Ethics & Issues in Contemporary Nursing

Correct Answer: C

Rationale: The correct answer is C: Uniform Health Care Decisions Act. This act mandates hospitals to inquire if clients have a living will or durable power of attorney to ensure patients' healthcare wishes are honored. A: Emergency Treatment and Active Labor Law pertains to emergency care. B: Americans with Disabilities Act focuses on discrimination against individuals with disabilities. D: Doctrine of res ipsa loquitur involves negligence cases where the injury speaks for itself. Therefore, the correct choice is C as it directly addresses the requirement for hospitals receiving Medicare and Medicaid funds.

Correct Answer: C

Rationale: Step 1: The administrator acknowledges the physician's concern to maintain a professional relationship. Step 2: The administrator educates the physician that patient education on medications falls within the nurse's scope of practice. Step 3: The administrator addresses the nurse and physician to ensure both are informed of the resolution. Step 4: This approach promotes mutual understanding and respect between nurse and physician. Summary: Option C is the correct answer as it acknowledges the physician's concern, educates on scope of practice, and fosters communication between both parties. Options A, B, and D are incorrect as they either punish the nurse unjustly, fail to educate the physician, or involve unrelated parties in the decision-making process.

Correct Answer: D

Rationale: The correct answer is D because it accurately differentiates between imagery and hypnosis. Imagery involves the patient formulating the impression in their mind, while hypnosis involves the hypnotist constructing the image for the patient. This is a key distinction as it highlights the active role of the patient in imagery compared to the more passive role in hypnosis. Choice A is incorrect because it inaccurately describes the process of hypnosis and imagery. Choice B is incorrect because both imagery and hypnosis can be performed by trained practitioners. Choice C is incorrect as both techniques can have varying durations of effectiveness, and it is not accurate to say that imagery only produces temporary well-being compared to hypnosis.

Correct Answer: C

Rationale: The correct answer is C because the Palliative Performance Scale assesses functional status in palliative care. A patient with 70% normal function would have a score of 70 on the scale, indicating that they are still able to ambulate but with limitations due to their illness. Choice A is incorrect because inability to hold a job does not directly correlate with functional status. Choice B is incorrect as spending most of the day in bed suggests a lower level of functioning. Choice D is incorrect as being bed bound indicates a more severe impairment in function compared to a patient who can still ambulate with limitations.

Correct Answer: C

Rationale: The nurse's communication style of working independently, sharing ideas with the team, and suggesting a collaborative approach aligns with Generation X characteristics. Generation X values independence, work-life balance, and collaboration. Baby Boomers (A) tend to be more hierarchical, Traditionalists (B) prioritize loyalty and respect for authority, and Millennials (D) are known for their tech-savvy and collaborative nature, but the nurse's approach best fits Generation X.