The nurse explains to a co-worker that in order to practice in an ...

[Pineappleeh]

The nurse explains to a co-worker that in order to practice in an ethical manner, the first thing the nurse must do is to
 
  a. clarify one's own values to be sure they can be helpful in ethical dilemmas
  b. find an employer with organizational goals consistent with ethical practice.
  c. follow an established set of rules when confronted with an ethics dilemma.
  d. understand nursing's role in meeting the professional goals of nursing.

Question 2

A manager is concerned about the level of gossip and grapevine communication on the unit. A management consultant explains to the manager that the grapevine often occurs when
 
  a. little communication comes from management.
  b. management is not trusted to divulge information.
  c. regular communication is too slow or irregular.
  d. workers feel uncertain or worried about changes.

[gabrielle_lawrence]

Answer to Question 1

D
The first step to being able to practice in an ethical manner is to understand the goals of nursing as a profession and the responsibility each nurse has in helping the profession meet its goals.
A solid understanding of one's own values is extremely important when working with ethical dilemmas, but this is not the first step in being able to practice in an ethical manner.
Health care organizations and patient care often have competing goals, because all organizations have to consider financial matters that are different from patient care issues. Although some employers may be known for unethical patient care practices, the chances of finding an organization with goals completely consistent with ethical nursing practice are slim.
When working with ethical dilemmas, there are no rulesonly guidelinesbecause when working with people, there are innumerable variations in background and response. Nurses need ethical guidelines and processes to help them in their practices.

Answer to Question 2

D
Grapevines provide a valued source of information when employees feel threatened, insecure, or are facing organizational changes.
Lack of communication is not one of the core reasons grapevines come into being.
Distrust of management is not one of the core reasons grapevines exist.
Slow or irregular communication is not one of the causative factors for the grapevine.