Question

What is true of nursing responsibilities with regard to a physician-initiated intervention (physician's order)?

A) Nurses can independently change or modify physician orders based on their judgment
B) Nurses are responsible for questioning and clarifying unclear or ambiguous orders
C) Nurses should always follow physician orders without questioning them
D) Nurses are not required to document the implementation of physician orders

Answer 1

Nurses are expected to clarify unclear or ambiguous physician orders, not change them independently. They must document every order implemented, and should never follow orders blindly.

Step-by-step explanation:

In the context of responsibilities concerning physician-initiated interventions, nurses hold the responsibility to evaluate and understand the orders they are provided with. While nurses cannot independently change or modify a physician's order based on their judgment (Option A), they are indeed responsible for questioning and clarifying any orders that are unclear or ambiguous (Option B). This is critical to ensure patient safety and the effectiveness of care. Nurses are expected to use their professional expertise to collaborate with physicians, rather than to follow orders blindly (Option C), as suggested in the student's question. Moreover, it is a fundamental part of nursing responsibilities to meticulously document the implementation of physician orders (Option D), as documentation is a legal requirement and necessary for continuity of care.

Answer 2

Nurses play a crucial role in the implementation of patient care plans, and clear communication is paramount for ensuring patient safety. Therefore, the correct answer is option B) Nurses are responsible for questioning and clarifying unclear or ambiguous orders.

Step-by-step explanation:

The correct answer, B, reflects the accurate understanding of nursing responsibilities concerning physician-initiated interventions or orders. Nurses are not authorized to independently change or modify physician orders based on their judgment (Option A). Such alterations could compromise patient safety and go against the established hierarchy of healthcare decision-making.

On the contrary, nurses are expected to actively engage in the clarification process when faced with unclear or ambiguous orders (Option B). This involves seeking clarification from the prescribing physician to ensure that the intended course of action is clear and aligns with the best interest of the patient. This collaborative approach emphasizes effective communication within the healthcare team and helps prevent potential errors.

The option C, stating that nurses should always follow physician orders without questioning them, oversimplifies the complex nature of healthcare decision-making. While nurses generally follow orders, it is crucial for them to exercise professional judgment and raise concerns or seek clarification when necessary. Lastly, Option D, asserting that nurses are not required to document the implementation of physician orders, is incorrect. Proper documentation is a fundamental aspect of nursing practice, ensuring accountability, continuity of care, and legal compliance.