Contemporary Ethical Issues in Nursing

Correct Answer: D

Rationale: The correct answer is D: "Medicaid is funded by both state and federal governments, but benefits vary from state to state." Rationale: 1. Medicaid is a joint federal and state program, meaning it is funded by both levels of government. 2. States have flexibility in designing and administering their Medicaid programs, leading to variations in benefits across states. 3. When an individual covered by Medicaid moves to a different state, they may experience changes in benefits due to these state-specific variations. Summary: A: Incorrect. While local governments may have some influence, Medicaid is primarily funded by both state and federal governments. B: Incorrect. The federal government does provide funding for Medicaid, but states also contribute, and benefits do vary across states. C: Incorrect. State benefits under Medicaid are not solely determined by the present economy; they are influenced by various factors and state policies.

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: Mental. The nurse's inability to concentrate and view the healthcare milieu sensibly indicates a lack of mental energy. Mental energy is crucial for focus, problem-solving, decision-making, and critical thinking skills necessary for quality management. Physical energy (A) is related to physical stamina, spiritual energy (C) to inner peace and purpose, and emotional energy (D) to emotional resilience. However, in this case, the nurse's issue is primarily cognitive, highlighting the absence of mental energy.

Correct Answer: C

Rationale: The correct answer is C: Rauwolfia serpentina. Reserpine is derived from the Rauwolfia serpentina plant. This plant contains alkaloids that act as a central nervous system depressant, reducing anxiety and lowering blood pressure. Atropa belladonna (A) contains toxic alkaloids, Digitalis purpurea (B) contains cardiac glycosides used for heart conditions, and Cephaelis ipecacuanha (D) contains emetine used for inducing vomiting, none of which are related to reserpine's effects.

Correct Answer: B

Rationale: The correct answer is B: Pharmacologic pain management. This is the most important content area to focus on for the NCLEX-RN exam because pain management is a critical aspect of nursing care. Nurses must understand different types of pain, medications used for pain management, side effects, and assessment techniques. Pharmacologic pain management directly impacts patient comfort and quality of care. Rationale: 1. Pain management is a fundamental aspect of nursing care. 2. Pharmacologic pain management knowledge is crucial for safe and effective patient care. 3. NCLEX commonly tests on pharmacological interventions and their implications. 4. Understanding pain management aligns with nursing scope of practice and ethical responsibilities. Other Choices: A: Stages of grief - While important in nursing, this topic is not as high-priority for the NCLEX-RN exam. C: Practices to promote rest and sleep - Important, but not as directly related to pharmacological interventions. D: Prioritization of workload to manage time effectively - Relevant