Contemporary Ethical Issues in Nursing

Correct Answer: C

Rationale: The correct answer is C because lacking consistent providers is a common issue among the poor utilizing Medicaid. This impacts continuity of care, leading to fragmented health services and poor health outcomes. Choice A is incorrect as Medicaid does provide some level of access to healthcare. Choice B is incorrect as unnecessary treatments are not a common issue among the poor on Medicaid. Choice D is incorrect as preventive services are underutilized rather than abused by the poor on Medicaid.

Correct Answer: D

Rationale: The correct answer is D because master's programs, like the one for clinical nurse leaders, indeed provide entry into practice with a focus on interdisciplinary and bedside nursing care for complex client populations. This choice stands out as it specifically addresses the advanced level of education and specialization required for handling complex cases. Choice A is incorrect because diploma programs typically focus on basic nursing skills rather than specialization in complex client populations. Choice B is incorrect as most practicing RNs nowadays graduate from associate's or bachelor's degree programs, not diploma programs. Choice C is incorrect because baccalaureate programs emphasize a broader education including leadership, research, and critical thinking skills rather than just technical and hands-on nursing skills.

Correct Answer: B

Rationale: The correct answer is B: industrial union. Industrial unions represent all workers in a particular industry regardless of their specific job roles, providing collective bargaining power for a broader group. In this scenario, the RNs seeking union representation aim to include nonlicensed personnel and non-nursing employees, making an industrial union the most appropriate choice. A: Occupational union focuses on specific occupational groups, not as inclusive as industrial unions. C: Union shop refers to a workplace where all employees must join the union after being hired, not related to the scope of representation. D: Right-to-work bargaining organization allows employees to choose whether or not to join the union, not the strongest type of union for collective representation.

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Medicare will pay for home health services should these additional services meet the needs of the individual. 1. Medicare covers home health services for individuals who meet specific criteria, which may include being homebound, needing skilled nursing care, and having a care plan established by a healthcare provider. 2. In this scenario, the elderly person is reasonably healthy and only requires minimal assistance with oral medications, indicating that she may benefit from home health services rather than long-term care. 3. Since the elderly person is financially secure, it is likely that she does not meet the eligibility criteria for Medicaid, which is a need-based program for individuals with limited income and resources. 4. Medicare does not cover long-term care in a nursing home unless specific criteria are met, such as requiring skilled services on a short-term basis. In this case, the elderly person's need for assistance with oral medications does not necessarily qualify as a skilled service for nursing home care. Summary of Incorrect Choices: A

Correct Answer: A

Rationale: The novice nurse is demonstrating priority setting by asking about the consequences of not completing a task. This skill involves determining the most crucial tasks to be completed first based on their potential impact on patient outcomes. By understanding the implications of task completion, the nurse can effectively prioritize their workload. Delegation involves assigning tasks to others, organization involves arranging tasks in a systematic way, and clinical skills refer to the technical abilities in providing patient care. These skills are not directly demonstrated by the nurse's question about the consequences of task completion.