Contemporary Ethical Issues in Nursing

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Medicare will pay for home health services should these additional services meet the needs of the individual. 1. Medicare covers home health services for individuals who meet specific criteria, which may include being homebound, needing skilled nursing care, and having a care plan established by a healthcare provider. 2. In this scenario, the elderly person is reasonably healthy and only requires minimal assistance with oral medications, indicating that she may benefit from home health services rather than long-term care. 3. Since the elderly person is financially secure, it is likely that she does not meet the eligibility criteria for Medicaid, which is a need-based program for individuals with limited income and resources. 4. Medicare does not cover long-term care in a nursing home unless specific criteria are met, such as requiring skilled services on a short-term basis. In this case, the elderly person's need for assistance with oral medications does not necessarily qualify as a skilled service for nursing home care. Summary of Incorrect Choices: A

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: Correct Answer: A Rationale: 1. Proactive care emphasizes prevention and early intervention. 2. The Quality Chasm report advocates for patient-centered care. 3. Being proactive ensures better health outcomes and lower costs. 4. Reactive care may lead to delayed diagnosis and treatment. Summary: B: Focusing on common needs ignores individual preferences, contradicting patient-centered care. C: Limiting medical information to one provider is not patient-centered and hinders care coordination. D: Allowing specialized providers to control decisions may not consider the holistic needs of the patient.

Correct Answer: A

Rationale: The correct answer is A: National Institute of Nursing Research. This organization is part of the National Institutes of Health (NIH) and specifically focuses on funding nursing research. The NIH is a federal agency that provides funding for various scientific research areas, including nursing. The other choices, B: Robert Wood Johnson Foundation, C: W. K. Kellogg Foundation, and D: Sigma Theta Tau International, are not federal organizations and do not provide federal funding. Robert Wood Johnson Foundation is a private philanthropic organization, W. K. Kellogg Foundation is a private foundation focused on children's wellbeing, and Sigma Theta Tau International is an honor society for nursing professionals.

Correct Answer: B

Rationale: The correct answer is B: case manager. A case manager is responsible for coordinating care for a patient from admission to discharge, collaborating with various healthcare providers. This role involves managing the patient's overall care plan, ensuring continuity and efficiency. The other choices are incorrect because: A: Nurse manager focuses on managing nursing staff and unit operations, not individual patient care. C: Coordinator of patient-centered care delivery may oversee care coordination but does not necessarily follow the patient throughout the entire care journey. D: Team leader in team nursing care delivery is focused on leading a specific nursing team, not managing the patient's entire care process.