Ethics and Issues in Contemporary Nursing PDF

Correct Answer: A

Rationale: The correct answer is A because during times of uncertainty in healthcare, patients rely on nurses for care and support. The image of nursing as trustworthy and competent can strengthen the nurse-patient relationship. This fosters a sense of security and confidence in patients. Option B is incorrect because nursing has its own distinct body of knowledge, including theories, principles, and skills that guide practice. Option C is incorrect because while presenting a unified image is important, it is not the sole factor in establishing nursing as a profession. Option D is incorrect because while technologic competence is essential in modern healthcare, the caring aspect of nursing remains crucial, especially during times of crisis.

Correct Answer: B

Rationale: The correct answer is B: ethnocentrism. This is because the nurse is judging the client's cultural beliefs as inferior to American practices, implying that American ways are the only correct ones. Ethnocentrism involves viewing one's own culture as superior to others. A: Stereotyping is not the correct answer because the nurse is not making a generalization about a group based on limited information. C: Cultural accommodation is not the correct answer because the nurse is not demonstrating an understanding or acceptance of the client's cultural practices. D: Empathy is not the correct answer because the nurse is not showing understanding or compassion towards the client's cultural beliefs.

Correct Answer: B

Rationale: The correct answer is B: moving. In Lewin's change management model, the process involves three stages: unfreeze, move, and refreeze. In this scenario, the hospital has already identified the need for change (unfreeze) by recognizing the issue with patient satisfaction scores. The change agent's recommendations and the implementation of interdisciplinary walking rounds and involving patients and families in rounds indicate the active phase of making changes and transitioning to new practices (moving). The actions taken, such as rounding every shift, updating the team through huddles, monitoring nurse participation, and interviewing patients, all demonstrate movement towards the desired change. Refreeze would come after the changes have been successfully implemented to stabilize and institutionalize the new practices. The options A (unfreeze) and C (refreeze) are incorrect as the hospital is currently in the implementation phase of change, and option D (resistance) does not apply as there is no indication of significant resistance to the proposed changes in the scenario provided.

Correct Answer: C

Rationale: Step-by-step rationale for choice C: 1. Participatory management involves nurses in decision-making, increasing job satisfaction. 2. Involving nurses in staffing decisions can lead to better scheduling and workload distribution. 3. This empowerment can improve morale and foster a sense of ownership among nurses. 4. Ultimately, participatory management enhances job satisfaction and retention. Summary: - Choice A (additional agency nurses) may address short-term staffing needs but doesn't directly improve job satisfaction. - Choice B (more part-time employees) may not address underlying issues of satisfaction and can lead to scheduling challenges. - Choice D (using float nurses) may help cover vacancies but doesn't involve nurses in decision-making or address satisfaction directly.

Correct Answer: A

Rationale: The correct answer is A: Watson's Theory of Caring. This theory emphasizes the importance of caring relationships in nursing practice. In this scenario, the nurse is demonstrating caring by helping the patient prevent fatigue, assisting with dressing, and respecting the patient's autonomy in choosing clothes. Watson's theory focuses on promoting holistic care and building a therapeutic nurse-patient relationship. Choices B, C, and D are incorrect: B: Rogers' Theory of Unitary Humans focuses on the interconnectedness of humans with their environment, which is not the primary focus of the nurse's actions in the scenario. C: Levine's Theory of Conservation emphasizes maintaining the patient's energy and structural integrity, which is not the main focus of the nurse's actions in the scenario. D: Leininger's Theory of Transcultural Nursing focuses on providing culturally competent care, which is not the central theme of the nurse's actions in the scenario.