Ethics & Issues in Contemporary Nursing

Correct Answer: D

Rationale: The correct answer is D: Capitation. Capitation is a payment model where healthcare providers receive a fixed amount per patient per month to provide all necessary healthcare services. This aligns with the description of the plan in the question, offering services based on a monthly fee per participant. Capitation also emphasizes preventive care, diagnostic services, and treatment, making it the most suitable choice. A: Prospective payment system is a method where healthcare providers are paid a fixed amount per service in advance. This does not match the description of the plan in the question. B: Retrospective payment system involves reimbursing healthcare providers after services are delivered based on the actual costs incurred. This is not based on a monthly fee per participant. C: Single-payer system refers to a healthcare system where a single public or quasi-public agency organizes healthcare financing. This is not based on a monthly fee per participant.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. The "grandfather clause" typically allows individuals to maintain current status or privileges despite changes in requirements. 2. The clause ensures that nurses with ADN degrees can continue using the title "registered nurse" without needing to upgrade to a BSN. 3. This aligns with the principle of honoring past qualifications while moving forward with new standards. 4. Choice A is incorrect as it introduces additional requirements beyond what the clause typically allows. 5. Choice C is incorrect as it imposes a strict time limit, which is not a common practice under grandfather clauses. 6. Choice D is incorrect as it suggests using a new title, which contradicts the purpose of grandfathering in existing qualifications.

Correct Answer: A

Rationale: The correct answer is A: Blocking. In both situations, the patient's actions are ignored or dismissed, indicating a lack of active listening. Blocking involves avoiding communication by not acknowledging the patient's gestures or needs. The nurse fails to engage with the patient and address their non-verbal cues. Summary: B: Filtration is not relevant as it involves selectively presenting information. C: Empathy is not demonstrated as the nurse is not responding to the patient's non-verbal cues. D: False assurance is not applicable as it involves giving misleading reassurance, which is not present in the scenario.

Correct Answer: A

Rationale: The correct answer is A because it involves a high-risk delegation. Mixing insulin is a complex task that requires precise measurements and understanding of the patient's condition. A novice RN may lack the experience and knowledge to safely perform this task, leading to potential harm for the patient. Choice B involves wound care, which is within an LPN's scope of practice and not as high-risk as insulin administration. Choice C involves basic ambulation assistance, which is appropriate for an unlicensed assistive person under supervision. Choice D involves caring for a patient with low white blood cell count, which may be challenging but not as high-risk as insulin mixing for a novice RN.

Correct Answer: A

Rationale: The correct answer is A: picketing. Picketing involves protesting outside a workplace to draw attention to an issue, such as the use of foreign nurses in this case. The nurses are not actively refusing to work (strike), negotiating work conditions (collective bargaining), or submitting their dispute to a third party for resolution (arbitration). Picketing is the most appropriate term for their actions in this scenario.