Ethics and Issues in Contemporary Nursing

Correct Answer: B

Rationale: The correct answer is B because it demonstrates respect for the experienced staff member's expertise by asking for their input and suggestions. This approach fosters open communication, encourages collaboration, and shows a willingness to learn from others. Choice A lacks clarity and assumes the staff member knows the patients in question. Choice C is presumptuous and dismissive of the staff member's autonomy. Choice D is authoritarian and does not promote a positive working relationship. Ultimately, choice B promotes teamwork and mutual respect, leading to a smoother delegation process.

Correct Answer: A

Rationale: The correct answer is A: the registered nurse (RN). This task requires clinical judgment and critical thinking skills, which are within the scope of practice of an RN. The RN is trained to assess the patient comprehensively, identify potential risks, and communicate effectively with other healthcare team members. LPNs/LVNs may not have the same level of assessment skills as RNs. UAPs do not have the clinical knowledge or skills required for this task. Option D is incorrect as completing and signing the initial assessment requires active patient assessment, which is a dynamic process and not just about past information.

Correct Answer: A

Rationale: The correct answer is A: organizational skills. The novice nurse's inability to assess the number of admissions and postoperative patients before requesting assistance indicates a lack of organizational skills. Organizational skills involve prioritizing tasks, managing time efficiently, and planning ahead. In this scenario, the nurse failed to gather essential information before making a decision, leading to inefficiency and potential misallocation of resources. Choice B: communication skills, is not the best answer because the issue is not primarily related to communication breakdown but rather a lack of organizational skills. Choice C: interpersonal skills, is not the best answer because the problem does not stem from the nurse's ability to interact with others but rather from her inability to organize her workload effectively. Choice D: clinical skills, is not the best answer because the situation is more about managing workload and resources rather than clinical knowledge or expertise.

Correct Answer: C

Rationale: The correct answer is C: with criminal negligence. The nurse displayed a reckless disregard for the patient's safety by not verifying the blood type, leaving for an extended break without ensuring proper monitoring, and failing to report her absence. These actions were highly irresponsible and demonstrated a severe lack of care and attention to the patient's well-being. Criminal negligence involves a conscious disregard for the consequences of one's actions, which in this case resulted in a serious adverse event for the patient. Choices A and B do not fully capture the gravity of the nurse's actions, as they imply a lesser degree of fault. Choice D, under the doctrine of res ipsa loquitur, would be inappropriate in this scenario as the nurse's actions directly contributed to the adverse outcome.

Correct Answer: D

Rationale: The correct answer is D: Biofeedback. Biofeedback is a type of CAM that involves using electronic devices to help individuals gain awareness and control over physiological processes, such as heart rate and muscle tension. In this case, the older adult is using imagery as a form of biofeedback to alter the dysrhythmia. Ayurveda (A) and Dosha (B) are traditional Indian systems of medicine based on balancing bodily energies, not directly related to using imagery for heart rhythm control. Homeopathy (C) is a system of alternative medicine based on the concept that "like cures like" and uses highly diluted substances, not imagery or biofeedback techniques.