NSG 230 Ethics article review questions
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NSG 230 Ethics
Review of article
Moral Resilience for Critical Care Nurses (2020), Stutzer and Rodriguez
Answer questions and complete with 80% or better for full credit
1.
Nurses experience situations that can impact their ability to act in an ethical manner and can lead to ethical dilemmas and moral distress. Which of the following can result from moral distress? (Select all that apply)
a.
Burnout
b.
Hypervigilant, more focused
c.
Absenteeism
d.
Job satisfaction
e.
Early resignation from nursing
2.
True or False
a.
Nurses are the only profession in healthcare that experience moral distress.
3.
Which of the following statements is an accurate definition of moral distress?
a.
A violation of one’s own professional integrity and duties with the ability to act ethically on this violation.
b.
A reactive distress that occurs from a violation of a belief or known ethical action and continues to cause residual responses to the violation.
c.
A perceived violation of one’s own professional integrity and obligations and the simultaneous feeling of being constrained from taking ethically appropriate action. d.
A known breach of ethically behavior that is recognized and reported when observed. 4.
True or False
a.
The number of times moral distress has been addressed in published literature has doubled since 1987. 5.
The most recent tool used to measure moral distress is called:
a.
Corley’s Moral distress tool
b.
DASS-21 scale
c.
Measure of Moral Distress for Healthcare Professionals d.
Beck’s Inventory tool
6.
A new graduate nurse has been working for 8 months in the Critical Care Unit. The nurse manager plans to meet with the nurse to discuss how the nurse is doing as the unit has been at capacity with high acuity patients and there have been many ethical dilemmas related to patient
care. Which of the following statements would the nurse manger know to be true when considering the meeting with the nurse? (Select all that apply)
a.
Moral residue can result from numerous morally distressing situations.
b.
Nurses have less moral residue than physicians.
c.
Moral resilience can help persons to cope with stressful experiences. d.
Providing an environment to safely discuss ethical issues is key to foster moral integrity with staff. e.
Debriefing after a complex ethical case has not proven to be helpful for staff as this can cause undue additional stress and experiences of reliving the trauma of the situation. f.
Ethics consults are useful but in a limited capacity. 7.
Which of the following should the nurse leader implement to create an ethical healthy unit environment?
a.
Retrospectively address ethical dilemmas and only when patient harm has occurred
b.
Provide educational opportunities in ethical training for the most senior nurses
c.
Embed the AACN Health Work Environment standards into the unit to promote nurse empowerment. d.
Encourage others to act with moral courage and follow the ANA Code of Ethics
8.
Self-care is critical to promote moral resilience and overcome feelings of powerlessness. What strategies could be used to build moral resilience? (Select all that apply)
a.
Listen to those who only agree with you
b.
Attend educational workshops on moral distress and ethics c.
Pause and reflect
d.
Provide feedback and input to the organization when change is needed e.
Seek mentors for advice
f.
Physical exercise and healthy eating
g.
Recognize areas of improvement with self-compassion
h.
Seek to understand and not be understood
9.
True or False
a.
Much research has been done to evaluate the impact of enhanced moral resilience and its effects on the outcomes of moral distress. 10.
What is the best definition of moral resiliency?
a.
The ability of an individual to sustain or restore integrity in response to moral complexity, confusion, distress, or setbacks.
b.
The insight to do what is considered right in any given situation – ethically and morally.
c.
The strength to voice concerns when seeing an unethical circumstance. d.
An internal integrity that guides decision making and ethical practice.
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