Contemporary Ethical Issues in Nursing

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: D

Rationale: Step-by-step rationale for why Answer D is correct: 1. Ensures patient safety: RN should only accept assignments they are qualified for to provide safe care. 2. Upholds professional standards: Accepting only familiar assignments aligns with nursing scope of practice. 3. Legal and ethical responsibility: RN must prioritize patient well-being over external pressures. 4. Promotes personal growth: RN can seek additional training for unfamiliar assignments. Summary: - A: Incorrect. Accepting based on power dynamics disregards patient safety and professional ethics. - B: Incorrect. Patient safety should be the primary concern over workload. - C: Incorrect. Past handling may not guarantee appropriateness. Focus should be on personal qualification.

Correct Answer: B

Rationale: The correct answer is B: Institute of Medicine. The Institute of Medicine is known for disseminating knowledge related to health care through government agencies, the public, business, and health care professionals to improve health outcomes. The organization conducts research and provides evidence-based recommendations to address health care challenges. A: Institute for Safe Medication Practices focuses specifically on promoting safe medication practices, not a broad range of health care knowledge dissemination. C: National Committee for Quality Assurance primarily focuses on accrediting and certifying health care organizations based on quality standards, rather than broadly distributing health care knowledge. D: The Joint Commission is responsible for accrediting health care organizations and institutions, ensuring they meet quality and safety standards, but not specifically for distributing health care knowledge to various stakeholders.

Correct Answer: A

Rationale: Step 1: Identify the qualities attributed to Florence Nightingale: intelligent, dependable, ambitious. Step 2: Recognize these qualities as traits. Step 3: Trait theory states that effective leaders possess certain traits. Step 4: Florence Nightingale's leadership qualities align with trait theory. Step 5: Therefore, depicting her as a leader based on her traits falls under trait theory. Summary: A: Trait theory focuses on inherent qualities of leaders, which align with Florence Nightingale's qualities. B: Chaos theory emphasizes unpredictability and complexity, not relevant here. C: Bureaucracy theory centers on structured organizations, not applicable to Nightingale's personal traits. D: Organizational theory addresses structure and management within organizations, not related to individual leadership attributes like traits.

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.