Contemporary Ethical Issues in Nursing

Correct Answer: B

Rationale: Grounded theory is the correct answer because it involves developing a theory based on analyzing data collected from participants. In this case, the researcher is reviewing data from a grief support group to identify patterns and themes, ultimately leading to the development of a theory on how widows and widowers mourn. Phenomenology focuses on understanding individuals' lived experiences, not developing theories. Case study involves an in-depth analysis of a single case, not suitable for developing a theory. Hypothesis generation is part of quantitative research, not qualitative research design.

Correct Answer: B

Rationale: The correct answer is B: nurse-midwifery. Nurse-midwifery was the first field of nursing to certify advanced practitioners, starting in the 1920s. Nurse-midwives provide prenatal, childbirth, and postpartum care to women. Other choices are incorrect because adult nurse practitioners, clinical nurse specialists, and nurse anesthesia programs were established after nurse-midwifery certification.

Correct Answer: C

Rationale: The correct answer is C. When delegating tasks to an LPN/LVN, the RN must review the state's nurse practice act because each state defines the role and scope of practice of the LPN/LVN. This is crucial as the LPN/LVN scope of practice can vary significantly from state to state. By reviewing the nurse practice act, the RN ensures that the tasks being delegated fall within the legal scope of practice for the LPN/LVN in that specific state, promoting safe and effective patient care. Choice A is incorrect because the role of the LPN/LVN can differ between states. Choice B is incorrect because LPN/LVNs cannot perform all duties of an RN, and additional training does not change their scope of practice. Choice D is incorrect because the Joint Commission does not establish roles for LPN/LVNs; it focuses on accreditation standards for healthcare organizations.

Correct Answer: D

Rationale: The correct answer is D: Personal and social factors. This finding is relevant to personal and social factors because it highlights the individual behaviors and financial decisions of the nurses entering the workforce. The nurses' lack of financial management skills and tendency to overspend on luxury items indicate personal factors influencing their ability to handle their finances effectively. Additionally, their social environment, such as peer influences or societal pressure to display wealth, could also contribute to their financial struggles. Incorrect choices: A: Staffing - This choice focuses on the recruitment and deployment of staff, which is not directly related to the nurses' personal financial management issues. B: Workflow design - This choice pertains to how tasks are organized and coordinated within the workplace, which is not directly related to the nurses' personal financial challenges. C: Organizational factors - This choice refers to the broader context of the hospital's policies, culture, and structures, which may indirectly influence the nurses' financial behaviors but are not as directly related as personal and social factors

Correct Answer: B

Rationale: The correct answer is B because keeping the RN informed of any abnormal blood pressure readings is an essential part of the UAP's responsibility. This ensures that the RN is aware of any potential issues with the patients' health and can intervene if necessary. It is important for the UAP to communicate such vital information promptly to the RN, who has the clinical expertise to assess the situation and make appropriate decisions. Choice A is incorrect because the UAP should not delegate tasks to another UAP without prior authorization from the RN. Choice C is incorrect because calling the physician directly is beyond the scope of practice for a UAP. Choice D is incorrect because initiating a low-sodium diet for hypertensive patients is a clinical decision that should be made by the RN or physician, not the UAP.