The nurse often has to make resource allocation decisions. Which of the following best describes the
- A. The specific moral or ethical principle related to the situation
- B. The cheapest, most economical approach
- C. The most rational probable outcome
- D. The needs of the aggregate rather than a few individuals
Correct Answer: A
Rationale: The correct answer is A: The specific moral or ethical principle related to the situation. In resource allocation decisions, nurses must consider ethical principles such as beneficence, justice, autonomy, and nonmaleficence. By applying these principles, nurses can ensure fair and ethical distribution of resources. Choice B (The cheapest, most economical approach) may not always align with ethical principles and could compromise quality of care. Choice C (The most rational probable outcome) may not necessarily consider ethical implications. Choice D (The needs of the aggregate rather than a few individuals) could lead to neglecting individual patient needs.
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The Refugee Act of 1980 had what effect on refugees who were immigrating into the United States?
- A. Allowed specific provisions for refugees from Southern and Eastern Europ
- C. C M U S N T O
- D. Provided a uniform procedure for refugees to be admitted into the United States.
Correct Answer: D
Rationale: The Refugee Act of 1980 established a uniform procedure for admitting refugees into the US. This means that it created a standardized process for evaluating refugee applications and determining eligibility, ensuring fairness and consistency. This is crucial in managing the influx of refugees and providing them with necessary support. The other choices are incorrect because A is not accurate as the Act applied to refugees from all regions, not just Southern and Eastern Europe. Choices B, C, E, F, and G are not valid options and do not relate to the impact of the Refugee Act of 1980 on refugees immigrating to the US.
To meet a client's needs, it is sometimes necessary to integrate into the client's care a culturally relevant practice that lacks scientific utility. Which term describes this action?
- A. Cultural accommodation
- B. Cultural awareness
- C. Cultural preservation
- D. Cultural repatterning
Correct Answer: A
Rationale: The correct answer is A: Cultural accommodation. This term refers to the adaptation of healthcare practices to align with a client's cultural beliefs and practices, even if they may not have scientific evidence. It recognizes the importance of respecting and incorporating diverse cultural perspectives to provide effective care.
Choice B, Cultural awareness, focuses on understanding different cultures but does not necessarily involve modifying practices. Choice C, Cultural preservation, refers to maintaining traditional cultural practices without adaptation. Choice D, Cultural repatterning, involves changing cultural practices to align with evidence-based approaches, which is opposite to the scenario described in the question.
A nurse is investigating a bacterial illness that has caused a health problem in the community. Only
- A. A strong public health structure ready to respond effectively to a crisis
- B. Public healths need for additional funding and resources
- C. The unrecognized importance of nurses in lowering health care costs
- D. Lack of adequate vaccines to meet communitys needs
Correct Answer: A
Rationale: The correct answer is A: A strong public health structure ready to respond effectively to a crisis. A strong public health structure is essential for investigating and managing a bacterial illness outbreak in a community. Public health infrastructure includes surveillance systems, trained personnel, communication networks, and resources necessary to respond promptly and effectively to health crises. Without a robust public health structure, identifying the source of the illness, implementing control measures, and preventing further spread would be challenging.
Choice B is incorrect because while additional funding and resources are important for public health, they do not address the immediate need for an effective response to the crisis. Choice C is incorrect as it is not directly related to the investigation of the bacterial illness. Choice D is incorrect as the lack of adequate vaccines may contribute to the spread of the illness but does not address the broader issue of public health infrastructure.
Which of the following best defines aggregate?
- A. A large group of persons
- B. A collection of individuals and families
- C. A group of persons who share one or more characteristics
- D. Another name for demographic group
Correct Answer: C
Rationale: The correct answer is C because aggregate refers to a group of persons who share one or more characteristics. This definition specifically highlights the commonality among individuals within the group. Choice A is too vague as it does not specify the shared characteristics. Choice B is similar but lacks the emphasis on shared characteristics. Choice D is incorrect as aggregate does not necessarily equate to a demographic group. Choices E, F, and G are not applicable. In summary, choice C is the best definition as it precisely captures the essence of an aggregate group.
Which action can a nurse take to cultivate mindful awareness in interactions with clients?
- A. Practicing active listening and seeking to understand the speaker's perspective without interruptions
- B. Making quick judgments and forming opinions based on automatic biases and assumptions
- C. Avoiding reflection and self-awareness to maintain a detached approach in client care
- D. Embracing a fixed mindset and resisting new information or diverse experiences
Correct Answer: A
Rationale: The correct answer is A because active listening and seeking to understand the speaker's perspective without interruptions are key components of cultivating mindful awareness. By actively listening, the nurse can fully engage with the client, demonstrate empathy, and foster a deeper connection. This approach allows the nurse to be present in the moment, reduce distractions, and avoid making assumptions or quick judgments. It promotes a non-judgmental attitude and helps the nurse to be more attuned to the client's needs and emotions. In contrast, choices B, C, and D are incorrect as they all involve behaviors that hinder mindful awareness, such as making quick judgments, avoiding reflection, and resisting new information. These actions do not promote a mindful and empathetic interaction with clients.