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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: D
Rationale: Step 1: Nursing ethics encompass principles guiding ethical decision-making.
Step 2: Focusing on the experiences and needs of nurses ensures ethical care delivery.
Step 3: Understanding nurse perspectives enhances patient-centered care.
Step 4: Organizational level (A) is limited, duties and rules (B) are important but not the sole focus, and moral character (C) is crucial but not the main emphasis.
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The nurse is assessing a 22-year-old patient experiencing the onset of symptoms of type 1
diabetes. Which question is most appropriate for the nurse to ask?
- A. "Are you anorexic?"
- B. "Is your urine dark colored?"
- C. "Have you lost weight lately?"
- D. "Do you crave sugary drinks?"
Correct Answer: C
Rationale: The correct answer is C. This question is most appropriate as unintentional weight loss is a common symptom of type 1 diabetes due to the body's inability to properly use glucose for energy. The nurse should ask about weight loss to assess the patient's overall health status.
Explanation:
A: Asking about anorexia assumes a specific eating disorder, which may not be relevant to the patient's symptoms of diabetes.
B: Dark colored urine may indicate dehydration, but it is not specific to type 1 diabetes symptoms.
D: Craving sugary drinks may suggest a preference for sweet beverages but does not directly relate to the onset of type 1 diabetes symptoms.
Which of the following is an example of a conflict of interest in nursing?
- A. A nurse accepting gifts from a patient
- B. A nurse working for two competing healthcare organizations
- C. A nurse disclosing patient information without consent
- D. A nurse delegating tasks improperly
Correct Answer: B
Rationale: The correct answer is B because a nurse working for two competing healthcare organizations creates a conflict of interest as they may prioritize one organization over the other. This could compromise patient care and violate ethical standards.
A: Accepting gifts from a patient may be inappropriate but does not necessarily create a conflict of interest.
C: Disclosing patient information without consent is a breach of confidentiality but not specifically a conflict of interest.
D: Delegating tasks improperly is a violation of professional standards but does not directly relate to a conflict of interest.
A unit manager has been working to decrease the incidence of catheter-associated urinary tract infections on his unit, spending extra time on the unit researching best practices and conducting training. Having completed training, the manager decides to take a couple of days off. Which of the following leadership traits is this unit manager displaying?
- A. Perseverance
- B. Balance
- C. Generosity
- D. Ability to handle stress
Correct Answer: B
Rationale: The correct answer is B: Balance. This unit manager is displaying the leadership trait of balance by recognizing the importance of taking time off after working hard to improve the unit's performance. This demonstrates an understanding of self-care and the need to maintain a healthy work-life balance. It shows that the manager values personal well-being and is able to prioritize both work responsibilities and personal needs.
Choice A: Perseverance is not the best fit here as the situation does not involve overcoming obstacles or persisting through challenges.
Choice C: Generosity is not relevant to the scenario as there is no indication of the manager being generous.
Choice D: Ability to handle stress is also not the most appropriate choice as the scenario does not directly involve stress management.
What are the advantages of using internal pools of nurses for staffing purposes?
- A. Familiarity with the hospital & Lower cost
- B. Centralization
- C. Staffing mix
- D. Staff satisfaction
Correct Answer: A
Rationale: The correct answer is A: Familiarity with the hospital & Lower cost. Internal pools of nurses are advantageous because they are already familiar with the hospital's policies, procedures, and workflow, reducing the need for extensive training. This familiarity can lead to increased efficiency and improved patient care. Additionally, utilizing internal nurses can be cost-effective as they are already on the hospital's payroll, reducing the need for external agency staff, which can be more expensive. Centralization (option B) and staffing mix (option C) are not directly related to the advantages of using internal pools of nurses. Staff satisfaction (option D) can be a potential benefit of internal pools, but it is not as directly linked to the advantages of familiarity and cost savings as option A.
A resident on night call refuses to answer pages from the staff nurse on the night shift and complains that she calls too often with minor problems. The nurse feels offended and reacts with frequent, middle-of-the-night phone calls to 'get back' at him. The behavior displayed by the resident and the nurse is an example of what kind of conflict?
- A. Perceived conflict
- B. Disruptive conflict
- C. Competitive conflict
- D. Felt conflict
Correct Answer: B
Rationale: The correct answer is B: Disruptive conflict. This type of conflict occurs when individuals are unwilling to cooperate or communicate effectively, leading to negative consequences. In this scenario, the resident and nurse are engaging in disruptive conflict by refusing to answer calls and retaliating with more calls. This behavior disrupts the communication and collaboration necessary for effective patient care.
A: Perceived conflict is when individuals believe there is a conflict, even if it may not exist. In this case, the conflict is real and not just perceived.
C: Competitive conflict involves individuals trying to outdo each other or win at the expense of the other party. This is not evident in the scenario provided.
D: Felt conflict refers to the emotional response to a conflict situation. While there are emotions involved in the scenario, the main issue is the disruption in communication rather than just feelings.