Ethics and Issues in Contemporary Nursing -Nurselytic

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Ethics and Issues in Contemporary Nursing Questions

Question 1 of 5

The research hypothesis is that aromatherapy reduces stress more effectively than does acupuncture. The researcher does not identify a control group. This study would be a(n) design.

Correct Answer: A

Rationale: The correct answer is A: experimental design. In an experimental design, the researcher manipulates one variable (aromatherapy vs. acupuncture) to observe its effect on another variable (stress). Without a control group, it is impossible to establish a baseline for comparison. A control group is essential to isolate the effects of the treatment from other variables. Quasi-experimental designs lack random assignment, surveys are used to gather data rather than test hypotheses, and meta-analyses involve combining and analyzing results from multiple studies.

Question 2 of 5

A nurse develops a new nursing theory related to stress and viability. The nurse determines the theory accounts for historical events in which soldiers suffering from the stress of inadequate clothing to protect them from the cold and lack of correspondence from home had an increased mortality related to gunshot wounds. The theory will predict gunshot victims' need for proper clothing and letters from significant others as they serve in Iraq. Which criterion for theory acceptance is being validated?

Correct Answer: C

Rationale: The correct answer is C: Accuracy. The nurse's theory is being validated based on its ability to accurately predict the need for proper clothing and letters from significant others for soldiers serving in Iraq. This criterion is essential for theory acceptance as it demonstrates the theory's ability to make accurate predictions based on historical events.

Inclusiveness (
A) refers to the theory's ability to encompass a wide range of phenomena, which is not explicitly demonstrated in this scenario. Consistency (
B) refers to the theory's internal coherence and agreement with existing knowledge, which is not the focus of the nurse's validation process in this case. Simplicity (
D) refers to the theory's clarity and parsimony, which is not the primary criterion being validated here.

In summary, accuracy is the most relevant criterion being validated in this scenario as the nurse's theory is being assessed based on its predictive accuracy in relation to the soldiers' needs in Iraq.

Question 3 of 5

A staff nurse states, "I really enjoyed having dinner with the Chief of Medical Staff and the President of the hospital. We hope to meet again soon." Which source of power does this nurse possess?

Correct Answer: C

Rationale: The correct answer is C: Connection. The nurse's power comes from her ability to network and build relationships with influential individuals like the Chief of Medical Staff and the President of the hospital. This grants her access to information, resources, and opportunities not available to others. This power is based on who she knows rather than her expertise (
A), position (
B), or ability to offer rewards (
D). The nurse's statement implies that her influence stems from her connections, making choice C the most appropriate answer.

Question 4 of 5

Diagnosis-related groups (DRGs) have attempted to reduce health care costs by decreasing:

Correct Answer: B

Rationale: The correct answer is B: length of hospital stay. DRGs aim to reduce healthcare costs by incentivizing hospitals to provide efficient care and discharge patients sooner. Shortening the length of hospital stay helps decrease overall healthcare expenses without compromising the quality of care.

Choices A, C, and D are incorrect because DRGs focus on the duration of hospitalization, not necessarily on hospital admission rates, outpatient services, or specialty groups. Shortening hospital stays is a more direct way to control costs within the inpatient setting.

Question 5 of 5

A Hispanic patient is visited by several family members and the nurse witnessed one visitor who pinches a piece of skin at the waist. The nurse asks the purpose and learns the "provider" is listening for a snap from the abdominal region, which is then repeated several times. The patient most likely suffers from:

Correct Answer: D

Rationale: The correct answer is D: empacho. Empacho is a traditional Hispanic folk illness characterized by a blockage in the digestive system. In this scenario, the behavior of pinching the skin and listening for a snap in the abdominal region aligns with the common practice associated with empacho diagnosis. The family member is likely trying to detect an abnormal sound, indicating a blockage in the intestines. The other choices (A: mal ojo, B: susto, C: bilis) do not fit the description of the observed behavior and symptoms. Mal ojo refers to the evil eye, susto is a fright-related illness, and bilis pertains to an imbalance of bodily fluids, none of which involve the specific diagnostic behavior described in the scenario.

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