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Which of the following statements is true regarding nursing ethics?
- A. Nursing ethics focus on the organizational level at the workplace.
- B. Nursing ethics focus on the duties and rules of behavior for professional nurses.
- C. Nursing ethics focus on the moral character of nurses.
- D. Nursing ethics focus on the experiences and needs of nurses.
Correct Answer: B
Rationale: The correct answer is B because nursing ethics primarily concern the ethical principles, duties, and rules of behavior that guide professional nurses in their practice. This includes aspects such as patient confidentiality, informed consent, and beneficence.
A is incorrect because nursing ethics are not limited to the organizational level but extend to individual actions within the profession.
C is incorrect as while moral character is important, nursing ethics are more about professional responsibilities and conduct.
D is incorrect because while the experiences and needs of nurses are important, nursing ethics are primarily about how nurses interact with patients, families, and colleagues.
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A nurse has a seriously ill parent and must take care of the parent at home. Which of the following would NOT be a suitable solution to this problem? (EXCEPT)
- A. Resignation
- B. FMLA
- C. Termination
- D. LOA
Correct Answer: C
Rationale: The correct answer is C: Termination. This is not a suitable solution as it involves ending the nurse's employment, which is extreme and unnecessary. Resignation (A) is a personal choice, FMLA (B) provides job protection while caring for a family member, and LOA (D) offers a temporary leave of absence. Termination would not be appropriate as it negatively impacts the nurse's financial stability and career prospects.
Which of the following scenarios would be an example of shared governance on a nursing unit?
- A. Staff nurses delegate activities to CNAs.
- B. Procedure manuals are written by a committee of nurse managers.
- C. Staff nurses and CNAs make their own schedules.
- D. A unit manager seeks advice from her supervisor.
Correct Answer: C
Rationale: The correct answer is C because shared governance involves staff nurses and CNAs collaborating in decision-making processes, such as creating schedules. This promotes autonomy, teamwork, and mutual respect. Option A involves delegation, not shared decision-making. Option B shows centralized authority by nurse managers. Option D indicates hierarchical decision-making, not shared governance. In summary, choice C aligns with the principles of shared governance, while the other options do not involve the active involvement of both staff nurses and CNAs in decision-making.
Change is a mandatory skill for managers. Successful change agents display certain characteristics. Some of these characteristics are: (Select all that apply.)
- A. Energy
- B. Confidence
- C. Ambiguity
- D. Trustworthiness
Correct Answer: C
Rationale: The correct answer is C: Ambiguity. Successful change agents must be comfortable with uncertainty and ambiguity inherent in the change process. They need to navigate through unknown situations and adapt to unforeseen challenges. Energy and confidence (choices A and B) are valuable traits but not specifically tied to managing change. Trustworthiness (choice D) is important for building relationships but not a defining characteristic of successful change agents.
Which of the following is a challenge the profession of nursing faced?
- A. Nursing contributing to the stigma of AIDS in the 1980s out of fear.
- B. Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment.
- C. Many nurses feeling frustrated with the lack of independent functioning after the Vietnam War.
- D. A decline in the number of hospice nurses due to ethical dilemmas.
Correct Answer: C
Rationale: The correct answer is C because many nurses felt frustrated with the lack of independent functioning after the Vietnam War. This is a significant challenge as nurses were accustomed to a high level of autonomy in field hospitals during wartime but faced restrictions in civilian healthcare settings. This led to dissatisfaction and a sense of limitation in their professional roles.
Explanation of why other choices are incorrect:
A: Nursing contributing to the stigma of AIDS in the 1980s out of fear is not a challenge that the profession faced but rather a societal issue related to lack of knowledge and fear of the disease.
B: Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment is not a challenge but a positive aspect of nursing history.
D: A decline in the number of hospice nurses due to ethical dilemmas is a specific problem related to hospice care and not a widespread challenge faced by the entire profession of nursing.
Staff are sometimes injured when a patient or visitor becomes agitated. If a staff member reports an injury, the following actions should take place: (EXCEPT)
- A. Notify security.
- B. Complete an incident report.
- C. Notify the nursing supervisor.
- D. Ensure that staff has been examined.
Correct Answer: B
Rationale: The correct answer is B: Complete an incident report. This is because completing an incident report is crucial for documenting the details of the injury, initiating an investigation, and implementing preventive measures. Notifying security (A) is important for immediate assistance. Notifying the nursing supervisor (C) ensures appropriate follow-up care. Ensuring staff has been examined (D) is essential for assessing and treating injuries. Completing an incident report is a standard protocol in healthcare settings to ensure proper documentation and accountability.