Ethics and Issues in Contemporary Nursing PDF

Correct Answer: A

Rationale: The correct answer is A: uterine contractions resulting in possible miscarriage. Feverfew is known to stimulate uterine contractions, which can potentially lead to miscarriage in pregnant women. This risk is especially concerning during the first trimester when the uterus is more sensitive to such stimulants. Uterine contractions can increase the risk of premature labor and miscarriage. Reduced fetal growth (choice B), insomnia (choice C), and tiredness the following day (choice D) are not directly associated with feverfew use during pregnancy. It is crucial for the nurse to educate the patient about the potential risk of uterine contractions and advise against the use of feverfew during pregnancy to ensure the safety of both the mother and the fetus.

Correct Answer: B

Rationale: The correct answer is B because taking a deep breath and remaining calm helps the nurse develop patience, which is essential for managing stress and workload effectively. By staying calm, the nurse can think more clearly, make better decisions, and handle challenging situations with composure. This approach can improve the nurse's overall well-being and productivity. Choices A, C, and D are incorrect because: A: Positive affirmations are helpful but may not address the root cause of the nurse's fatigue and workload issues. C: Staying hydrated is important for maintaining energy levels, but it may not directly address the nurse's ability to manage workload and personal life balance. D: Eating healthy snacks and taking breaks are important for maintaining energy levels, but they may not directly address the nurse's ability to stay calm and patient in stressful situations.

Correct Answer: B

Rationale: The correct answer is B: variance. In this scenario, the patient's extended time on the ventilator deviates from the expected clinical pathway of extubation and discharge the day after surgery. Variances are deviations from established protocols or guidelines. This situation highlights a deviation from the standard practice and requires further evaluation to understand the reasons for the delay in extubation. The other choices are incorrect because: A: Patient outcome refers to the result of care received by the patient, not the deviation from the expected process. C: Goal represents the desired outcome or target to achieve, not the deviation from the pathway. D: Standard is the established protocol or guideline to follow, not the deviation from it.

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: A

Rationale: The correct answer is A because reading the financial policy manual will provide the new nurse manager with a comprehensive understanding of the organization's budgeting process, which is crucial for successful budget management. This will help the nurse manager make informed decisions and align their actions with the organization's budgeting guidelines. Choice B is incorrect as it suggests delegating budget management to the nursing administration office, which does not promote the nurse manager's development of budgeting skills and knowledge. Choice C is incorrect because while it is important to communicate with the hospital's finance office for guidance, solely relying on this communication may not provide the nurse manager with a deep understanding of the budgeting process. Choice D is incorrect because focusing only on bottom-line numbers without understanding the details of each line in budget reports can lead to oversight of important budget components and hinder effective budget management.