Contemporary Ethical Issues in Nursing

Contemporary Ethical Issues in Nursing Related

Review Contemporary Ethical Issues in Nursing related questions and content

A nurse practicing on a unit where domestic violence is common wants to learn how to apply nursing theory to practice on this unit. She considers the interrelatedness of the constructs of Watson's Theory of Caring and designs:

  • A. conceptual model of caring.
  • B. hypothesis of the impact of caring on domestic violence.
  • C. proposition of how caring is conceptualized.
  • D. theory of scientific inquiry.
Correct Answer: A

Rationale: The correct answer is A: conceptual model of caring. In this scenario, the nurse wants to apply nursing theory to practice in a unit dealing with domestic violence. Watson's Theory of Caring emphasizes the importance of the nurse-patient relationship, which is central when addressing sensitive issues like domestic violence. By considering the interrelatedness of the constructs of this theory, the nurse can develop a conceptual model that guides her practice in providing caring and compassionate care to domestic violence survivors. This model will help her incorporate key elements of caring, such as empathy and respect, into her nursing interventions.

Summary:
B: Hypothesis of the impact of caring on domestic violence - This choice is incorrect as it focuses on the impact of caring on domestic violence, rather than the application of a nursing theory to practice.
C: Proposition of how caring is conceptualized - This choice is incorrect as it only addresses the conceptualization of caring, not the practical application of a nursing theory to practice.
D: Theory of scientific

You may also like to solve these questions

An elderly person, age 80, is finding it difficult to live alone and the family is considering long-term care. The elderly person is reasonably healthy, with only normal aging declines, and maintains a healthy appetite. All medications are administered orally and require only minimal assistance. She is financially secure with an income based on retirement from both the military and factory from her deceased husband and herself. The family contacts long- term care and is told that, based on this patient's information:

  • A. Medicare will cover the cost of stay since skilled services are required.
  • B. Medicaid is only for families with dependent children.
  • C. Medicare will pay for home health services should these additional services meet the needs of the individual.
  • D. Medicare will pay regardless of household income or financial status for nursing home care.
Correct Answer: C

Rationale: Rationale for Correct Answer (C): Medicare will pay for home health services should these additional services meet the needs of the individual.

1. Medicare covers home health services for individuals who meet specific criteria, which may include being homebound, needing skilled nursing care, and having a care plan established by a healthcare provider.
2. In this scenario, the elderly person is reasonably healthy and only requires minimal assistance with oral medications, indicating that she may benefit from home health services rather than long-term care.
3. Since the elderly person is financially secure, it is likely that she does not meet the eligibility criteria for Medicaid, which is a need-based program for individuals with limited income and resources.
4. Medicare does not cover long-term care in a nursing home unless specific criteria are met, such as requiring skilled services on a short-term basis. In this case, the elderly person's need for assistance with oral medications does not necessarily qualify as a skilled service for nursing home care.

Summary of Incorrect Choices:
A

Many nursing professionals have portfolios that include:

  • A. family pictures.
  • B. letters of commendation.
  • C. articles that describe lack of quality in health care.
  • D. high school achievements.
Correct Answer: B

Rationale: The correct answer is B: letters of commendation. Nursing professionals typically include letters of commendation in their portfolios to showcase their achievements, skills, and positive feedback from colleagues or supervisors. This demonstrates their competence and professionalism. Family pictures (A) and high school achievements (D) are not relevant to a nursing portfolio. Articles describing lack of quality in healthcare (C) could reflect negatively on the professional and are not typically included in a portfolio meant to highlight accomplishments.

A team of experienced nurses work together to develop algorithms that are converted into checklists to ensure standardization of commonly performed procedures. The focus of this team is primarily on which Institute of Medicine (IOM) competency?

  • A. Safety
  • B. Timely
  • C. Equitable
  • D. Patient-centered care
Correct Answer: A

Rationale: The correct answer is A: Safety. The team of nurses developing algorithms and checklists aims to ensure standardization of procedures, which directly relates to patient safety. Safety is a fundamental competency in healthcare, as it involves minimizing harm to patients. Standardization through checklists helps reduce errors and promote consistency in care delivery. Timely care (B) focuses on providing care promptly, equitable care (C) emphasizes fairness and eliminating disparities, and patient-centered care (D) prioritizes individual preferences and needs. While these competencies are important in healthcare, in this scenario, the team's primary focus on standardization aligns with the safety competency.

A patient is ordered a low-protein, low-calorie diet but the patient's family brings fish, lentils, and unleavened bread for a meal to observe a cultural practice. The nurse works with the dietitian to adjust the next few meals to accommodate for this variance. This situation would represent:

  • A. a sentinel event.
  • B. an adverse event.
  • C. patient-centered care.
  • D. the communication technique of "call-out."
Correct Answer: C

Rationale: The correct answer is C: patient-centered care. Patient-centered care involves respecting and responding to individual patient preferences, needs, and values. In this scenario, the nurse and dietitian are adjusting the patient's meals to accommodate cultural practices, showing a commitment to providing care that is respectful and responsive to the patient's cultural beliefs. This approach promotes better patient outcomes and satisfaction.

Summary of incorrect choices:
A: a sentinel event - This refers to a serious, preventable adverse event, which does not apply in this situation.
B: an adverse event - This typically refers to harm caused by medical care, which is not the case here.
D: the communication technique of "call-out" - This refers to a technique used in healthcare to alert team members to unsafe situations, which is not relevant to the scenario provided.

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.

Copyright © 2025 Nokea. All rights reserved.