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What is the primary ethical responsibility of the Clinical Nurse Leader in the context of patient care decisions?

  1. Ensuring all treatment options are cost-effective

  2. Prioritizing the hospital's needs over the patient's

  3. Advocating for the best interests of the patient

  4. Minimizing the number of ethics consultations needed

The correct answer is: Advocating for the best interests of the patient

The primary ethical responsibility of the Clinical Nurse Leader in the context of patient care decisions centers on advocating for the best interests of the patient. This responsibility is grounded in the principles of patient-centered care and ethical practice, which prioritize the dignity, rights, and well-being of the patient. As a Clinical Nurse Leader, the individual acts as a key figure in coordinating care and ensuring that patients receive safe, effective, and compassionate treatment. This role involves assessing patients' needs, preferences, and values, and making decisions that align with these factors. Advocacy encompasses not only direct communication with patients but also involves educating them about their options, supporting informed consent, and working collaboratively with the healthcare team to navigate complex clinical decisions. Focusing solely on cost-effectiveness, as indicated in one of the choices, can lead to potential conflicts between the financial objectives of the healthcare institution and the needs of patients. Thus, while financial considerations are important, they should never overshadow the responsibility to prioritize patient care. Similarly, prioritizing the hospital’s needs would compromise the ethical obligation to advocate for patients, and minimizing ethics consultations may undermine the support systems necessary for ethical decision-making in complex situations.