A Mexican-American patient is attacked and beaten. This patient is at risk for "fright disease," which is known as:

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Ethics and Issues in Contemporary Nursing Questions

Question 1 of 9

A Mexican-American patient is attacked and beaten. This patient is at risk for "fright disease," which is known as:

Correct Answer: A

Rationale: The correct answer is A: susto. Susto is a cultural-bound syndrome in Mexican-American culture characterized by emotional distress due to a frightening or traumatic experience. This patient, having been attacked and beaten, is at risk for susto due to the emotional impact of the incident. Empacho refers to indigestion, bilis to anger, and mal ojo to the evil eye, none of which are directly related to the emotional distress caused by a traumatic event like in the case of susto.

Question 2 of 9

The practice of public health nursing and the Henry Street Settlement are credited to:

Correct Answer: D

Rationale: The correct answer is D: Lillian Wald. Lillian Wald is credited with founding the Henry Street Settlement in New York City in 1893, which pioneered the practice of public health nursing in the United States. She emphasized the importance of providing healthcare services to underserved populations in their own communities. Mary Breckenridge, known for establishing the Frontier Nursing Service, is not associated with the Henry Street Settlement. Mary Seacole was a British-Jamaican nurse known for her work during the Crimean War, not for public health nursing in the US. Clara Barton is known for founding the American Red Cross, not the Henry Street Settlement. Therefore, the correct answer is D, Lillian Wald.

Question 3 of 9

A patient states, "My cancer is in remission finally after all that chemotherapy, my friend used the same chemotherapy and wasn't so lucky. I want to continue participating in spiritual care and 'mind games' to keep my memory intact. I am also enrolled in Tai chi, but I just can't stop thinking about my sick lung." This patient adheres to which principle underlying alternative healing?

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. The patient believes in the power of complementary alternative therapies to help the body heal itself. 2. This aligns with the principle underlying alternative healing, which emphasizes the body's innate ability to heal. 3. By engaging in spiritual care, mind games, Tai chi, and focusing on memory and lung health, the patient is supporting the body's natural healing processes. 4. This choice is correct as it reflects the patient's belief in utilizing alternative therapies to support the body's healing mechanisms. Summary of why other choices are incorrect: A. This choice suggests a negative alteration affecting the mind and spirit, which is not directly related to the patient's belief in complementary alternative therapies for healing. C. While individualized approaches to therapy are important in alternative healing, this choice does not directly address the patient's belief in the body's ability to heal itself. D. While focusing on total lifestyle is important in alternative healing, this choice does not directly

Question 4 of 9

A nurse manager is working with the financial officer to develop the budget of the nursing unit for the next fiscal year. The nurse manager tells the financial officer that which of the following pieces of information will affect budget assumptions?

Correct Answer: B

Rationale: The correct answer is B because an increase in patient census directly impacts the budget assumptions by affecting staffing needs, supply costs, and revenue projections. This information is crucial for accurate budget planning. Choice A is incorrect because the capital budget request for new equipment does not directly impact the nursing unit's operational budget assumptions. Choice C is incorrect as the effectiveness of participatory budgeting in controlling supply costs does not directly influence future budget assumptions. Choice D is incorrect as zero-based budgeting efficiency does not directly address the impact of increased patient census on budget assumptions.

Question 5 of 9

A prospective nursing student who researches universities that offer a baccalaureate degree in nursing would want to ensure that the program is accredited by the:

Correct Answer: B

Rationale: The correct answer is B: Commission on Collegiate Nursing Education (CCNE). This accreditation ensures the nursing program meets national standards for quality and effectiveness. CCNE evaluates curriculum, faculty qualifications, student outcomes, and more. The American Nurses Association (A) is a professional organization, not an accrediting body. The National Institutes of Health (C) focuses on biomedical research, not nursing education accreditation. The National Nursing Council (D) is a fictitious organization and does not accredit nursing programs. In summary, choosing an accredited program by CCNE ensures the nursing student receives a quality education that meets national standards.

Question 6 of 9

A student nurse who is preparing to graduate and take the licensure examination asks, "What is compulsory licensure?" The appropriate response of the nursing advisor is which of the following?

Correct Answer: C

Rationale: The correct answer is C because compulsory licensure means that in order to practice as an RN, the nurse must be licensed as an RN. This is a fundamental requirement for anyone wanting to work as a registered nurse to ensure they meet the necessary qualifications and standards set by the licensing board. Choice A is incorrect as passing a drug screen is not the definition of compulsory licensure. Choice B is incorrect as having a felony conviction may impact eligibility for licensure but is not the definition of compulsory licensure. Choice D is incorrect as acknowledging limitations due to impairment is related to professional conduct but not specifically about licensure requirements.

Question 7 of 9

A client arrives in active labor and exhibits toxemia with irregular fetal heart tones. The client is an immigrant and is uninsured. Which act would prevent the client from being transferred to another facility?

Correct Answer: A

Rationale: The correct answer is A: Emergency Medical Treatment and Active Labor Law (EMTALA). This act prohibits hospitals from transferring patients in active labor or with an emergency condition based on insurance status or ability to pay. It ensures that all individuals, regardless of insurance or immigration status, receive necessary emergency medical treatment. The other choices are incorrect because: B: Health Insurance Portability and Accountability Act (HIPAA) protects patient privacy and does not address transfer of patients in active labor. C: Patient Self-Determination Act focuses on patient autonomy in making healthcare decisions, not on preventing transfer based on insurance status. D: The Patient Safety and Quality Improvement Act promotes patient safety and quality improvement but does not specifically address transfer of patients in active labor.

Question 8 of 9

A concerned nursing student calls the office of an elected official to voice support for the bill to ban smoking in all public places. The secretary asks, "Are you a constituent?" What does the term constituent mean?

Correct Answer: B

Rationale: The correct answer is B because a constituent refers to a citizen who is registered and eligible to vote for a representative. In this scenario, the nursing student is calling the office of an elected official, indicating that they are a citizen who can vote for that official. Choice A is incorrect as it refers to a member of a professional organization, not a citizen eligible to vote. Choice C is incorrect as it refers to an elected official, not a citizen. Choice D is incorrect as it refers to a member of the House of Representatives, not a citizen eligible to vote.

Question 9 of 9

A group of nurses are interested in the how to improve teaching effectiveness for patients who have a hearing impairment and lack family involvement while hospitalized. They believe "hearing loss decreases the teaching effectiveness while hospitalized." The group plans to evaluate teaching effectiveness using a 10-point Likert scale pre-post teaching, perform a hearing test to determine degree of hearing loss on admission, and have social work evaluate the impact of hearing impairment on patient's ability to safely live alone prior to discharge. The group is working in which step of the scientific process?

Correct Answer: B

Rationale: The correct answer is B: Method. In the scientific process, the method refers to designing and planning the research study. In this scenario, the group of nurses is planning how to improve teaching effectiveness for patients with hearing impairment, which involves designing the study by using a Likert scale pre-post teaching evaluation, conducting a hearing test, and involving social work for evaluation. This step focuses on determining how the research will be carried out, including data collection methods and procedures. The other choices are incorrect because: A: Hypothesis - This step involves formulating a testable prediction based on observations or existing knowledge. C: Results - This step involves analyzing the data collected and drawing conclusions. D: Evaluation - This step involves assessing the effectiveness or outcomes of the research study.

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