A nurse believes that it is his responsibility to ensure the safety of the public by administering flu shots to everyone in the community. Which ethical theory is being used by the nurse?
- A. Descriptive value theory
- B. Normative theory
- C. Consequentialism theory
- D. Duty-based theory
Correct Answer: C
Rationale: Consequentialism focuses on actions that aim to produce the greatest benefit for society as a whole.
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The interrelationship of poverty and health care dollars spent by Blacks and other minorities is affected greatly by:
- A. Lack of access to preventive health care services
- B. Low numbers of minority health care providers
- C. Use of emergency rooms for care
- D. Increased infant mortality rates in African American populations
Correct Answer: A
Rationale: Lack of access to preventive care leads to higher health care costs and reliance on emergency rooms for more expensive treatments.
The nurse is caring for a family who has 2-year-old twins. Which of the following health promotion advice would be included in the nurse’s plan of care for this couple?
- A. Wear bicycle helmets for safety.
- B. Use caution around the family swimming pool.
- C. Cross the street at using the crosswalks.
- D. Advocate for the day care to provide adequate socialization.
Correct Answer: B
Rationale: Two-year-olds are at high risk of wandering into dangerous situations, such as a swimming pool.
A client is scheduled to have open-heart surgery but has not been informed about potential complications. Which ethical concept has been ignored?
- A. Beneficence
- B. Autonomy
- C. Justice
- D. Informed consent
Correct Answer: D
Rationale: Informed consent requires that the client be fully aware of all risks before making an informed decisio
A Mexican American woman comes to the office for a visit. She is found to be 30 weeks pregnant. Which of the following conclusions can the nurse draw from this finding?
- A. The woman does not value prenatal care.
- B. Client education may require a different approach because of dissimilar cultural beliefs.
- C. This culture does not believe in traditional medicine.
- D. Signs of pregnancy were not recognized by the woman.
Correct Answer: B
Rationale: Cultural groups may have unique beliefs about prenatal care, and this woman’s delay in seeking care might indicate the need for a culturally sensitive approach to education.
A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse?
- A. Highlight past successes
- B. Discuss the benefits of changing
- C. Develop strategies to prevent relapse
- D. Provide information
Correct Answer: C
Rationale: During the maintenance stage, the nurse should focus on developing strategies to prevent relapse and sustain the positive changes.
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