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If a staff RN feels strongly about a patient's wishes but cannot prove them, what is the most appropriate step for the CNL to take?

Document the staff RN’s concerns

Follow the staff RN's suggestion without further consultation

Investigate the patient's history for clues about their wishes

Consult with the ethics committee

Consulting with the ethics committee is the most appropriate step for the Clinical Nurse Leader (CNL) to take in this scenario. The ethics committee is typically composed of multidisciplinary members trained to address ethical dilemmas and conflicts regarding patient care. This option allows for a thorough examination of the situation, taking into account the patient's values, wishes, and rights, as well as the staff RN's concerns. In this case, the staff RN feels strongly about honoring the patient's wishes but lacks the evidence to support those wishes. Engaging the ethics committee facilitates a collaborative approach where ethical principles, such as autonomy and beneficence, can be considered. The committee can provide guidance on the best course of action and help navigate the complexities surrounding the patient's care, ensuring that the outcome aligns with ethical standards. This step is crucial, particularly in situations where patient wishes are uncertain or when there is a potential conflict between staff perceptions and patient rights. Relying solely on the staff RN's suggestion without further consultation may overlook essential ethical considerations and could risk violating the patient's autonomy. Documenting concerns is important but does not address the immediate need for ethical guidance. Investigating the patient's history could provide context but may not yield definitive evidence regarding their current wishes, making it less effective in

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