Contemporary Ethical Issues in Nursing

Contemporary Ethical Issues in Nursing Related

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A large corporation employs nurses all over the United States. Nurses in one agency learned that fellow nurses in another agency are striking because they are required to work 16-hour shifts to cover for nurses who have left due to unsafe staffing practices. The union of the nonstriking agency nurses decides to stop work to support the nurses who are striking; thus, this union:

  • A. is placing nurses at risk for a lawsuit because their direct employer did not cause the strike.
  • B. must be an industry union representing both parties.
  • C. is participating in a sympathy strike, which, if done correctly, is legal.
  • D. must pay for any losses incurred by the agency during the strike.
Correct Answer: C

Rationale: The correct answer is C because the union of the nonstriking agency nurses is engaging in a sympathy strike to support their fellow nurses who are striking due to unsafe working conditions. A sympathy strike is legal as long as it is conducted correctly. In this case, the nonstriking agency nurses are showing solidarity with their colleagues to address the issue of unsafe staffing practices.

Choice A is incorrect because the union's decision to support the striking nurses does not automatically expose them to a lawsuit. Choice B is incorrect as the union represents only one group of nurses, not both parties. Choice D is incorrect because there is no legal requirement for the union to pay for any losses incurred by the agency during the strike.

Overall, the correct answer is C because it accurately reflects the union's action of participating in a sympathy strike to show support for the striking nurses.

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A nurse working in a factory performs routine hearing tests for employees. The factory uses 90 dB as the safe limit for an 8-hour day's exposure to machine noise rather than 85 dB as recommended by the Occupational Safety and Health Administration. The nurse is functioning in the role of:

  • A. quality management.
  • B. informatics nurse specialist.
  • C. occupational health nurse.
  • D. case manager.
Correct Answer: C

Rationale: The correct answer is C: occupational health nurse. This is because an occupational health nurse specializes in promoting health and safety in the workplace, including monitoring employees' exposure to occupational hazards like noise. By conducting hearing tests and recognizing the discrepancy between the factory's safe noise level and OSHA's recommendation, the nurse is fulfilling the role of an occupational health nurse.

Choice A (quality management) is incorrect as it involves ensuring high-quality care and services, not specifically focused on workplace health and safety. Choice B (informatics nurse specialist) is incorrect as it pertains to using technology and data to improve healthcare outcomes, not directly related to workplace health monitoring. Choice D (case manager) is incorrect as it involves coordinating care for individual patients, not overseeing workplace health and safety practices.

A patient is placed on reserpine (Serpalan) to decrease mild anxiety and treat hypertension. The patient researches the medication on the Internet and finds that this medication comes from which plant?

  • A. Atropa belladonna
  • B. Digitalis purpurea
  • C. Rauwolfia serpentina
  • D. Cephaelis ipecacuanha
Correct Answer: C

Rationale: The correct answer is C: Rauwolfia serpentina. Reserpine is derived from the Rauwolfia serpentina plant. This plant contains alkaloids that act as a central nervous system depressant, reducing anxiety and lowering blood pressure. Atropa belladonna (A) contains toxic alkaloids, Digitalis purpurea (B) contains cardiac glycosides used for heart conditions, and Cephaelis ipecacuanha (D) contains emetine used for inducing vomiting, none of which are related to reserpine's effects.

Occupational health nursing features beliefs similar to those of which early nursing pioneer?

  • A. Lillian Wald
  • B. Florence Nightingale
  • C. Clara Barton
  • D. Mary Seacole
Correct Answer: B

Rationale: The correct answer is B: Florence Nightingale. Occupational health nursing shares beliefs with Florence Nightingale as she emphasized the importance of proper sanitation, hygiene, and preventive care in nursing practice. Nightingale's focus on maintaining a healthy environment aligns with the core principles of occupational health nursing. Lillian Wald is known for her work in public health nursing, Clara Barton for founding the American Red Cross, and Mary Seacole for her contributions during the Crimean War. While these pioneers made significant contributions to nursing, their beliefs and focus areas differ from those of occupational health nursing.

A new graduate nurse is applying for the exciting first position and states, "I am only applying to Magnet hospitals because those work environments:

  • A. attract physicians who are the best health care providers to improve quality of care."
  • B. require all registered nurses to be certified in the area of practice."
  • C. not only attract but also retain professional nurses."
  • D. discourage nurses from advancing their current level of education and I don't want to return to school for many years."
Correct Answer: C

Rationale: The correct answer is C because Magnet hospitals are recognized for their ability to not only attract but also retain professional nurses. These hospitals create a positive work environment that values and supports nursing staff, leading to higher job satisfaction and lower turnover rates. Choice A is incorrect because while Magnet hospitals may attract top healthcare providers, it's not solely focused on physicians. Choice B is incorrect as certification is not a mandatory requirement for all RNs in Magnet hospitals. Choice D is incorrect as Magnet hospitals actually encourage nurses to advance their education and professional development.

An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a system known as:

  • A. decision support.
  • B. telehealth.
  • C. robotic technology.
  • D. biometric technology.
Correct Answer: A

Rationale: The correct answer is A: decision support. In this scenario, the nurse inputs clinical manifestations into a computer program to assist in generating a diagnosis. Decision support systems use algorithms and data to provide healthcare professionals with evidence-based recommendations or diagnoses. In this case, the system likely recognized the combination of clinical signs as indicative of fat emboli. Telehealth (B) involves remote healthcare services, not diagnosis. Robotic technology (C) and biometric technology (D) are not directly related to clinical diagnosis like decision support systems are.

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