Ethics & Issues in Contemporary Nursing

Ethics & Issues in Contemporary Nursing Related

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Nurses in a nonprofit hospital have expressed an interest in forming a union to secure fair wages and ensure client safety. To form a core support group of nurses, the union organizer can conduct meetings to gather initial information:

  • A. away from the worksite with a group of managers to learn both sides of the situation.
  • B. at the worksite with staff nurses who are respected leaders.
  • C. in homes or local businesses with staff nurses.
  • D. after photographing management meeting to discuss their strategies to decrease interest in unionization.
Correct Answer: B

Rationale: The correct answer is B because conducting meetings at the worksite with respected staff nurses allows for direct engagement with potential union supporters. This approach fosters a sense of unity and trust among the nurses, making it easier to form a core support group. Additionally, meeting at the worksite enables easy access for all nurses and ensures a safe and neutral environment for discussions.

Choices A, C, and D are incorrect because:
A: Meeting away from the worksite with managers may create a conflict of interest and could lead to a biased understanding of the situation.
C: Meeting in homes or local businesses may not provide a professional setting for discussions and may not be convenient for all nurses to attend.
D: Photographing management meetings and discussing their strategies is unethical and could potentially harm the relationship between nurses and management.

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A client is in extreme pain after he was involved in a motor vehicle accident, and morphine has been ordered every hour for pain. The nurse injects saline into the client's IV line and takes the morphine for herself. The nurse is violating which principle of ethics?

  • A. Autonomy
  • B. Utilitarianism
  • C. Beneficence
  • D. Dilemmas
Correct Answer: C

Rationale: The correct answer is C: Beneficence. Beneficence is the ethical principle that emphasizes the obligation to act in the best interest of the client and to do good. In this scenario, the nurse is not acting in the best interest of the client by withholding the prescribed medication for personal gain. This action goes against the principle of beneficence as it is causing harm to the client by denying them the necessary pain relief.

Summary:
A: Autonomy is the right of the client to make their own decisions, which is not the main issue in this scenario.
B: Utilitarianism focuses on maximizing overall good for the greatest number of people, which is not directly applicable here.
D: Dilemmas do not represent a specific ethical principle being violated in this situation.

Charles Dickens' character Sairy Gamp:

  • A. portrayed nurses as trained professional individuals who put others before themselves.
  • B. chose nursing because she had no other avenue for employment.
  • C. was a prostitute who took advantage of sick old men.
  • D. characterized nurses as being at the forefront of technology and autonomy.
Correct Answer: B

Rationale: The correct answer is B because in Charles Dickens' novel, "Martin Chuzzlewit," Sairy Gamp is depicted as a character who chose nursing as a means of employment due to her lack of other opportunities. This is evident through her portrayal as a self-serving and unprofessional individual, focusing more on her own comfort and benefits rather than the well-being of her patients. Choices A, C, and D are incorrect because they do not align with the actual portrayal of Sairy Gamp in the novel, who is not depicted as a trained professional, a prostitute, or a forward-thinking nurse.

A nurse interested in quality improvement tools performed a search for cause and effect diagrams using www.ishikawa.com. A page opened that provided images and templates for performing fishbone diagrams. Which type of search did the nurse conduct?

  • A. Quick and dirty
  • B. Advanced
  • C. Brute force
  • D. Link searching
Correct Answer: B

Rationale: The correct answer is B: Advanced. The nurse conducted an advanced search by specifically looking for cause and effect diagrams on a website dedicated to providing images and templates for fishbone diagrams. This demonstrates a targeted and refined search strategy, indicating a higher level of proficiency in using search tools. The other choices are incorrect because: A) Quick and dirty implies a hasty and superficial search, which was not the case here. C) Brute force suggests an exhaustive and unrefined search method, which was not demonstrated in this scenario. D) Link searching involves following hyperlinks to find information, which was not explicitly stated in the question.

When preparing the education section of a resume:

  • A. list high school, followed by the first college attended.
  • B. include all colleges attended, even if a degree was not awarded.
  • C. omit the address of the university unless requested by the potential employer.
  • D. list in reverse chronologic order the names, dates, and addresses of universities that awarded degrees.
Correct Answer: D

Rationale: The correct answer is D because listing education in reverse chronological order helps emphasize recent and relevant qualifications first. It showcases academic progression and achievements. A is incorrect as high school is typically not included. B is incorrect as including all colleges, even without a degree, can clutter the resume. C is incorrect as omitting the university address may limit the employer's ability to verify information.

The length of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination is based on the:

  • A. last four numbers of the candidate's social security number.
  • B. location of testing.
  • C. candidate's educational preparation.
  • D. performance of the candidate.
Correct Answer: B

Rationale: The correct answer is B because the length of the NCLEX-RN exam is based on the location of testing. This is because different testing centers may have varying procedures, schedules, and regulations that can affect the overall length of the exam. The length is standardized by location to ensure fairness and consistency for all candidates.

Incorrect Answers:
A: The last four numbers of the candidate's social security number have no relevance to the length of the exam.
C: The candidate's educational preparation may impact their readiness for the exam but does not determine the length of the exam.
D: The performance of the candidate is assessed during the exam and does not determine the initial length of the exam.

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