Contemporary Ethical Issues in Nursing

Correct Answer: C

Rationale: The correct answer is C: patient-centered care. Patient-centered care involves respecting and responding to individual patient preferences, needs, and values. In this scenario, the nurse and dietitian are adjusting the patient's meals to accommodate cultural practices, showing a commitment to providing care that is respectful and responsive to the patient's cultural beliefs. This approach promotes better patient outcomes and satisfaction. Summary of incorrect choices: A: a sentinel event - This refers to a serious, preventable adverse event, which does not apply in this situation. B: an adverse event - This typically refers to harm caused by medical care, which is not the case here. D: the communication technique of "call-out" - This refers to a technique used in healthcare to alert team members to unsafe situations, which is not relevant to the scenario provided.

Correct Answer: B

Rationale: The correct answer is B: Florence Nightingale. Occupational health nursing shares beliefs with Florence Nightingale as she emphasized the importance of proper sanitation, hygiene, and preventive care in nursing practice. Nightingale's focus on maintaining a healthy environment aligns with the core principles of occupational health nursing. Lillian Wald is known for her work in public health nursing, Clara Barton for founding the American Red Cross, and Mary Seacole for her contributions during the Crimean War. While these pioneers made significant contributions to nursing, their beliefs and focus areas differ from those of occupational health nursing.

Correct Answer: A

Rationale: Step 1: The correct answer is A because nurses now face challenges in coordinating care for a more diverse aging population. This is due to the increasing complexity of health issues and values among this demographic. Step 2: As the aging population grows, nurses must be equipped to address the unique needs and preferences of diverse individuals, which requires a deep understanding of cultural, social, and health-related factors. Step 3: Nurses need to adapt their care delivery strategies to provide patient-centered care that considers the individual's values, beliefs, and preferences. This includes coordinating care across different healthcare settings and disciplines to ensure holistic and effective care. Summary: Choices B, C, and D are incorrect because they do not address the specific challenges faced by nurses graduating now, which primarily revolve around managing the complexities of caring for a diverse aging population with varying health values.

Correct Answer: B

Rationale: The correct answer is B: Health Maintenance Organization (HMO). In an HMO, services are typically provided by a primary care physician who acts as a gatekeeper for all medical services, including referrals to specialists and diagnostic tests like mammograms. The primary care physician must authorize and order these services for them to be covered by the insurance plan. This system helps control costs and ensures coordinated care. A: Fee for Service does not require a primary care physician to authorize referrals or services. C: PPO allows patients to see out-of-network providers without referrals. D: POS plans offer more flexibility in choosing healthcare providers without requiring a primary care physician's referral.

Correct Answer: C

Rationale: The correct answer is C: Participatory. In participatory budget development, input is gathered from various levels within the organization, such as staff and managers. In this scenario, the nurse manager met with her staff to establish strategic goals before budget negotiations, indicating a participatory approach. This allows for staff buy-in and ownership of the goals. A: Iterative budget development involves refining a budget through multiple rounds of review, which is not explicitly mentioned in the scenario. B: Top-down budget development is characterized by decisions made by upper management without input from lower levels, contradicting the scenario where staff provided input. D: Zero-based budgeting starts from scratch without considering previous budgets, which is not evident in the scenario where goals were established based on staff input. In summary, the participatory budget development is the appropriate choice in this scenario as it aligns with the collaborative approach taken by the nurse manager and her staff in setting strategic goals before budget negotiations.