Contemporary Ethical Issues in Nursing

Contemporary Ethical Issues in Nursing Related

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The mentor states, "Prevention was the focus of nursing when I graduated. We stressed preventive health measures such as smoking cessation education to reduce preventable diseases and prevention to reduce the spread of infectious disease such as AIDS." The mentor asks, "What do you think the challenges will be for nurses graduating now? The correct response would be: (select all that apply)

  • A. coordinating care for a more diverse aging population who have complex health values.
  • B. managing care provided by nurses who are technologically advanced and skilled at interprofessional collaboration.
  • C. providing care to well-informed consumers who are younger with narrow health values.
  • D. redesigning nursing care delivery models to streamline care based on fewer generational differences.
Correct Answer: A

Rationale: Step 1: The correct answer is A because nurses now face challenges in coordinating care for a more diverse aging population. This is due to the increasing complexity of health issues and values among this demographic.

Step 2: As the aging population grows, nurses must be equipped to address the unique needs and preferences of diverse individuals, which requires a deep understanding of cultural, social, and health-related factors.

Step 3: Nurses need to adapt their care delivery strategies to provide patient-centered care that considers the individual's values, beliefs, and preferences. This includes coordinating care across different healthcare settings and disciplines to ensure holistic and effective care.

Summary: Choices B, C, and D are incorrect because they do not address the specific challenges faced by nurses graduating now, which primarily revolve around managing the complexities of caring for a diverse aging population with varying health values.

You may also like to solve these questions

Which organization provides federal funding for research?

  • A. National Institute of Nursing Research
  • B. Robert Wood Johnson Foundation
  • C. W. K. Kellogg Foundation
  • D. Sigma Theta Tau International
Correct Answer: A

Rationale: The correct answer is A: National Institute of Nursing Research. This organization is part of the National Institutes of Health (NIH) and specifically focuses on funding nursing research. The NIH is a federal agency that provides funding for various scientific research areas, including nursing. The other choices, B: Robert Wood Johnson Foundation, C: W. K. Kellogg Foundation, and D: Sigma Theta Tau International, are not federal organizations and do not provide federal funding. Robert Wood Johnson Foundation is a private philanthropic organization, W. K. Kellogg Foundation is a private foundation focused on children's wellbeing, and Sigma Theta Tau International is an honor society for nursing professionals.

An RN recently relocated to another region of the country and immediately assumed the role of charge nurse. When determining the appropriate person to whom to delegate, the RN knows that:

  • A. the role of the LPN/LVN is the same from state to state.
  • B. the LPN/LVN can be taught to perform all the duties of an RN if approved by the employer and if additional on-the-job training is provided.
  • C. he or she must review the state's nurse practice act for LPN/LVNs, because each state defines the role and scope of practice of the LPN/LVN.
  • D. The Joint Commission has certified and established roles for the LPN/LVN.
Correct Answer: C

Rationale: The correct answer is C. When delegating tasks to an LPN/LVN, the RN must review the state's nurse practice act because each state defines the role and scope of practice of the LPN/LVN. This is crucial as the LPN/LVN scope of practice can vary significantly from state to state. By reviewing the nurse practice act, the RN ensures that the tasks being delegated fall within the legal scope of practice for the LPN/LVN in that specific state, promoting safe and effective patient care.

Choice A is incorrect because the role of the LPN/LVN can differ between states.
Choice B is incorrect because LPN/LVNs cannot perform all duties of an RN, and additional training does not change their scope of practice.
Choice D is incorrect because the Joint Commission does not establish roles for LPN/LVNs; it focuses on accreditation standards for healthcare organizations.

Which statement related to delegation is correct?

  • A. The practice of unlicensed assistive personnel (UAP) is defined in the nurse practice act.
  • B. Nursing practice can be delegated only when the LPN/LVN and UAP have received adequate training.
  • C. Supervision is not required when routine tasks are delegated to a competent individual.
  • D. The RN must be knowledgeable about the laws and regulations that govern nursing practice, as well as those that have no clearly defined parameters, such as for UAP.
Correct Answer: D

Rationale: The correct answer is D because the RN must have knowledge of laws and regulations governing nursing practice, including those that have unclear boundaries for UAP. This is crucial to ensure safe and effective delegation. Option A is incorrect because the nurse practice act typically does not define UAP roles. Option B is incorrect as delegation also requires assessing competency, not just training. Option C is incorrect as supervision is necessary regardless of the task's routine nature. The correct answer emphasizes the importance of legal knowledge for proper delegation.

Occupational health nursing features beliefs similar to those of which early nursing pioneer?

  • A. Lillian Wald
  • B. Florence Nightingale
  • C. Clara Barton
  • D. Mary Seacole
Correct Answer: B

Rationale: The correct answer is B: Florence Nightingale. Occupational health nursing shares beliefs with Florence Nightingale as she emphasized the importance of proper sanitation, hygiene, and preventive care in nursing practice. Nightingale's focus on maintaining a healthy environment aligns with the core principles of occupational health nursing. Lillian Wald is known for her work in public health nursing, Clara Barton for founding the American Red Cross, and Mary Seacole for her contributions during the Crimean War. While these pioneers made significant contributions to nursing, their beliefs and focus areas differ from those of occupational health nursing.

During an admission history and physical, a female patient states, "I use 5000 mg/day of calcium to prevent osteoporosis and to maintain health." The nurse should assess for:

  • A. excessive bleeding.
  • B. kidney stones.
  • C. lower blood sugar.
  • D. jaundice.
Correct Answer: B

Rationale: The correct answer is B: kidney stones. High calcium intake increases the risk of kidney stones due to excess calcium being excreted in the urine. The nurse should assess for symptoms like flank pain, hematuria, and frequent urination. Excessive bleeding (choice A) is not directly related to high calcium intake. Lower blood sugar (choice C) and jaundice (choice D) are not typically associated with calcium intake.

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