Contemporary Ethical Issues in Nursing

Correct Answer: B

Rationale: The correct answer is B: multiple-choice question item, which allows candidates to select the one correct answer. This is because the multiple-choice format is widely used in the NCLEX-RN examination as it is effective in assessing a candidate's knowledge, critical thinking skills, and ability to make decisions. The distractors in the answer choices provide clues and test the candidate's ability to differentiate between correct and incorrect information. Choices A, C, and D are incorrect: A: fill-in-the-blank item is not the most common format for NCLEX-RN questions as candidates are indeed provided with clues from distractors in multiple-choice questions. C: multiple-response item, although requiring critical thinking, is not the most common format on the NCLEX-RN exam. D: hot-spot item is not the most common format on the NCLEX-RN exam, and it is not necessarily written at the application level of Bloom's analysis.

Correct Answer: A

Rationale: The correct answer is A because denying the older person with Alzheimer's disease the right to ambulate violates their autonomy by restricting their freedom to make choices about their own body and movement. Autonomy is the ethical principle that respects an individual's right to make decisions about their own health and well-being. In this situation, the person should have the autonomy to decide whether or not they want to ambulate, even if they have advanced Alzheimer's disease. Choice B is incorrect because the mentally competent adult has the right to refuse medical treatment based on their beliefs, which is an expression of autonomy. Choice C is incorrect because the mentally competent visitor has the right to refuse examination, which is also an expression of autonomy. Choice D is incorrect because the mentally competent adult has the right to refuse a local anesthetic, which is also an expression of autonomy.

Correct Answer: C

Rationale: The correct answer is C because it provides accurate information about a specific risk factor related to a particular ethnic group. American-Indian women do have a higher rate of ovarian cancer than the general population, making it crucial for the nurse to be aware of this when teaching about cancer risk factors. A is incorrect as it discusses breast cancer and not ovarian cancer. B is incorrect as it mentions esophageal cancer, which is not the specific focus of the question. D is also incorrect as it makes a general statement about cancer, heart disease, and stroke in ethnic groups without providing specific information about ovarian cancer in American-Indian women.

Correct Answer: C

Rationale: Step 1: A manager focuses on coordinating resources, such as people, time, and materials, to achieve organizational goals. Step 2: Coordinating resources is a key responsibility of a manager, as it involves planning, organizing, and controlling to ensure efficient operations. Step 3: Leaders, on the other hand, focus on setting a vision, inspiring and motivating others to achieve goals. Step 4: While both leaders and managers play crucial roles, the distinction lies in their primary focus and responsibilities. Step 5: Therefore, the correct answer is C, as it accurately reflects the key difference between a leader and a manager.

Correct Answer: A

Rationale: The correct answer is A: Environment. Nursing theory often includes the concept of environment, which encompasses physical, social, and psychological factors influencing a patient's health. This concept helps nurses understand the context in which care is provided and how it impacts health outcomes. Incorrect choices: B: Health - While health is a fundamental aspect of nursing, it is not specific to nursing theory concepts. C: Nursing - This is a broad term encompassing the profession itself, not a specific concept within nursing theory. D: Relevance - This term is not directly associated with nursing theory concepts and does not provide a framework for understanding nursing practice.