Ethics and Issues in Contemporary Nursing PDF

Correct Answer: B

Rationale: The correct answer is B: sentinel event. A sentinel event is an unexpected occurrence involving death or serious physical or psychological harm to a patient. In this scenario, the accidental cutting of sutures leading to evisceration constitutes a serious harm to the patient, making it a sentinel event. This event requires immediate investigation, analysis, and implementation of preventive measures to ensure patient safety. A: Root cause refers to the underlying reason for a problem, not the event itself. C: Variation in performance is related to inconsistencies in processes, not a specific critical incident like evisceration. D: Causal factor is a contributing element to an event, but it does not capture the severity and significance of a sentinel event like evisceration.

Correct Answer: A

Rationale: The correct answer is A because including copies of diplomas awarded by colleges/universities provides evidence of the nurse's education and qualifications. This helps to showcase the nurse's academic achievements and credibility to potential employers. Choice B (copies of college transcripts) may not be necessary as diplomas are a more concise representation of education attainment. Choice C (personal photograph) is not typically required in a professional portfolio and may introduce bias in the selection process. Choice D (letters of recognition for scoring high on national achievement tests) are not essential for demonstrating nursing skills and qualifications relevant to the job.

Correct Answer: B

Rationale: The correct answer is B because a patient with moderate Alzheimer's disease may have impaired decision-making capacity due to cognitive decline. Patients with Alzheimer's may struggle to understand, remember, and evaluate information needed to make informed decisions. Choice A shows the patient's curiosity, not necessarily a lack of capacity. Choice C indicates family involvement but does not directly address the patient's capacity. Choice D reflects anxiety about decision-making, not necessarily incapacity.

Correct Answer: B

Rationale: The correct answer is B. Some cancers such as stomach cancer occur less frequently among blacks due to genetic factors. Stomach cancer is more common in Asian populations due to dietary and lifestyle factors. This variation in cancer incidence among different racial groups is influenced by genetic predisposition and environmental factors. Therefore, the influence of cultural phenomena on health care can be observed in the differing rates of specific diseases among various cultural groups. Other choices are incorrect: A: This choice does not directly relate to the influence of cultural phenomena on health care, but rather discusses medication adherence based on beliefs about fate and the environment. C: Direct eye contact is a cultural behavior that may vary among different cultural groups, but it does not directly relate to the influence of cultural phenomena on health care. D: Standing close and touching health care providers is a cultural behavior that may be more common among certain cultural groups like Mexican Americans, but it does not directly demonstrate the influence of cultural phenomena on health care in the context of disease incidence

Correct Answer: D

Rationale: The correct answer is D: paternalism. Paternalism occurs when a physician overrides a patient's autonomy in favor of what they believe is best for the patient. In this scenario, the physician is not respecting the client's wishes and is making decisions based on their own judgment, which is characteristic of paternalism. Autonomy (A) refers to respecting the patient's right to make their own decisions. Beneficence (B) is the principle of doing good for the patient, but in this case, it is being overshadowed by the physician's paternalistic approach. Justice (C) refers to fairness in healthcare distribution, which is not applicable in this context.