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: B

Rationale: The correct answer is B because it aligns with improving quality of care and cost containment. LPNs are trained to perform sterile procedures like dressing changes and IV tubing changes, which can enhance patient outcomes. This assignment allows the RN to focus on tasks that require their specialized skills, promoting quality care. Furthermore, utilizing LPNs for these tasks is more cost-effective than having an RN perform them. Choices A, C, and D are incorrect: A: Having the RN administer all medications to all patients is not utilizing the team effectively. LPNs and UAPs can handle medication administration under appropriate supervision. C: While experienced UAPs can assist with attaching telemetry electrodes, this task does not fully utilize the skills of the LPNs and RN to improve care quality. D: Administering an enema is within the scope of an LPN's practice, and assigning this task to the RN is not the most efficient use of resources.

Correct Answer: A

Rationale: The correct answer is A because Florence Nightingale is widely recognized as the pioneer of modern nursing research. During the Crimean War, she collected and analyzed data on patient care outcomes, demonstrating the importance of evidence-based practice in nursing. This laid the foundation for the development of nursing research as a formal discipline. Choice B is incorrect as nursing research did not start between 1900 and 1940, but rather with Nightingale's work. Choice C is incorrect because the focus of nursing research was not solely on doctorally prepared nurses but on improving patient care in general. Choice D is incorrect as the naturalistic paradigm is just one approach to research and not the starting point for nursing research.

Correct Answer: A

Rationale: The correct answer is A: develop. When delegating tasks, it is important for the nurse to choose the most qualified person to ensure safe and effective care. By delegating tasks to someone who needs development, the nurse can provide opportunities for growth and skill enhancement. This benefits both the individual being delegated to and the overall team. Choices B, C, and D are incorrect because promoting, punishing, or rewarding someone based on task delegation can lead to bias, unfairness, or inappropriate incentives, which are not conducive to effective delegation practices.

Correct Answer: A

Rationale: The correct answer is A because setting realistic goals is crucial for managing expectations and promoting effective caregiving. By helping the daughter understand the reality of the situation and setting achievable goals, the nurse can support both the mother's care and the daughter's emotional well-being. Option B does not address the daughter's emotional needs or the importance of realistic expectations. Option C focuses on the patient's perspective rather than the daughter's role as a caregiver. Option D, while beneficial for emotional expression, does not directly address the need for realistic goal-setting in caregiving.