Certified Hospice and Palliative Assistant (CHPNA) Practice Test

What is the first step in resolving an ethical dilemma in nursing?

1. Consulting the ethics committee

2. Identifying the issue

3. Determining the best outcome

4. Discussing with colleagues

The correct answer is: Identifying the issue

Identifying the issue is the foundational step in resolving an ethical dilemma in nursing because it sets the stage for the entire decision-making process. It involves recognizing that a conflict exists and clarifying what the specific ethical problem is. Nurses must be able to articulate the dilemma clearly, which includes understanding the values and principles at play, as well as the implications for the patient and other stakeholders involved. Once the issue is identified, nurses can then proceed to gather relevant information and consult others, including ethics committees and colleagues, to explore potential outcomes and solutions. Without first understanding the nature and specifics of the ethical dilemma, any further actions may be misguided or ineffective, leading to resolutions that do not address the core of the problem. This foundational step is crucial as it ensures that subsequent discussions and decisions are focused and meaningful.