An RN is explaining to a student nurse what professionalism in nursing means. Which of the following statements, if made by the student nurse, demonstrates teaching has been successful?

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Commitment to others implies putting patients' needs first, being honest, and taking responsibility for one's actions. 2. Being honest and accountable are key components of professionalism in nursing. 3. Accountability ensures that patients receive safe and quality care. 4. Encouraging honesty and accountability among colleagues promotes a culture of safety and trust. Summary: - Choice A is correct as it aligns with the principles of professionalism in nursing. - Choices B, C, and D do not directly address the core aspects of professionalism, such as honesty, accountability, and prioritizing patient care.

Correct Answer: C

Rationale: The correct answer is C because when an ethical dilemma involves two or more equally unpleasant choices, it can be challenging for decision-makers to come to a consensus. This is known as a moral dilemma, where there is no clear right or wrong option, making it difficult to reach an agreement. In such cases, individuals may have strong convictions about different courses of action, leading to a deadlock in decision-making. Incorrect choices: A: One or more of the parties may be able to reconcile their values - This choice suggests that parties can find common ground by adjusting their values, which is not always possible in complex ethical dilemmas. B: The patient’s point of view is recognized as valuable - While recognizing the patient's perspective is important, it may not directly address the core reason why an agreement cannot be reached. D: The institution is unable to honor the patient’s request - This choice focuses on institutional constraints rather than the fundamental nature of ethical dilemmas and decision-making processes.

Correct Answer: D

Rationale: Step 1: Nursing ethics encompass principles guiding ethical decision-making. Step 2: Focusing on the experiences and needs of nurses ensures ethical care delivery. Step 3: Understanding nurse perspectives enhances patient-centered care. Step 4: Organizational level (A) is limited, duties and rules (B) are important but not the sole focus, and moral character (C) is crucial but not the main emphasis.

Correct Answer: D

Rationale: The correct answer is D because malpractice is defined as a negligent act by an individual with specialized education. This involves a breach of duty owed to a patient, resulting in harm or injury. Choice A is incorrect as it refers to breach of confidentiality, not malpractice. Choice B and C are incorrect as malpractice is a civil offense, not a criminal offense. Malpractice is a serious issue as it can have significant consequences for patients and professionals.

Correct Answer: B

Rationale: The correct answer is B: Only use approved abbreviations. Using approved abbreviations in nursing documentation helps ensure clarity, accuracy, and consistency, which are crucial for legal credibility. Abbreviations can lead to misunderstandings or errors if not standardized. Explanation for other choices: A: Using shortcuts in documentation can compromise accuracy and lead to incomplete or unclear information, which could result in legal issues. C: Documentation should be objective, not subjective, to provide an accurate portrayal of the patient's condition and care. Subjective documentation can be challenged legally. D: Documenting after care is provided is important, but documenting in a timely manner is crucial for legal credibility. Delayed documentation can raise questions about the accuracy and reliability of the information.