Author Question: A nurse on the oncology unit is distraught because a patient died alone while the nurse was charting ... (Read 63 times)

Anajune7 · **on:** Jul 17, 2018

A nurse on the oncology unit is distraught because a patient died alone while the nurse was charting and believes that the demands of documentation are excessive and harm patient care. What action by the unit manager would be most helpful?

a. Ask the nurse about a job transfer.
b. Encourage the nurse to delegate more.
c. Hold a debriefing on the situation.
d. Refer the nurse to Employee Assistance.

Question 2

The nursing student understands that being willing to listen and examine all ideas, even if they cause a negative reaction when considering them, describes the critical thinking characteristic known as intellectual

a. autonomy.
b. courage.
c. humility.
d. integrity.

catron30 · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

C
This nurse is suffering from role discrepancy in which his or her conception of a role is incompatible with the actual obligations of the role. A helpful strategy for this situation is a debriefing, which involves reviewing the events of a particular situation with a colleague or group of colleagues. This can allow for the articulation of the role expectations that came into conflict in a given situation. Often, role expectations are taken for granted, and simply verbalizing these thoughts allows the concerned nurse to move forward in understanding the source of his or her stress. Additionally, colleagues who are present during a debriefing session can validate the concerned nurse's views and share similar experiences and expectations. Asking about a job transfer is not likely to be helpful because role discrepancy can occur in any setting. Delegation may or may not have been needed in this situation, but the nurse cannot delegate charting. The nurse may need a referral to Employee Assistance but not as the first step.

Answer to Question 2

B
Intellectual courage is a willingness to listen and examine all ideas, including those that trigger a negative response.
Intellectual autonomy means having rational control of one's beliefs, values, and inferences.
Intellectual humility is an awareness of the limits of one's knowledge and sensitivity to the possibility of self-deception.
Intellectual integrity is the application of rigorous and consistent standards of evidence and the admission of errors when they occur.