Contemporary Ethical Issues in Nursing

Correct Answer: D

Rationale: Step-by-step rationale for why Answer D is correct: 1. Ensures patient safety: RN should only accept assignments they are qualified for to provide safe care. 2. Upholds professional standards: Accepting only familiar assignments aligns with nursing scope of practice. 3. Legal and ethical responsibility: RN must prioritize patient well-being over external pressures. 4. Promotes personal growth: RN can seek additional training for unfamiliar assignments. Summary: - A: Incorrect. Accepting based on power dynamics disregards patient safety and professional ethics. - B: Incorrect. Patient safety should be the primary concern over workload. - C: Incorrect. Past handling may not guarantee appropriateness. Focus should be on personal qualification.

Correct Answer: B

Rationale: The correct answer is B: Mental. The nurse's inability to concentrate and view the healthcare milieu sensibly indicates a lack of mental energy. Mental energy is crucial for focus, problem-solving, decision-making, and critical thinking skills necessary for quality management. Physical energy (A) is related to physical stamina, spiritual energy (C) to inner peace and purpose, and emotional energy (D) to emotional resilience. However, in this case, the nurse's issue is primarily cognitive, highlighting the absence of mental energy.

Correct Answer: B

Rationale: The correct answer is B: appeal to tradition. The veteran nurse is objecting to the change in practice solely because it deviates from the usual way of doing things. This demonstrates a reliance on tradition rather than considering the potential benefits of the new approach. The appeal to tradition fallacy assumes that something is better or correct simply because it is the traditional way. Incorrect choices: A: Appeal to emotion - This choice involves manipulating emotions to win an argument, which is not evident in the scenario. C: Red herring - This choice involves diverting attention from the real issue, which is not the case in the scenario. D: Straw man - This choice involves misrepresenting the opponent's argument to make it easier to attack, which is not demonstrated in the scenario.

Correct Answer: A

Rationale: The correct answer is A: Articulation. This nursing model is referred to as the "class without walls" because it focuses on seamless academic progression and collaboration between educational institutions. Articulation promotes a smooth transition of nursing students from one level of education to another, eliminating barriers and creating a cohesive learning experience. The other choices (B, C, D) do not specifically emphasize the concept of breaking down walls or barriers in education like the Articulation model does.

Correct Answer: D

Rationale: Step 1: Acknowledge the clinical expertise of the upset nurse - This shows respect for the upset nurse's experience and expertise. Step 2: Clearly explain the expectations for teamwork - Setting clear expectations fosters a collaborative environment. Step 3: Emphasize open, honest communication - Encouraging open dialogue helps address concerns and build trust among the team. Overall, option D is the best approach as it combines acknowledging the upset nurse's expertise, setting expectations for teamwork, and promoting open communication, which are crucial for gaining trust and respect among the nursing staff. Summary of other choices: A: Sending memos excludes the upset nurse and may create further resentment. B: Transferring the upset nurse does not address the issue and may lead to more conflict. C: Assigning the upset nurse to unrelated committees may isolate them and not address the underlying problem of lack of trust and respect on the unit.