Ethics and Issues in Contemporary Nursing PDF

Correct Answer: C

Rationale: Rationale for Correct Answer (C): The correct answer is C because individuals covered under Medicaid, especially those living in poverty, often face barriers to timely healthcare access. Due to financial constraints and lack of awareness, this mother may delay seeking care, leading to a more advanced stage of breast cancer. This delay can result in the need for hospitalization for a mastectomy, which could have been avoided with early detection and treatment. Medicaid coverage does not necessarily guarantee prompt healthcare access, especially for preventive services like mammography. Summary of Incorrect Choices: A: This choice is incorrect because individuals covered by Medicaid, especially those facing financial hardships, may have limited access to preventive services like mammography due to various barriers. B: Having designated primary care and a specialist does not necessarily ensure timely care access, especially for individuals living in poverty and covered under Medicaid. D: This choice is incorrect as individuals covered by Medicaid generally have better access to healthcare services compared to the uninsured population, although they may still face barriers to

Correct Answer: C

Rationale: The correct answer is C: urine drug screening. Preemployment physicals commonly include urine drug screening to ensure that job applicants are free from illegal substances. This step is crucial for workplace safety and productivity. Cholesterol screening (A) is not typically part of preemployment physicals unless specifically required by the employer. Pregnancy testing (B) is considered discriminatory and is not standard practice. Vision and hearing tests (D) may be included in preemployment physicals, but they are not as common as urine drug screening for ensuring a drug-free workplace.

Correct Answer: A

Rationale: The correct answer is A: the increase in the number of minimally invasive procedures being performed for disease treatment. This is because advancements in medical technology have led to a shift towards less invasive procedures, impacting how nursing care is delivered. Minimally invasive procedures often require specialized care and monitoring, necessitating changes in nursing practice. Choice B is incorrect as care provided for patients over an extended period in acute care settings is not a significant factor driving dramatic changes in nursing care delivery over the next 20 years. This scenario is more related to the current healthcare system rather than future changes. Choice C is incorrect as the reduction in the number of nurses and healthcare professionals available to provide care is unlikely to be a driving force for dramatic changes. In fact, efforts are being made to address the nursing shortage through various initiatives. Choice D is incorrect as widespread illiteracy and decreased self-efficacy of the aging patient population, while important considerations for nursing care, are not the primary factors driving dramatic changes in

Correct Answer: D

Rationale: The correct answer is D: Capital budgeting. Capital budgeting involves planning and managing significant expenditures for long-term assets like equipment and facilities. In this scenario, replacing all 50 patient beds with new beds equipped with Fall Watch electronic sensors is a major investment in a long-term asset. The nurse manager is making a strategic decision that will impact the nursing unit's operations for an extended period. Summary: A: Fiscal budgeting focuses on revenues and expenses for a specific period, not long-term asset investments. B: Labor budgeting pertains to planning and managing labor costs, not capital investments. C: Operational budgeting involves day-to-day expenses and activities, not major capital expenditures like replacing all patient beds.

Correct Answer: B

Rationale: The correct answer is B because communities are indeed the first responders in any disaster. Local resources are typically the first to mobilize and provide immediate assistance due to their proximity to the affected area. Federal agencies may take time to arrive on the scene, so it is crucial for communities to have their own disaster response plans in place. Choice A is incorrect because the federal government can become involved in disasters even without known terrorist activities, especially in large-scale disasters. Choice C is incorrect as it oversimplifies the roles of different agencies in disaster response. Choice D is incorrect because state and federal agencies may still provide assistance even if local health care facilities are operational.