Contemporary Ethical Issues in Nursing

Correct Answer: B

Rationale: The correct answer is B: Review the overall situation to identify the core issues. This is the initial step when addressing an ethically challenging situation because it allows you to gain a comprehensive understanding of the situation before delving into specific details. By reviewing the overall situation, you can identify the key ethical issues at play and prioritize which aspects need to be addressed first. This step sets the foundation for developing an effective strategy to navigate the ethical dilemma. Incorrect answers: A: Identifying all those involved is important, but it should come after reviewing the situation. C: Gathering facts is necessary, but reviewing the overall situation should precede this step. D: Determining the ethical dilemma is crucial, but it is more effective to first review the entire situation to fully grasp the complexities before pinpointing the ethical issue.

Correct Answer: B

Rationale: The correct answer is B: cultural self-assessment. This is important as it helps the nurse understand their own beliefs, values, and biases, which can impact how they interact with culturally diverse clients. By being self-aware, the nurse can better recognize and address any potential cultural misunderstandings or conflicts. A: Taking a sign language course is not the priority as not all culturally diverse clients are deaf or use sign language. C: While cultural client assessment is important, it is secondary to the nurse understanding their own cultural biases first. D: Taking a course on how to speak Spanish is helpful but may not address the broader cultural competence needed to work with diverse clients.

Correct Answer: A

Rationale: The correct answer is A because informed consent documents must provide participants with an explanation of potential risks and benefits to ensure they fully understand what they are agreeing to. This helps participants make an informed decision about participating. Option B is incorrect because using medical terminology can actually increase misunderstanding; lay terms are recommended. Option C is incorrect as it is essential to include a statement on protecting anonymity and confidentiality to ensure participant privacy. Option D is incorrect as explaining the cost of the study is not a necessary component of informed consent.

Correct Answer: A

Rationale: The correct answer is A: Emergency Management Assistance Compact (EMAC). 1. EMAC is a mutual aid agreement among states for disaster response. 2. It allows affected states to request and receive assistance from other states. 3. It facilitates coordination and deployment of resources quickly in emergencies. 4. IOM focuses on health research, Red Cross on humanitarian aid, and Strategic National Stockpile on medical supplies, but they do not provide the immediate multi-sectoral assistance needed in this scenario.

Correct Answer: A

Rationale: Step 1: The correct answer is A because nurses now face challenges in coordinating care for a more diverse aging population. This is due to the increasing complexity of health issues and values among this demographic. Step 2: As the aging population grows, nurses must be equipped to address the unique needs and preferences of diverse individuals, which requires a deep understanding of cultural, social, and health-related factors. Step 3: Nurses need to adapt their care delivery strategies to provide patient-centered care that considers the individual's values, beliefs, and preferences. This includes coordinating care across different healthcare settings and disciplines to ensure holistic and effective care. Summary: Choices B, C, and D are incorrect because they do not address the specific challenges faced by nurses graduating now, which primarily revolve around managing the complexities of caring for a diverse aging population with varying health values.