seen in stage 2 pressure injuries.

Correct Answer: A

Rationale: The correct answer is A because self-actualization and assessing your values and lifestyle are essential for aligning your career goals with personal values, leading to long-term satisfaction and fulfillment. By understanding your core values and lifestyle preferences, you can prioritize job opportunities that align with your aspirations. Choice B is incorrect because while professional growth is important, it may not necessarily align with your personal values and lifestyle. Choice C is incorrect as teamwork skills are important, but they do not directly relate to prioritizing career opportunities based on personal values. Choice D is incorrect as reflecting on long-term career aspirations alone may not provide a holistic view of how to prioritize opportunities in alignment with personal values and lifestyle.

Correct Answer: D

Rationale: The correct answer is D: Decrease in capillary refill time. Administering 0.9% sodium chloride helps to increase blood volume and improve tissue perfusion, leading to a decrease in capillary refill time. This improvement indicates that the treatment was successful in addressing the fluid volume deficit. A: Increase in hematocrit would not be an immediate indication of the success of fluid resuscitation as it may take time for the hematocrit levels to reflect changes in blood volume. B: Increase in respiratory rate could indicate respiratory distress or other issues not related to the effectiveness of fluid resuscitation. C: Decrease in heart rate could be due to various factors and may not directly correlate with the success of fluid replacement therapy. In summary, the most immediate and direct indicator of successful fluid resuscitation in this scenario is a decrease in capillary refill time.

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: D

Rationale: The correct answer is D: Laissez-faire. This style of leadership involves minimal interference from the manager, allowing staff to make decisions independently. In this scenario, the unit manager empowers staff nurses to self-govern, indicating a hands-off approach. This promotes autonomy, creativity, and accountability among the staff. A: Autocratic leadership involves centralized decision-making by the manager without input from staff, which does not align with the scenario. B: Democratic leadership involves collaboration and input from team members in decision-making, which is not fully demonstrated in the scenario. C: Bureaucratic leadership focuses on following established procedures and rules, which is not the case in the scenario where staff nurses have autonomy in decision-making. In summary, the manager's approach of allowing staff nurses to govern themselves aligns with a laissez-faire leadership style, promoting independence and responsibility among the team.

Correct Answer: B

Rationale: The correct answer is B: Lateral communication. In this scenario, the conflict between the staff and the occupational therapy department requires communication between individuals at the same hierarchical level. Lateral communication enables direct discussion and collaboration among peers to address issues and find solutions. A: Downward communication involves communication from higher to lower levels in the hierarchy, which would not be suitable for resolving conflicts between different departments. C: Distorted communication implies a breakdown in the communication process, leading to misunderstandings and misinterpretations, which would not be effective in addressing the conflict. D: Upward communication involves communication from lower to higher levels in the hierarchy, which may not be the most appropriate method for resolving conflicts between departments.

Correct Answer: B

Rationale: The correct answer is B because intrinsic values refer to fundamental principles or beliefs that are essential for sustaining life, such as honesty, integrity, or compassion. These values are inherent to an individual's being and are not dependent on external factors. Choice A is incorrect as intrinsic values are not necessarily abstract ideas. Choices C and D are incorrect as they relate to personal preferences or expectations rather than core values necessary for life sustenance.

Correct Answer: C

Rationale: The correct answer is C because dysfunctional turnover refers to the loss of highly skilled employees who are difficult to replace, leading to negative impacts on the organization. Losing such employees can harm productivity, morale, and innovation. Retaining all employees (choice A) is not necessarily dysfunctional, and losing employees consistently (choice B) does not specify the impact on the organization. Hiring new employees (choice D) is not directly related to dysfunctional turnover. In summary, choice C is correct because it specifically addresses the detrimental effects of losing key employees.