Leadership E5 Grade A question and answer fully
answered
A nurse has applied for a management position in a new organization. How can the
manager best prevent intrapersonal conflict related to ethical issues in this role?
Select one:
Determine whether nurses in the organization are required to follow a code of ethics
Become familiar with the nurse practice act in the jurisdiction where the organization is
located
Identify a mentor in the organization who maintains high ethical standards
Clarify his or her own values and beliefs and compare to those of the organization -
(correct answer)The likelihood of intrapersonal conflict resulting from disagreement
between a manager's values and those of the organization is reduced if the manager
clarifies his or her own values and those of the organization. A mentor cannot
necessarily help a manager do this because values are personal. All nurses must follow
a code of ethics, so this is not a variable. Becoming familiar with the nurse practice act
is beneficial, but this legislation does not address ethical issues and values.
The correct answer is: Clarify his or her own values and beliefs and compare to those of
the organization
A nurse has been asked to stay after a shift and work overtime because three nurses
have called in sick. The nurse is reluctant to work the overtime because of a social
commitment. Duty-based reasoning would dictate that the nurse:
Select one:
contact the three nurses to remind them of their obligations.
base the decision on recent precedents in the health-care organization.
work overtime because of the responsibility owed to clients.
,carefully weigh the effect of the decision on workplace relationships. - (correct
answer)Duty-based reasoning is an ethical framework stating that some decisions must
be made because there is a duty to do something or to refrain from doing something. In
this case, it could be construed that the nurse has a duty to care for clients that
supersedes social activities. Duty-based reasoning would not prioritize the effect on
relationships over the nurse's moral duty. Precedents would not necessarily indicate
what the nurse's duty is. Duty-based reasoning emphasizes the nurse's own duty, not
that of colleagues.
The correct answer is: work overtime because of the responsibility owed to clients.
A nurse has recognized that many older adult clients on the unit do not receive enough
nutrition because they are unable to feed themselves independently. What action by a
manager would be most likely to resolve the nurse's moral distress?
Select one:
Providing a reference so the nurse can seek new employment
Acknowledging and validating the nurse's observation
Hiring more nursing assistants to help feed these clients
Arranging to have the clients' diets changed so they are more nutrient-dense - (correct
answer)Moral distress occurs when the individual knows the right thing to do but
organizational constraints make it difficult to take the right course of action. In this case,
the nurse knows what needs to be done (the clients need assistance with feeding) and
arranging for more employees to do this function would remove the organizational
constraint. Validation is of no value if it is not followed up by action. Changing the
clients' diets is not helpful if they cannot be fed the new diet. Helping the nurse seek
employment elsewhere does not benefit the clients and may not relieve the nurse's
moral distress.
The correct answer is: Hiring more nursing assistants to help feed these clients
A nurse has repeatedly witnessed a physician being dismissive of clients' reports of pain
and anxiety. The nurse recognizes that the best action would be to address this
, behavior with the physician, but the nurse strongly suspects that these concerns would
be dismissed. What phenomenon is this nurse experiencing?
Select one:
Ethical universalism
Moral conflict
Moral outrage
Ethical relativism - (correct answer)Moral outrage occurs when an individual witnesses
the immoral act of another but feels powerless to stop it. Moral uncertainty or moral
conflict occurs when an individual is unsure which moral principles or values apply and
may even include uncertainty as to what the moral problem is. Ethical relativism
suggests that individuals make decisions based only on what seems right or reasonable
according to their value system or culture. Ethical universalism holds that ethical
principles are universal and constant and that ethical decision making should not vary
as a result of individual circumstances or cultural differences.
The correct answer is: Moral outrage
A nurse is applying the MORAL decision-making model to a dilemma involving a
colleague's possible dishonesty in documentation. What is the nurse's initial action?
Select one:
Think of as many alternatives as possible.
Gather as much information about the situation as possible.
Engage the colleague in the decision-making process.
Perform a critical self-reflection of the nurse's own morals and values. - (correct
answer)The first step of the MORAL decision-making model is to "massage the
dilemma." This involves collecting data about the ethical problem and who should be
involved in the decision-making process. However, this does not necessarily mean that
the nurse must engage the colleague who is the object of the decision. Outlining options
(alternatives) is the second step in the model. It is presumed that a nurse will engage in
answered
A nurse has applied for a management position in a new organization. How can the
manager best prevent intrapersonal conflict related to ethical issues in this role?
