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NRS 415 Topic 4 DQ 2

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NRS 415 Topic 4 DQ 2

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Topic 4 DQ 2
Assessment Description
Read the scenario and address the discussion question:
Scenario
You are a member of an interdisciplinary team participating in patient rounds at the start of your
shift. You notice the physician charting that the patient is alert and oriented x3, but the patient
was clearly confused, which the physician acknowledged during rounds.
Discussion Question
How would you approach this scenario? Apply one of the ethical principles discussed in
Dynamics of Nursing: Art and Science of Professional Practice to this scenario. Discuss how
organizational culture can help manage errors.
Initial discussion question posts should be a minimum of 200 words and include at least two
references cited using APA format. Responses to peers or faculty should be 100-150 words and
include one reference. Refer to "RN-BSN Discussion Question Rubric" and "RN-BSN
Participation Rubric," located in Class Resources, to understand the expectations for initial
discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing
Education
This assignment aligns to AACN Core Competencies 5.2, 6.2, 6.4, 9.1, 9.2, 9.3




Answer:
Approach to the scenario:
I. Open communication and advocacy: the first step would be to approach the physician privately
and respectfully. It is important to communicate your concerns about the discrepancy between
what was observed (patients confusion) and what was charted (patient alert and oriented x3).as a
nurse, advocating for accurate patient records is part of ensuring patient safety and quality care.
II. Applying ethical Principles:
*veracity (truthfulness): this principle emphasizes the importance of honesty in all professional
interactions. By charting information that doesn't accurately reflect the patient's condition, the

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