Ethics and Issues in Contemporary Nursing PDF

Correct Answer: A

Rationale: The correct answer is A: thromboembolism due to increased clotting. Ginkgo biloba is known to have a blood-thinning effect, which can increase the risk of thromboembolism, especially for individuals recovering from a stroke. This can lead to potentially life-threatening complications such as blood clots. Choice B: Seizures due to interaction with anticonvulsants is incorrect because ginkgo biloba is not known to significantly interact with anticonvulsants to cause seizures. Choice C: Hypertension due to sodium retention is incorrect because ginkgo biloba is not known to cause sodium retention or lead to hypertension. Choice D: Photosensitivity due to increased melanin production is incorrect because ginkgo biloba is not associated with increased melanin production or photosensitivity reactions.

Correct Answer: C

Rationale: The correct answer is C: Meta-analysis. In a meta-analysis, a researcher combines data from multiple studies to provide a quantitative summary of the findings. This approach allows for a more comprehensive and statistically powerful analysis of the research evidence on a particular topic. Survey (A) involves collecting data directly from individuals, which is not the same as integrating data from existing studies. Triangulation (B) refers to using multiple methods or data sources to validate findings, not necessarily integrating data from different studies. State of the science summary (D) typically involves summarizing the current state of knowledge on a topic but does not involve quantitative integration of data like in a meta-analysis.

Correct Answer: B

Rationale: The correct answer is B because a "salvador" is typically a spiritual healer or medium in Hispanic culture who helps communicate with deceased family members. This aligns with the scenario of the patient seeking the services of a salvador to communicate with a family member who recently died. The other choices are incorrect because: A: Determining herbs for hot flashes is typically done by an herbalist or healthcare provider. C: Treating lower back pain usually involves medical professionals like doctors or physical therapists. D: Acupuncture for smoking cessation is typically provided by licensed acupuncturists or healthcare professionals, not a salvador.

Correct Answer: D

Rationale: The correct answer is D because accrediting agencies like The Joint Commission focus on ensuring patients receive satisfactory care through evidence-based practices. They evaluate the quality of care provided rather than specific staffing levels or ratios. Imposing maximum staffing levels (A) can be restrictive and may not account for varying patient needs. Requiring a specific staff mix (B) may not always be feasible or reflective of best practices. Stipulating nurse-patient ratios (C) can be important but may not address the overall quality of care provided to patients. In summary, option D is correct as accrediting agencies prioritize evidence of satisfactory care delivery over rigid staffing requirements.

Correct Answer: A

Rationale: The correct answer is A: Hospice. Rationale: 1. Hospice care focuses on providing end-of-life care, pain management, and family support for terminally ill patients. 2. Nurses in hospice work closely with patients and their families to ensure comfort and dignity during the end-of-life process. 3. Hospice care emphasizes quality of life over aggressive life-sustaining treatments, aligning with the scenario described in the question. 4. Infection control and coordination roles do not specifically focus on end-of-life care or pain management for terminally ill patients. 5. While case managers may provide support and coordination of care, they do not specialize in end-of-life care like hospice nurses do.