Ethics & Issues in Contemporary Nursing

Correct Answer: C

Rationale: The correct answer is C: ensure health care for older adults through a national insurance system. The Social Security Act of 1935 established social insurance programs to provide financial support for retired and elderly individuals. This was done through the implementation of Old-Age, Survivors, and Disability Insurance. The Act aimed to address the economic insecurity faced by older adults and their families by providing a safety net through a national insurance system. Incorrect answers: A: Increasing research on minority groups was not the primary purpose of the Social Security Act of 1935. B: Providing medical care for chemically impaired persons was not the primary focus of the Act. D: Decreasing the public's financial burden by limiting services offered by local health departments was not the primary goal of the Act.

Correct Answer: C

Rationale: The correct answer is C: ensure health care for older adults through a national insurance system. The Social Security Act of 1935 established social insurance programs to provide financial support for retired and elderly individuals. This was done through the implementation of Old-Age, Survivors, and Disability Insurance. The Act aimed to address the economic insecurity faced by older adults and their families by providing a safety net through a national insurance system. Incorrect answers: A: Increasing research on minority groups was not the primary purpose of the Social Security Act of 1935. B: Providing medical care for chemically impaired persons was not the primary focus of the Act. D: Decreasing the public's financial burden by limiting services offered by local health departments was not the primary goal of the Act.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates empathy by acknowledging and validating the spouse's feelings of anger. By stating, "I understand how you could feel angry about the diagnosis," the nurse shows compassion and understanding towards the spouse's emotional response. This response helps to build trust and rapport with the patient's spouse during a difficult time. Choice A is incorrect as it focuses more on providing information rather than acknowledging the spouse's emotions. Choice C is incorrect as it does not address the spouse's feelings of anger and is not relevant to the situation. Choice D is incorrect as it comes across as confrontational and may make the spouse feel defensive.

Correct Answer: A

Rationale: The correct answer is A: change agent. The nurse is acting as a change agent by identifying a problem (care being withheld until an interpreter arrives) and proposing a solution (teaching common medical terms in Spanish). As a change agent, the nurse is promoting positive change within the organization to improve patient care. The other choices are incorrect because: B: Educator - While the nurse is providing education, the primary role in this scenario is not solely that of an educator. C: Manager - The nurse is not directly managing staff or resources in this scenario. D: Coordinator - The nurse is not primarily coordinating activities or resources in this scenario.

Correct Answer: B

Rationale: The correct answer is B: those skills necessary for safe, competent nursing practice. Core competencies refer to the essential skills and knowledge required for safe and competent nursing practice. In the scenario provided, the nursing student needs to demonstrate proficiency in indwelling catheter insertion and wound care to meet these core competencies. These skills are crucial for providing quality patient care and ensuring patient safety. Choice A is incorrect because core competencies are not about reducing attrition but rather about ensuring students possess the necessary skills for nursing practice. Choice C is incorrect as core competencies focus on skills required for practice, not on educational remediation. Choice D is incorrect because core competencies are not about improving reading and math skills but about the specific nursing skills needed for practice.