In the cardiac intensive care unit, a group of nurses is disgruntled by a recent policy change enacted by the new unit manager. The new manager insists that this decision is "right," and for critics to adopt the policy immediately. Though many nurses agree with the change, many others feel the decision was made without their consent, fostering mistrust of the manager and each other. Which of the following statements demonstrates the most probable result of this situation?
Upon noticing the positive outcomes of the decision, the disagreeing nurses will see the error of their ways, resulting in intergroup cohesiveness.
Patient care may suffer because attention and energy is being diverted.
The conflict will allow nurses to more clearly identify their shared values.
Overall unit outcomes will be enhanced since the policy change is the right decision.
The Correct Answer is B
A. While some nurses may eventually support the change, it is unlikely that immediate disagreement will lead to intergroup cohesiveness without addressing the underlying concerns and communication issues.
B. The division among staff regarding the policy change can lead to distractions and decreased collaboration, ultimately impacting patient care and overall effectiveness within the unit.
C. Although conflict can lead to identifying shared values, this typically requires constructive dialogue and resolution, which is not currently occurring in this scenario.
D. While the policy change may be justified, the lack of staff support and trust can hinder the implementation process, making it unlikely that overall unit outcomes will improve without addressing staff concerns.
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Correct Answer is A
Explanation
A. Reporting laboratory findings to a family member without the client’s consent is a violation of confidentiality, as the client’s health information should not be disclosed to unauthorized individuals.
B. Notifying the provider of physical examination findings is within the nurse's duty of care and does not violate confidentiality.
C. Discussing the client's care with the nurse manager, especially in a supervisory context, does not violate confidentiality, provided it's within the scope of professional communication.
D. Identifying the client by name when making a referral is a necessary part of care coordination and does not violate confidentiality when handled appropriately.
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.