Ethics and Issues in Contemporary Nursing PDF

Correct Answer: A

Rationale: The correct answer is A: Safe and effective care environment. The rationale is that assigning different nurses to care for a patient with shingles and a patient with HIV/AIDS is an example of maintaining infection control and preventing the spread of communicable diseases. This falls under the category of safe and effective care environment because it ensures proper isolation precautions are followed to protect both patients and healthcare workers. Summary: - Option A is correct because it relates to infection control and maintaining a safe care environment. - Option B, health promotion and maintenance, is not relevant to the scenario described. - Option C, psychosocial integrity, does not address the primary concern of preventing the spread of infection. - Option D, teaching/learning, is not the focus of the scenario, which is more about infection control and safety.

Correct Answer: B

Rationale: The correct answer is B: compassion fatigue. Compassion fatigue refers to the emotional and physical exhaustion that healthcare providers may experience from caring for patients in distressing situations over a prolonged period. In this scenario, the nurse's lack of empathy despite the patient's heart-wrenching story indicates emotional exhaustion and desensitization, which are common symptoms of compassion fatigue. This nurse has likely become overwhelmed by the emotional toll of consistently supporting patients facing difficult circumstances, leading to a diminished capacity for empathy. Incorrect choices: A: Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. While the nurse may be experiencing emotional exhaustion, the specific lack of empathy in response to the patient's situation aligns more closely with compassion fatigue. C: Reality shock typically refers to the discrepancy between the expectations of a new role and the actual experiences encountered. This term does not accurately describe the nurse's emotional response to the patient's situation. D: Horizontal hostility refers to negative

Correct Answer: A

Rationale: Rationale: A nurse grouping patients with specific criteria to determine staffing needs aligns with a patient classification system. This system helps allocate appropriate staff levels based on patient acuity and needs for safe and effective care. It focuses on matching patient needs with staff expertise to ensure quality care. Choices B, C, and D do not directly relate to determining staffing levels based on patient criteria. B refers to billing, C to coordination of care, and D to specific care plans.

Correct Answer: A

Rationale: The correct answer is A because the legislative branch determines which laws are constitutional by passing or rejecting proposed legislation. In the case of the PPACA, the legislative branch, specifically the Congress, passed the law. The Supreme Court's role is to interpret the constitutionality of laws (not determine which laws are constitutional), as seen in the case where the PPACA was upheld as a form of taxation. Choices B, C, and D are incorrect: B is incorrect because while the legislative branch appropriates funds, the actual allocation of federal dollars is determined through the budget process, not solely by the legislative branch. C is incorrect because the executive branch, not the legislative branch, consists of the President and executive departments that implement laws like the PPACA. D is incorrect because the legislative branch can override a presidential veto with a two-thirds majority vote, not vice versa. The President does not have the power to veto laws found constitutional by the Supreme Court.

Correct Answer: A

Rationale: The correct answer is A: cultural competence. By enrolling in Spanish classes to better communicate with Mexican-Americans in Laredo, the nursing student is demonstrating an understanding and appreciation of different cultures. Cultural competence involves having the knowledge, skills, and attitudes to effectively interact with individuals from diverse backgrounds. This student's actions show a commitment to providing culturally sensitive care in a multicultural setting. Choices B, C, and D are incorrect: B: Ethnocentrism refers to the tendency to view one's own culture as superior to others. The student's actions of learning Spanish do not align with this mindset. C: Prejudice involves preconceived opinions or attitudes towards a group. The student's actions are aimed at improving cross-cultural understanding, not perpetuating negative stereotypes. D: Stereotyping involves making assumptions about individuals based on their group membership. The student's choice to learn Spanish is about building connections and understanding, not generalizing about an entire group.