Although technology has seen many advances, which two ethical principles may be in conflict because of technology?
- A. Beneficence and justice
- B. Beneficence and nonmaleficence
- C. Beneficence and veracity
- D. Beneficence and confidentiality
Correct Answer: B
Rationale: The correct answer is B: Beneficence and nonmaleficence. Beneficence refers to doing good and nonmaleficence refers to avoiding harm. Technology can create ethical conflicts because advancements may aim to benefit individuals (beneficence) but could also potentially cause harm (nonmaleficence). Other choices are incorrect: A) Justice is about fairness in distribution, not in conflict with beneficence; C) Veracity is truth-telling, not in direct conflict with beneficence; D) Confidentiality involves privacy, which is not directly in conflict with beneficence.
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Which of the following theories best describes current health care delivery systems?
- A. Open system theory
- B. Closed system theory
- C. Chaos theory
- D. Contingency theory
Correct Answer: D
Rationale: The correct answer is D: Contingency theory. Contingency theory suggests that there is no one best way to organize and manage a healthcare system. It emphasizes that the effectiveness of a healthcare delivery system depends on various factors such as the environment, technology, and organizational structure. This theory acknowledges the complexity of healthcare systems and the need for flexibility and adaptation to changing circumstances.
A: Open system theory focuses on the system's interaction with its environment, but it does not specifically address the best way to organize and manage a healthcare system.
B: Closed system theory suggests that a system is self-contained and not influenced by external factors, which is not suitable for describing healthcare delivery systems.
C: Chaos theory emphasizes the unpredictability and complexity of systems, but it does not provide a framework for organizing and managing healthcare systems effectively.
Which of the following best describes the role of a clinical nurse specialist (CNS)?
- A. Direct patient care provider
- B. Administrator of healthcare facilities
- C. Consultant for nursing staff
- D. Policy maker in healthcare organizations
Correct Answer: C
Rationale: The correct answer is C because a clinical nurse specialist (CNS) primarily serves as a consultant for nursing staff. They provide expert guidance, education, and support to improve clinical practice and patient outcomes. This role involves collaborating with nurses to enhance their skills and knowledge.
A: Direct patient care provider - While CNS may provide direct patient care, their main focus is on educating and supporting nursing staff.
B: Administrator of healthcare facilities - This role is typically carried out by nurse administrators, not CNS.
D: Policy maker in healthcare organizations - Policy-making is usually the responsibility of healthcare executives or policymakers, not CNS.
Knowing the different modes of communication used by men and women is important for the nurse manager. Which of the following is a difference in communication in unpleasant situations?
- A. Men tend to talk more, and women withdraw.
- B. Men tend to use tag questions.
- C. Women disagree more.
- D. Women talk longer and faster, men disclose more.
Correct Answer: A
Rationale: The correct answer is A because it highlights a common difference in communication styles between men and women in unpleasant situations. Men tend to talk more to assert dominance or control the situation, while women may withdraw to avoid conflict. This difference can impact how conflicts are resolved and relationships are maintained.
Choice B is incorrect as using tag questions is not specifically a gender difference in communication during unpleasant situations. Choice C is incorrect as it generalizes that women disagree more without specifying the context of unpleasant situations. Choice D is incorrect as it focuses on the length and speed of communication rather than addressing the specific behavior in unpleasant situations.
Successful professional nurses benefit from working with mentors. What mutually rewarding outcomes are realized in mentoring relationships? (EXCEPT)
- A. Instilling a sense of accomplishing a meaningful effort
- B. Assuming each other's characteristics
- C. Fostering an interdependent relationship
- D. Promoting self-esteem
Correct Answer: B
Rationale: The correct answer is B: Assuming each other's characteristics. In mentoring relationships, the mentor provides guidance, support, and knowledge to the mentee. The mentee learns from the mentor's experience and expertise, but they should not aim to assume the mentor's characteristics. The mentee should develop their own skills and strengths, not mimic the mentor. This is important for the mentee's professional growth and individuality. Choices A, C, and D are all positive outcomes of mentoring relationships, as they focus on achieving goals, building interdependence, and enhancing self-esteem through support and learning.
Under which category does a violation of the nurse practice act fall?
- A. Juvenile
- B. Felony
- C. Misdemeanor
- D. Tort
Correct Answer: B
Rationale: The correct answer is B: Felony. Violating the nurse practice act involves serious breaches of professional standards, such as negligence or misconduct, which are considered criminal offenses. Committing a felony indicates a severe violation of the law, carrying significant legal consequences. Choices A, C, and D do not accurately represent the gravity of the offense, as they pertain to different legal categories with varying levels of severity. A juvenile offense is a violation committed by a minor, a misdemeanor is a lesser criminal offense, and a tort is a civil wrongdoing resulting in harm.