Select one:
Determine whether nurses in the organization are required to follow a code of ethics
Become familiar with the nurse practice act in the jurisdiction where the organization is
located
Identify a mentor in the organization who maintains high ethical standards
Clarify his or her own values and beliefs and compare to those of the organization -
(correct answer)The likelihood of intrapersonal conflict resulting from disagreement
between a manager's values and those of the organization is reduced if the manager
clarifies his or her own values and those of the organization. A mentor cannot
necessarily help a manager do this because values are personal. All nurses must follow
a code of ethics, so this is not a variable. Becoming familiar with the nurse practice act
is beneficial, but this legislation does not address ethical issues and values.
The correct answer is: Clarify his or her own values and beliefs and compare to those of
the organization
A nurse has been asked to stay after a shift and work overtime because three nurses
have called in sick. The nurse is reluctant to work the overtime because of a social
commitment. Duty-based reasoning would dictate that the nurse:
Select one:
contact the three nurses to remind them of their obligations.
base the decision on recent precedents in the health-care organization.
work overtime because of the responsibility owed to clients.
,carefully weigh the effect of the decision on workplace relationships. - (correct
answer)Duty-based reasoning is an ethical framework stating that some decisions must
be made because there is a duty to do something or to refrain from doing something. In
this case, it could be construed that the nurse has a duty to care for clients that
supersedes social activities. Duty-based reasoning would not prioritize the effect on
relationships over the nurse's moral duty. Precedents would not necessarily indicate
what the nurse's duty is. Duty-based reasoning emphasizes the nurse's own duty, not
that of colleagues.
The correct answer is: work overtime because of the responsibility owed to clients.
A nurse has recognized that many older adult clients on the unit do not receive enough
nutrition because they are unable to feed themselves independently. What action by a
manager would be most likely to resolve the nurse's moral distress?
Select one:
Providing a reference so the nurse can seek new employment
Acknowledging and validating the nurse's observation
Hiring more nursing assistants to help feed these clients
Arranging to have the clients' diets changed so they are more nutrient-dense - (correct
answer)Moral distress occurs when the individual knows the right thing to do but
organizational constraints make it difficult to take the right course of action. In this case,
the nurse knows what needs to be done (the clients need assistance with feeding) and
arranging for more employees to do this function would remove the organizational
constraint. Validation is of no value if it is not followed up by action. Changing the
clients' diets is not helpful if they cannot be fed the new diet. Helping the nurse seek
employment elsewhere does not benefit the clients and may not relieve the nurse's
moral distress.
The correct answer is: Hiring more nursing assistants to help feed these clients
A nurse has repeatedly witnessed a physician being dismissive of clients' reports of pain
and anxiety. The nurse recognizes that the best action would be to address this
, behavior with the physician, but the nurse strongly suspects that these concerns would
be dismissed. What phenomenon is this nurse experiencing?
Select one:
Ethical universalism
Moral conflict
Moral outrage
Ethical relativism - (correct answer)Moral outrage occurs when an individual witnesses
the immoral act of another but feels powerless to stop it. Moral uncertainty or moral
conflict occurs when an individual is unsure which moral principles or values apply and
may even include uncertainty as to what the moral problem is. Ethical relativism
suggests that individuals make decisions based only on what seems right or reasonable
according to their value system or culture. Ethical universalism holds that ethical
principles are universal and constant and that ethical decision making should not vary
as a result of individual circumstances or cultural differences.
The correct answer is: Moral outrage
A nurse is applying the MORAL decision-making model to a dilemma involving a
colleague's possible dishonesty in documentation. What is the nurse's initial action?
Select one:
Think of as many alternatives as possible.
Gather as much information about the situation as possible.
Engage the colleague in the decision-making process.
Perform a critical self-reflection of the nurse's own morals and values. - (correct
answer)The first step of the MORAL decision-making model is to "massage the
dilemma." This involves collecting data about the ethical problem and who should be
involved in the decision-making process. However, this does not necessarily mean that
the nurse must engage the colleague who is the object of the decision. Outlining options
(alternatives) is the second step in the model. It is presumed that a nurse will engage in
