Ethics & Issues in Contemporary Nursing

Correct Answer: B

Rationale: The correct answer is B: patient-centered. This model focuses on meeting the individual patient's needs and preferences, involving them in decision-making, and providing care that is respectful and responsive to their values. In this scenario, the patient's decision to stop hemodialysis is respected, and palliative care is provided in alignment with his wishes. Partnerhsip (A) typically involves collaboration between healthcare providers and patients, which is not explicitly mentioned. Case management (C) focuses on coordinating services for complex cases, which is not the primary focus here. Total patient care (D) involves providing all aspects of care directly by the same nurse, which is not the main approach in this scenario.

Correct Answer: C

Rationale: The correct answer is C: Uniform Health Care Decisions Act. This act mandates hospitals to inquire if clients have a living will or durable power of attorney to ensure patients' healthcare wishes are honored. A: Emergency Treatment and Active Labor Law pertains to emergency care. B: Americans with Disabilities Act focuses on discrimination against individuals with disabilities. D: Doctrine of res ipsa loquitur involves negligence cases where the injury speaks for itself. Therefore, the correct choice is C as it directly addresses the requirement for hospitals receiving Medicare and Medicaid funds.

Correct Answer: A

Rationale: The correct answer is A: chronic obstructive pulmonary disease. This is because COPD is a leading cause of death among minority groups due to factors like smoking, pollution exposure, and healthcare disparities. This aligns with the grant's goal of improving health outcomes for minorities. Malnutrition (B) is not a top cause of death for minorities. Cirrhosis of the liver (C) is more common in certain populations but not a top priority for this grant. Cancer (D) is a significant concern, but COPD is more prevalent among minority groups.

Correct Answer: B

Rationale: The correct answer is B because it accurately reflects the impact of Florence Nightingale's efforts during the Crimean War on nursing care during the Civil War. Nightingale advocated for sanitary conditions which led to improved housing for soldiers in the Civil War. This is supported by historical evidence. A is incorrect because the emphasis on nursing care differed between the wars, with the Crimean War focusing more on basic care and the Civil War emphasizing sanitary conditions. C is incorrect because black nurses faced discrimination and unequal compensation during both wars, and Mary Seacole's contributions were not widely recognized during the Civil War. D is incorrect because Nightingale did not complete formal nursing training before her work in the Crimean War, and Dix was already an experienced nurse before the Civil War.

Correct Answer: D

Rationale: The correct answer is D, "native." In this scenario, the nurse is rationalizing skipping a crucial safety step by justifying it with the actions of others, indicating a lack of understanding regarding the importance of the procedure. The "native" stage of reality shock occurs when individuals start to adopt the norms and behaviors of their workplace without questioning or critically evaluating them. This nurse is displaying a mindset of conforming to unsafe practices to fit in with her colleagues, which aligns with the characteristics of the "native" stage. Incorrect choices: A: "loner" does not apply as the nurse is not isolating herself but rather seeking to emulate the actions of others. B: "rutter" does not fit as this stage involves feeling overwhelmed by the demands of the job, not justifying unsafe practices. C: "change agent" is not relevant as the nurse is not actively seeking to instigate change but rather conforming to existing practices.