At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment, the RN assumes:
sole responsibility and accountability for the patient's wellbeing.
responsibility for their tasks, but accountability lies with the charge nurse.
accountability for their tasks, but overall responsibility lies with the charge nurse.
neither responsibility nor accountability for the patient's wellbeing.
The Correct Answer is C
A. While the RN is responsible for the care of the patients, the charge nurse also retains overall responsibility, making this statement inaccurate.
B. The RN does have responsibility for their specific tasks, but the accountability remains shared, particularly for the overall patient care.
C. The RN is accountable for their tasks and patient outcomes, while the charge nurse maintains overall responsibility for the unit's operations and patient care.
D. The RN assumes both responsibility and accountability to some extent, especially in their assigned patient care.
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Correct Answer is C
Explanation
A. Refreezing is the stage where changes are solidified and new behaviors are established after the change has been implemented. This is not the current stage since you are still in the process of identifying the need for change.
B. Moving involves the actual implementation of the change, but you have not yet begun this phase; you're still recognizing the need for change.
C. Unfreezing is characterized by recognizing the need for change and creating awareness about it. Since you are shocked by the outdated practice and want to initiate change, you are in this stage as you prepare for the transition.
D. Experiencing the change is not one of Lewin's stages and does not accurately describe your current situation of acknowledging the need for change.
Correct Answer is B
Explanation
A. Fidelity refers to the obligation to keep promises and commitments made to patients, but it does not specifically address the concept of causing harm.
B. Nonmaleficence is the ethical principle that emphasizes the importance of "do no harm." It focuses on protecting clients from harm and ensuring safety in their care.
C. Justice pertains to fairness and equality in the distribution of healthcare resources and services but does not directly address the issue of harm.
D. Beneficence involves actions that promote the well-being of patients and can include doing good, but it does not specifically emphasize the avoidance of harm as nonmaleficence does.