Contemporary Ethical Issues in Nursing

Contemporary Ethical Issues in Nursing Related

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A nurse is having difficulty managing assignments at work, which results in a feeling of "failure" and tasks that are not completed or that are not completed satisfactorily. The mentor suggests some tips for time management. These include: (select all that apply)

  • A. focusing on activities to be completed, rather than on objectives.
  • B. planning for tomorrow today.
  • C. making certain that the last hours are the most productive in tying up loose ends.
  • D. maintaining a log of how the nurse spends time (no need to worry about using complete sentences).
Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct:

1. Planning for tomorrow today allows the nurse to set clear goals and prioritize tasks in advance.
2. By planning ahead, the nurse can allocate time efficiently, reducing the feeling of overwhelm.
3. This approach fosters better organization and focus, enhancing productivity and task completion.
4. Planning helps in identifying potential obstacles and developing strategies to overcome them.
5. Ultimately, effective planning leads to better time management and a sense of accomplishment.

Summary of why other choices are incorrect:
A: Focusing on activities rather than objectives can lead to a lack of direction and prioritization.
C: Making the last hours most productive neglects the importance of consistent time management throughout the day.
D: Maintaining a log of time spent can be helpful but does not address the proactive approach of planning ahead for better time management.

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According to the Quality Chasm report:

  • A. health care providers should be proactive rather than reactive to patient needs.
  • B. common needs rather than individual preferences should be the priority.
  • C. medical information should be confined to the primary care provider.
  • D. specialized providers or case managers should control health care decisions.
Correct Answer: A

Rationale: Correct Answer: A

Rationale:
1. Proactive care emphasizes prevention and early intervention.
2. The Quality Chasm report advocates for patient-centered care.
3. Being proactive ensures better health outcomes and lower costs.
4. Reactive care may lead to delayed diagnosis and treatment.

Summary:
B: Focusing on common needs ignores individual preferences, contradicting patient-centered care.
C: Limiting medical information to one provider is not patient-centered and hinders care coordination.
D: Allowing specialized providers to control decisions may not consider the holistic needs of the patient.

Which nursing model is referred to as the "class without walls"?

  • A. Articulation
  • B. Career ladder (2 +
  • C. Nightingale’s Environmental Nursing Theory
  • D. Online Nursing Learning Framework
Correct Answer: A

Rationale: The correct answer is A: Articulation. This nursing model is referred to as the "class without walls" because it focuses on seamless academic progression and collaboration between educational institutions. Articulation promotes a smooth transition of nursing students from one level of education to another, eliminating barriers and creating a cohesive learning experience. The other choices (B, C, D) do not specifically emphasize the concept of breaking down walls or barriers in education like the Articulation model does.

A bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier's head is an artistic representation of nurses who served in which war?

  • A. World War I
  • B. World War II
  • C. Spanish-American War
  • D. Vietnam War
Correct Answer: B

Rationale: The correct answer is B: World War II. This statue represents the iconic image of a nurse caring for a soldier during WWII. Nurses played a crucial role in providing medical care and support during the war, often under extreme conditions. The exhausted yet caring portrayal of the nurse holding the soldier's head captures the compassion and dedication of nurses during WWII.

Explanation for other choices:
A: World War I - While nurses also served valiantly in WWI, the imagery of this statue is more closely associated with WWII.
C: Spanish-American War - Nurses did serve in this war, but the statue's depiction aligns more with the context of WWII.
D: Vietnam War - The statue's portrayal does not align with the historical context or imagery commonly associated with nurses in the Vietnam War.

A priority action for the nurse who works with culturally diverse clients is completion of a:

  • A. sign language course.
  • B. cultural self-assessment.
  • C. cultural client assessment.
  • D. continuing education course on how to speak Spanish.
Correct Answer: B

Rationale: The correct answer is B: cultural self-assessment. This is important as it helps the nurse understand their own beliefs, values, and biases, which can impact how they interact with culturally diverse clients. By being self-aware, the nurse can better recognize and address any potential cultural misunderstandings or conflicts.

A: Taking a sign language course is not the priority as not all culturally diverse clients are deaf or use sign language.
C: While cultural client assessment is important, it is secondary to the nurse understanding their own cultural biases first.
D: Taking a course on how to speak Spanish is helpful but may not address the broader cultural competence needed to work with diverse clients.

Cover letters:

  • A. should signify an interest in the employer and let the employer know that you took time to research the organization.
  • B. must be handwritten so the employer can determine whether charting will be legible.
  • C. should be limited to one paragraph because time is of the essence.
  • D. let the employer know your desired salary, shift, and area of practice.
Correct Answer: A

Rationale: The correct answer is A because a cover letter should express genuine interest in the employer and show that you have taken the time to understand their organization. This demonstrates professionalism and a tailored approach. Choice B is incorrect because handwritten letters are rarely used in the digital age, and legibility is not a primary concern. Choice C is incorrect as cover letters should provide sufficient information to showcase qualifications, not limited to one paragraph. Choice D is incorrect because revealing desired salary, shift, and area of practice is typically done during the interview process, not in the initial application.

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