In resolving an ethical dilemma, what is the critical first step a practical nurse should take?

The critical first step in resolving an ethical dilemma for a practical nurse is to gather all relevant information regarding the ethical dilemma. This foundational step is essential because it allows the nurse to understand the context and specifics of the situation at hand, including the perspectives of all parties involved, the clinical facts, and potential consequences. By collecting pertinent details, the nurse can better assess the complexity of the dilemma, identify the ethical issues at stake, and work towards a well-informed resolution.

This process may involve reviewing patient records, consulting with colleagues, and considering the values and preferences of the patient and their family. Without gathering this crucial information, the nurse would be making decisions based on incomplete or inaccurate data, which could lead to ineffective or harmful outcomes in the care provided.

Engaging in this thorough knowledge-gathering prepares the nurse to effectively navigate the following steps, which may include consulting ethical principles, discussing the case with others, or considering orders from physicians. The other options, while they might be useful later in the process, rely on having the complete and accurate information to start with, making it essential to begin with data collection.