Ethics and Issues in Contemporary Nursing PDF -Nurselytic

Question 1 of 5

In orientation, a new graduate is surprised to learn of workplace violence in health care agencies and asks, "What kind of violence is common in hospitals?" The educator describes workplace violence as: (select all that apply)

A. care of patients admitted who are victims of domestic violence. B. experienced nurses withholding pertinent information from coworkers to portray them as incompetent. C. coworkers participating in an employee assistance program (EAP) to learn more about anger management for adult children living at home. D. care of persons being held for treatment prior to be incarcerated for committing homicide.

Correct Answer: A

Rationale: The correct answer is A because workplace violence in health care agencies commonly includes violence towards staff by patients or visitors, especially in cases where patients are victims of domestic violence. This type of violence can manifest as physical aggression, verbal abuse, or threatening behavior. The other choices are incorrect because B describes workplace sabotage, C focuses on personal development unrelated to workplace violence, and D describes a scenario unrelated to violence towards staff in a healthcare setting.

Question 2 of 5

During the night, a patient fell in the bathroom and sustained a hip injury. The patient was very upset because of being unable to attend a granddaughter's wedding in 2 days. The team looked at the process and determined that the patient had been medicated with a narcotic, had urinary urgency so had not taken the time to put on shoes, failed to turn on the light because the door to the hall let in some light, and stumbled over a towel that had been placed to collect water leaks caused by construction that was in progress to replace damaged sinks. Which factor was a special cause variation?

A. Failure to take time to put on shoes due to urgency B. Unsteady gait due to narcotic administration C. Poor lighting that led to decreased vision D. Improper construction that caused the leak and towel placement

Correct Answer: D

Rationale: The correct answer is D: Improper construction that caused the leak and towel placement. This is a special cause variation because it is an external factor outside the patient's control that directly contributed to the incident. The construction causing water leaks and the placement of a towel to collect water created a hazardous environment leading to the fall. The other choices, A, B, and C, are common cause variations as they are related to the patient's behavior or medical condition which could have been managed or controlled within the usual process.

Question 3 of 5

When can a nurse detain a client by using restraints?

A. Staffing resources are insufficient to monitor a patient with hemiplegia. B. The client is confused. C. The family requests the restraints to prevent the client from leaving the facility. D. There are current physician orders following a medical evaluation.

Correct Answer: D

Rationale: The correct answer is D because the use of restraints on a client should only be done with proper authorization. Physician orders following a medical evaluation ensure that the decision is based on clinical necessity.

Choices A, B, and C are incorrect because they do not provide valid reasons for using restraints. Insufficient staffing, confusion, and family requests are not appropriate justifications for restraining a client. It is essential to prioritize the client's safety and well-being while following proper protocols and guidelines.

Question 4 of 5

Although the use of technology and the Internet provides nursing faculty and students with unlimited resources and current information, an outcome associated with this trend is that:

A. users of electronic resources spend a disproportionate amount of time looking for pertinent content. B. additional time is available to study and revise curricula because special skills are not needed to access information via the Internet. C. immediate results and outcomes are expected from students and faculty, thus enhancing time management. D. skills that require problem solving and reflective abilities are developed.

Correct Answer: A

Rationale: The correct answer is A. Users of electronic resources may spend a disproportionate amount of time looking for pertinent content due to the vast amount of information available online. This can lead to inefficiencies and time wasted in searching for relevant resources.

Choice B is incorrect because although special skills may not be needed to access information via the Internet, the abundance of information can still lead to time wastage.

Choice C is incorrect as immediate results and outcomes expected from students and faculty can actually increase pressure and time constraints, rather than enhancing time management.

Choice D is incorrect as while problem-solving and reflective abilities may be developed through using technology and the Internet, the question specifically focuses on the negative outcome of spending excessive time searching for content.

Question 5 of 5

A patient informs the nurse, "I burn a lavender-scented candle for an hour before bedtime to help me relax and sleep." The nurse realizes this patient is using:

A. the mind-body intervention of aromatherapy. B. an energy technique known as qi gong. C. the manipulative method using the Alexander technique. D. conventional medicine, also called allopathic.

Correct Answer: A

Rationale: The correct answer is A: the mind-body intervention of aromatherapy. Aromatherapy uses essential oils like lavender to promote relaxation and improve sleep. The scent of lavender can have calming effects on the mind and body, aiding in relaxation before bedtime. Qi gong (
B) is a form of energy healing, Alexander technique (
C) involves posture and movement, and conventional medicine (
D) focuses on pharmaceutical or surgical interventions, none of which are directly related to using a lavender-scented candle for relaxation and sleep.