An RN knows that sometimes, when working through an ethical dilemma, the decision makers are unable to arrive at a mutually agreed upon decision. Which of the following is a reason why an agreement cannot be reached?

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: 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.

Correct Answer: C

Rationale: The correct answer is C because professional liability insurance for RNs can cover charges of libel, slander, assault, and HIPAA violations in addition to malpractice. This coverage protects the nurse's assets and provides legal defense in case of such claims. Option A is incorrect because there are expenses involved in defending against frivolous lawsuits. Option B is incorrect as institutions can still sue a nurse found guilty of malpractice. Option D is incorrect as nurses can also be sued for malpractice, not just doctors.

Correct Answer: B

Rationale: The correct answer is B: Balance. This unit manager is displaying the leadership trait of balance by recognizing the importance of taking time off after working hard to improve the unit's performance. This demonstrates an understanding of self-care and the need to maintain a healthy work-life balance. It shows that the manager values personal well-being and is able to prioritize both work responsibilities and personal needs. Choice A: Perseverance is not the best fit here as the situation does not involve overcoming obstacles or persisting through challenges. Choice C: Generosity is not relevant to the scenario as there is no indication of the manager being generous. Choice D: Ability to handle stress is also not the most appropriate choice as the scenario does not directly involve stress management.