Contemporary Ethical Issues in Nursing

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: 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.

Correct Answer: C

Rationale: The correct answer is C: mediation. In this scenario, a trained member listened to both parties (nurses and management) and made recommendations that were not legally binding. Mediation involves a neutral third party facilitating communication and negotiation between conflicting parties to help them reach a mutually acceptable resolution. It is non-binding, unlike binding arbitration, where a decision is imposed on the parties. Picketing involves organized striking by employees to protest against employer practices. Grievance is a formal complaint process within an organization. Mediation is the appropriate term for this non-binding settlement process in this context.

Correct Answer: C

Rationale: The correct answer is C. When delegating tasks to an LPN/LVN, the RN must review the state's nurse practice act because each state defines the role and scope of practice of the LPN/LVN. This is crucial as the LPN/LVN scope of practice can vary significantly from state to state. By reviewing the nurse practice act, the RN ensures that the tasks being delegated fall within the legal scope of practice for the LPN/LVN in that specific state, promoting safe and effective patient care. Choice A is incorrect because the role of the LPN/LVN can differ between states. Choice B is incorrect because LPN/LVNs cannot perform all duties of an RN, and additional training does not change their scope of practice. Choice D is incorrect because the Joint Commission does not establish roles for LPN/LVNs; it focuses on accreditation standards for healthcare organizations.

Correct Answer: B

Rationale: The correct answer is B: biologic. Smallpox is a viral disease caused by the variola virus, making it a biological agent. The virus spreads from person to person through respiratory droplets or contact with infected bodily fluids. The term CBRNE encompasses various types of agents used in terrorism incidents. In this case, the incident involving smallpox falls under the biologic category due to its viral nature, as opposed to chemical (A), radiologic (C), or nuclear (D) agents. Chemical agents involve toxic substances, radiologic agents involve radiation, and nuclear agents involve nuclear materials. In summary, the smallpox incident is categorized as biologic due to the nature of the variola virus.