Ethics & Issues in Contemporary Nursing

Questions 113

ATI RN

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Ethics & Issues in Contemporary Nursing Questions

Question 1 of 5

Following a terrorist attack, victims are exhibiting posttraumatic stress syndrome, and care providers are exhibiting compassion fatigue. Which federal response system should be initiated?

Correct Answer: D

Rationale: The correct answer is D: National Disaster Medical System (NDMS). This system is designed to provide medical care during disasters, including addressing mental health needs like posttraumatic stress syndrome in victims and compassion fatigue in care providers. NDMS coordinates federal medical response resources and personnel to support communities during disasters. A: Strategic National Stockpile focuses on providing medicines, vaccines, and medical supplies, but does not directly address mental health needs or provide medical care. B: Metropolitan Medical Response System (MMRS) focuses on local response capabilities for mass casualty incidents, but does not have the same scope as NDMS in providing comprehensive medical care. C: Commissioned Corps Readiness Force is a team of healthcare professionals within the U.S. Public Health Service, but it is not specifically designated for disaster medical response like NDMS.

Question 2 of 5

A nurse is overhead saying, "I don't mind working during the election and holiday. My parents are divorced, money is tight, and honestly I don't trust any politicians anyway. I plan to take a few weeks off next month." She works independently to research strategies to improve patient-centered care for the large number of immigrants that arrived in the area and then works with the team to share ideas. She recommends, "Let's think the suggestions over and come back together next week." This nurse's communication style is consistent with which generation?

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.

Question 3 of 5

A cultural phenomenon that is based on biologic variation would include:

Correct Answer: A

Rationale: The correct answer is A because it describes a cultural belief that attributes a physical trait (cleft lip) to a specific biological event (exposure to an eclipse during pregnancy). This choice demonstrates a cultural phenomenon based on biologic variation. Choice B is incorrect because it attributes denser bones in blacks to less morbidity from osteoporosis, which is a generalization and not necessarily a cultural phenomenon. Choice C is incorrect as it describes a family dynamic related to healthcare decision-making and not a cultural belief based on biologic variation. Choice D is incorrect as it describes a family tradition related to feasting and decision-making, which does not directly involve biologic variation.

Question 4 of 5

A client is in extreme pain after he was involved in a motor vehicle accident, and morphine has been ordered every hour for pain. The nurse injects saline into the client's IV line and takes the morphine for herself. The nurse is violating which principle of ethics?

Correct Answer: C

Rationale: The correct answer is C: Beneficence. Beneficence is the ethical principle that emphasizes the obligation to act in the best interest of the client and to do good. In this scenario, the nurse is not acting in the best interest of the client by withholding the prescribed medication for personal gain. This action goes against the principle of beneficence as it is causing harm to the client by denying them the necessary pain relief. Summary: A: Autonomy is the right of the client to make their own decisions, which is not the main issue in this scenario. B: Utilitarianism focuses on maximizing overall good for the greatest number of people, which is not directly applicable here. D: Dilemmas do not represent a specific ethical principle being violated in this situation.

Question 5 of 5

A nurse is concerned about a trend in the hospital to regularly "float" nurses to different areas of the hospital based on staff shortage regardless of recent experience in caring for the population on the unit. When deciding to accept a staffing assignment in this situation, the nurse considers a "safe harbor." What is meant by "safe harbor"?

Correct Answer: D

Rationale: The correct answer is D because "safe harbor" refers to a legal provision that protects nurses when they feel unsafe accepting a staffing assignment due to lack of recent experience or competency. By invoking safe harbor, nurses can continue caring for patients while an investigation is conducted to ensure patient safety and protect the nurse's license. This process allows nurses to voice concerns without fear of reprisal. Option A is incorrect as it refers to a disaster response plan, unrelated to safe harbor. Option B is incorrect as it discusses patient care teams and infectious diseases, not safe harbor protections. Option C is incorrect because it addresses reporting violence, which is not directly related to safe harbor provisions for staffing assignments.

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