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 D
Explanation
A. The Patient Self-Determination Act (PSDA) ensures patients are informed of their rights, but it does not provide a basis for changing a living will when a patient is incapacitated.
B. A durable power of attorney for health care can make decisions on behalf of the client but cannot simply cancel the living will without considering the client's wishes as outlined in it.
C. Family members cannot arbitrarily change a living will, especially when the client is unconscious; the living will reflects the client’s predetermined wishes.
D. The living will is a legal document that outlines the client’s preferences regarding lifesaving measures and should be followed even if the client is unconscious.
Correct Answer is D
Explanation
A. While encouraging self-resolution is important, in this case, the nurses are not able to resolve their conflict independently, so this approach would be ineffective.
B. Threatening disciplinary measures can escalate the situation and does not foster an environment for constructive dialogue.
C. Dismissing the nurses fails to address the conflict and does not promote effective negotiation, leaving the issue unresolved.
D. Asking each nurse to present their opening position allows for structured dialogue, giving each party the opportunity to express their concerns and fostering effective negotiation. This approach can lead to a collaborative solution.