Contemporary Ethical Issues in Nursing

Correct Answer: C

Rationale: The correct answer is C because it provides accurate information about a specific risk factor related to a particular ethnic group. American-Indian women do have a higher rate of ovarian cancer than the general population, making it crucial for the nurse to be aware of this when teaching about cancer risk factors. A is incorrect as it discusses breast cancer and not ovarian cancer. B is incorrect as it mentions esophageal cancer, which is not the specific focus of the question. D is also incorrect as it makes a general statement about cancer, heart disease, and stroke in ethnic groups without providing specific information about ovarian cancer in American-Indian women.

Correct Answer: D

Rationale: Rationale for Answer D: The correct answer is D because the statement aligns with current data indicating a strong demand for nurses leading to ample job opportunities. This information is supported by various reports and studies highlighting the ongoing nursing shortage and the need for more healthcare professionals. Employment opportunities for nurses are indeed robust, with job growth projected to continue in the coming years due to factors like an aging population and increasing healthcare needs. Summary of Other Choices: A: Salaries of nurses being competitive with other professionals like teachers may vary depending on location and specialty, but it is not a direct indicator of the nursing shortage. B: The percentage of minority nurses is not directly related to the nursing shortage issue, making this statement irrelevant to the current data on the shortage. C: Job satisfaction and reasons for leaving the nursing profession may include various factors, but fear of contracting diseases is not a primary reason cited in current data on the nursing shortage.

Correct Answer: A

Rationale: The correct answer is A because being surrounded by family provides emotional support, comfort, and a sense of closure. Family presence can alleviate fear, anxiety, and loneliness, contributing to a peaceful death experience. Choice B focuses on pain management but does not address emotional well-being. Choice C, while important for end-of-life care, does not directly impact the patient's immediate comfort. Choice D indicates a decline in consciousness, which may not necessarily lead to a peaceful death experience as the patient may not be aware of their surroundings or loved ones.

Correct Answer: B

Rationale: The correct answer is B: autonomy. Autonomy refers to respecting the right of individuals to make their own decisions about their healthcare. In this scenario, the family's request to honor the terminally ill mother's advance directives aligns with the principle of autonomy as it acknowledges her right to make decisions about her own care. Accountability (A) pertains to taking responsibility for one's actions, nonmaleficence (C) involves avoiding harm, and veracity (D) refers to truthfulness. While these principles are important in healthcare, in this specific case, autonomy takes precedence as it respects the patient's wishes.

Correct Answer: B

Rationale: The correct answer is B: randomization. Randomization helps ensure improved generalizability by reducing bias and increasing the likelihood that the sample is representative of the population. In this scenario, choosing every third person from an alphabetical list introduces a systematic bias and may not represent the entire population accurately. Triangulation involves using multiple methods or data sources to validate findings, which is not applicable here. Informed consent is a necessary ethical consideration but does not directly impact generalizability. A meta-analysis approach involves combining and analyzing data from multiple studies, which is not relevant to the sampling method in this scenario. Thus, randomization is the best choice to improve generalizability in this study.