Which is the most appropriate method a nurse can use to advocate for c

QUESTION

Which is the most appropriate method a nurse can use to advocate for clients when ethical decisions are made inappropriately?

1. The nurse discusses concerns with the nurse manager, who then calls together a
meeting of the ethics committee.
2. The nurse confronts the care provider to discuss the specifics of the issue and then discusses with the team.
3. The nurse discusses concerns with the nurse manager, citing institutional policy and client rights documents.
4. The nurse discusses concerns with the client and/or family to get them to confront the care providing team.

ANSWER:

Answer: 3

Rationale: It is important for the nurse to follow the chain of command when advocating for clients. The nurse needs to discuss concerns with the nurse manager first. The nurse manager and nurse would then discuss with the team. Confrontation should not occur over an ethical situation, but should be discussed among team members, with consultation of the ethics committee. The nurse would not discuss concerns with the family before discussing the situation with the nurse manager.