Ethics and Issues in Contemporary Nursing PDF

Correct Answer: A

Rationale: The correct answer is A: burnout. Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. In this scenario, the novice nurses are exhibiting symptoms such as insomnia, lack of energy, and self-doubt, which are commonly associated with burnout. Burnout is specifically related to work-related stressors and can lead to negative feelings about one's job performance. Incorrect choices: B: Low self-esteem - While low self-esteem could be a contributing factor, the symptoms described are more indicative of burnout. C: Lack of confidence - Lack of confidence may be a result of burnout, but it is not the primary issue in this scenario. D: Resilience - Resilience is the ability to bounce back from challenges, but the symptoms described suggest that the nurses are struggling with stress and exhaustion rather than demonstrating resilience.

Correct Answer: C

Rationale: The correct answer is C: Mary Seacole's efforts to care for soldiers during the Crimean War. Mary Seacole was a Jamaican nurse who provided medical care to soldiers during the Crimean War. Her contributions highlighted the important role that black individuals played in nursing. This event marked the first significant recognition of the contributions of blacks to the nursing profession. Explanation of why other choices are incorrect: A: Florence Nightingale's acceptance of black nurses into the first nursing school - While Florence Nightingale is known as a pioneer of modern nursing, her acceptance of black nurses into nursing schools did not specifically lead to the recognition of the contribution of blacks to nursing. B: The contributions of black nurses at the Pennsylvania Hospital, the first hospital in America - While black nurses may have made contributions at Pennsylvania Hospital, this event did not lead to the initial recognition of the contribution of blacks to nursing. D: The work done by wives of wealthy black nobles who carried food and medicine from

Correct Answer: A

Rationale: The correct answer is A: Transactional. This type of leader focuses on routine tasks, maintaining order, and ensuring tasks are completed efficiently. In this scenario, the nurse is primarily concerned with daily operational tasks like restocking supplies and checking orders, which align with transactional leadership. Situational leadership focuses on adapting to different situations, transformational leadership inspires change and innovation, and contemporary leadership encompasses various modern leadership styles.

Correct Answer: D

Rationale: The correct answer is D: paternalism. Paternalism occurs when a physician overrides a patient's autonomy in favor of what they believe is best for the patient. In this scenario, the physician is not respecting the client's wishes and is making decisions based on their own judgment, which is characteristic of paternalism. Autonomy (A) refers to respecting the patient's right to make their own decisions. Beneficence (B) is the principle of doing good for the patient, but in this case, it is being overshadowed by the physician's paternalistic approach. Justice (C) refers to fairness in healthcare distribution, which is not applicable in this context.

Correct Answer: B

Rationale: Rationale for Correct Answer (B - LPN/LVNs are licensed, and accountability for their own practice rests with each LPN/LVN): 1. LPN/LVNs are licensed professionals, accountable for their own scope of practice as outlined by the state nursing board. 2. Accountability ensures that LPN/LVNs are responsible for their actions and decisions in providing patient care. 3. LPN/LVNs must adhere to the state's nursing practice act and regulations, ensuring safe and competent care delivery. Summary of Incorrect Choices: A: The health care facility cannot override the state practice act as licensure requirements are set by the state nursing board. C: UAPs, although important in the care team, do not have the same level of accountability as licensed nurses. D: The nurse practice act and state regulations related to delegation are essential in guiding delegation practices, but they do not necessarily override organization policies.