Although technology has seen many advances, which two ethical principles may be in conflict because of technology?

Correct Answer: B

Rationale: The correct answer is B: Beneficence and nonmaleficence. Beneficence refers to doing good and nonmaleficence refers to avoiding harm. Technology can create ethical conflicts because advancements may aim to benefit individuals (beneficence) but could also potentially cause harm (nonmaleficence). Other choices are incorrect: A) Justice is about fairness in distribution, not in conflict with beneficence; C) Veracity is truth-telling, not in direct conflict with beneficence; D) Confidentiality involves privacy, which is not directly in conflict with beneficence.

Correct Answer: B

Rationale: The correct answer is B because in palliative care, nurses play a crucial role in coordinating patient care and providing effective pain management. This involves working closely with patients, families, and other healthcare professionals to ensure holistic care and comfort for the patient. Nurses are responsible for assessing and addressing the physical, emotional, and psychological needs of patients in palliative care. Providing pain relief and symptom management is a key aspect of improving the quality of life for patients. Emotional support (choice A) is important but not the primary role. Administering medications (choice C) is a task within the role but not the primary focus. Conducting research (choice D) is valuable but not the primary responsibility of a nurse in palliative care.

Correct Answer: C

Rationale: The correct answer is C: Shared decision making. Shared governance involves collaborative decision-making among healthcare professionals, including nurses, to improve patient care and organizational outcomes. This approach empowers frontline staff to have a voice in decisions that affect their work environment and patient care. Nurse-led committees (option B) may be a part of shared governance but do not fully encompass the concept. Top-down management (option A) and hierarchical structure (option D) are opposite to the principles of shared governance as they involve centralized decision-making and lack of employee involvement in decision-making processes.

Correct Answer: B

Rationale: The correct answer is B: Felony. Violating the nurse practice act involves serious breaches of professional standards, such as negligence or misconduct, which are considered criminal offenses. Committing a felony indicates a severe violation of the law, carrying significant legal consequences. Choices A, C, and D do not accurately represent the gravity of the offense, as they pertain to different legal categories with varying levels of severity. A juvenile offense is a violation committed by a minor, a misdemeanor is a lesser criminal offense, and a tort is a civil wrongdoing resulting in harm.

Correct Answer: C

Rationale: The main focus of a clinical governance framework is patient care quality. This is because clinical governance aims to ensure that healthcare services provided are safe, effective, and of high quality. By focusing on patient care quality, healthcare organizations can improve outcomes and patient satisfaction. Financial performance (A) is important but not the main focus. Regulatory compliance (B) is necessary but not the primary goal. Staff satisfaction (D) is important for a positive work environment, but it is not the main focus of a clinical governance framework.

Correct Answer: B

Rationale: The correct answer is B: Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA). Rationale: 1. HIPAA protects patients' confidentiality and prohibits the disclosure of personal health information without consent. 2. By reminding the staff members of this breach, the RN upholds ethical standards and protects the client's privacy. 3. Joining the conversation (choice A) would further violate the client's confidentiality. 4. Correcting a statement (choice C) may draw more attention to the conversation, potentially worsening the breach. 5. Ignoring the conversation (choice D) would be neglectful of the RN's duty to protect patient information.

Correct Answer: C

Rationale: The correct answer is C: Time wasters. The manager missed the deadline due to distractions such as answering phone calls, checking emails, and engaging with staff, which are all considered time-wasting activities. These distractions prevented him from focusing on the task at hand, leading to missing the deadline. Goal setting (choice A) is about defining objectives, not the immediate cause of missing the deadline. Organization (choice B) refers to structuring tasks efficiently, which the manager failed to do. Assertiveness (choice D) relates to standing up for oneself and making decisions, not the primary reason for missing the deadline in this scenario.

Correct Answer: D

Rationale: The correct answer is D: Autocratic leadership. In a high-stress, time-sensitive situation like a multiple-car accident with multiple trauma clients, autocratic leadership is most effective due to its clear chain of command and quick decision-making. The leader can provide swift direction, prioritize tasks, and ensure immediate action to save lives. Democratic leadership (A) may lead to delays in decision-making. Bureaucratic leadership (B) focuses on following procedures, which may not be suitable for urgent situations. Laissez-faire leadership (C) lacks direction and can result in chaos in a crisis.

Correct Answer: D

Rationale: The correct answer is D because coordinating patient transitions is a primary responsibility of a nurse case manager. This involves ensuring continuity of care, smooth transitions between healthcare settings, and facilitating communication among healthcare providers. Direct patient care (A) is typically the responsibility of bedside nurses, not case managers. Financial planning (B) is more related to financial counselors or social workers. Health education (C) may be part of a nurse case manager's role, but it is not the primary responsibility compared to coordinating patient transitions.