Ethics and Issues in Contemporary Nursing

Ethics and Issues in Contemporary Nursing Related

Review Ethics and Issues in Contemporary Nursing related questions and content

An RN delegates to an experienced LPN/LVN the task of administering oral medications to a group of patients. The LPN/LVN accepts the assignment, and the RN knows that the LPN/LVN has had the training and has acquired the skills needed to complete the task. The RN then observes the LPN/LVN recording a patient's medication administration just before entering the patient's room. The priority intervention by the RN is to:

  • A. check the patient's drug packages to ensure that the correct drugs were given.
  • B. stop the LPN/LVN immediately and discuss the possible consequences of his actions in a nonjudgmental manner.
  • C. contact the nurse manager and ask that the LPN/LVN's license be suspended.
  • D. call the pharmacy and ask for replacement medications for the patients.
Correct Answer: B

Rationale: The correct answer is B: stop the LPN/LVN immediately and discuss the possible consequences of his actions in a nonjudgmental manner. This is the priority intervention because it addresses the immediate issue of potentially incorrect documentation and allows for clarity and understanding between the RN and LPN/LVN. It promotes open communication and a chance to correct any errors that may have occurred.

Choice A is incorrect because checking the drug packages after the fact does not address the issue of potentially incorrect documentation and missed medications.

Choice C is incorrect as it is an extreme response that does not promote a collaborative and educational approach to resolving the situation.

Choice D is incorrect as calling the pharmacy for replacement medications is not necessary at this stage and does not address the immediate concern of potentially incorrect documentation.

You may also like to solve these questions

Diagnosis-related groups (DRGs) have attempted to reduce health care costs by decreasing:

  • A. hospital admission rates.
  • B. length of hospital stay.
  • C. outpatient services.
  • D. specialty groups.
Correct Answer: B

Rationale: The correct answer is B: length of hospital stay. DRGs aim to reduce healthcare costs by incentivizing hospitals to provide efficient care and discharge patients sooner. Shortening the length of hospital stay helps decrease overall healthcare expenses without compromising the quality of care. Choices A, C, and D are incorrect because DRGs focus on the duration of hospitalization, not necessarily on hospital admission rates, outpatient services, or specialty groups. Shortening hospital stays is a more direct way to control costs within the inpatient setting.

A nurse wants to apply open communication to obtain a thorough history and to determine cognitive function. Which question represents the use of open communication?

  • A. Is today Wednesday?
  • B. Do you know what day it is?
  • C. Tell me what day of the week today is.
  • D. Do you know what the first day of the week is?
Correct Answer: C

Rationale: The correct answer is C because it encourages the patient to provide detailed information and express themselves freely. By asking the patient to "Tell me what day of the week today is," the nurse is prompting an open-ended response, allowing the patient to share their understanding. Choice A is closed-ended, requiring a simple yes/no answer. Choice B is slightly better as it prompts for information, but it is still closed-ended. Choice D is irrelevant to the question of determining cognitive function and history. In summary, C promotes open communication by encouraging the patient to elaborate, while the other choices limit the patient's response.

An older adult has atrial fibrillation, which causes the heart to have an irregular rhythm. The client uses imagery to alter the dysrhythmiThe client is using which type of complementary alternative medicine (CAM)?

  • A. Ayurveda
  • B. Dosha
  • C. Homeopathy
  • D. Biofeedback
Correct Answer: D

Rationale: The correct answer is D: Biofeedback. Biofeedback is a type of CAM that involves using electronic devices to help individuals gain awareness and control over physiological processes, such as heart rate and muscle tension. In this case, the older adult is using imagery as a form of biofeedback to alter the dysrhythmia. Ayurveda (A) and Dosha (B) are traditional Indian systems of medicine based on balancing bodily energies, not directly related to using imagery for heart rhythm control. Homeopathy (C) is a system of alternative medicine based on the concept that "like cures like" and uses highly diluted substances, not imagery or biofeedback techniques.

A novice nurse is unsure how to correctly administer an injection using the Z-track method. What is the best approach for learning this procedure?

  • A. Read the procedure manual and follow the steps exactly.
  • B. Make an appointment at the skills laboratory of the former nursing school to practice.
  • C. Ask to observe the skill as it is being performed; then perform it under direct supervision.
  • D. Try to remember how the task was previously performed during a simulation.
Correct Answer: C

Rationale: The correct answer is C: Ask to observe the skill as it is being performed; then perform it under direct supervision. This approach allows the novice nurse to learn through observation and hands-on practice under direct supervision, ensuring proper technique and safety. By observing the skill first, the nurse can understand the correct steps and potential challenges. Performing the skill under supervision provides real-time feedback and guidance. This method promotes active learning and confidence-building.

Rationale for incorrect choices:
A: Reading the procedure manual is helpful but may not provide the necessary hands-on experience and immediate feedback required for skill acquisition.
B: Practicing in a skills laboratory can be beneficial, but it may not offer the opportunity for direct supervision and feedback from experienced professionals.
D: Trying to remember from a previous simulation may not be reliable and lacks the real-time guidance and correction needed for skill mastery.

A valuable tool for determining whether a potential employer is suitable for your career goals is to:

  • A. call The Joint Commission (TJC) to ask whether the organization meets required standards.
  • B. assess the work climate by walking through the facility.
  • C. review financial statements of the institution.
  • D. ask what they can do for you rather than what you can do for them.
Correct Answer: B

Rationale: The correct answer is B because assessing the work climate by walking through the facility allows you to gain firsthand insight into the organization's culture, values, and overall environment. By observing how employees interact, the cleanliness of the facility, and the general atmosphere, you can assess if it aligns with your career goals and preferences. This method provides tangible and direct evidence that can help you make an informed decision.

Choice A is incorrect because contacting The Joint Commission is not relevant to evaluating a potential employer's suitability for your career goals. Choice C is incorrect as reviewing financial statements may not provide insights into the work environment and culture. Choice D is incorrect because focusing solely on what the employer can do for you may not give a comprehensive understanding of whether the organization is a good fit for your career aspirations.

Copyright © 2025 Nokea. All rights reserved.