An RN enters a patient’s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?

Correct Answer: A

Rationale: Step 1: The client is alert and oriented, indicating capacity to make decisions. Step 2: The client expresses the desire to leave the hospital, exercising autonomy. Step 3: False imprisonment occurs when a person is unlawfully restrained. Step 4: Choice A is incorrect as it restricts the client's freedom without legal justification. Step 5: Choices B, C, and D respect the client's autonomy and do not involve restraining.

Correct Answer: D

Rationale: The correct answer is D: Collective bargaining. The American Nurses Association (ANA) is a professional organization representing nurses, not a labor union. Therefore, it does not engage in direct collective bargaining on behalf of its members. Collective bargaining is the process of negotiation between employers and employees, typically labor unions, to determine wages, working conditions, and other terms of employment. The other choices (A, B, C) are incorrect because the ANA focuses on professional development, advocacy, and promoting the interests of nurses rather than traditional labor union activities like empowering, rewarding, or encouraging union affiliation.

Correct Answer: B

Rationale: The correct answer is B: Expectancy. Expectancy theory posits that individuals believe that their effort will lead to a specific level of performance. This belief in the relationship between effort and performance is crucial in determining motivation. Rewards (A) refer to the outcomes of the performance, not the belief in effort-performance connection. Valence (C) is the value a person places on a specific reward, not the belief in effort-performance link. Instrumentality (D) is the belief that performance will lead to a certain outcome, not the belief in effort-performance relationship.

Correct Answer: B

Rationale: The correct answer is B: To ensure patient safety and quality care. Healthcare accreditation programs aim to establish and maintain standards for healthcare facilities to ensure that patients receive safe and high-quality care. This objective prioritizes patient well-being and satisfaction over financial gain (A), operational efficiency (C), or reducing readmissions (D). Patient safety and quality care are fundamental principles in healthcare accreditation to enhance overall healthcare outcomes and patient experience.

Correct Answer: C

Rationale: The correct answer is C: To prevent the onset of disease. Health promotion activities aim to prevent illnesses before they occur by promoting healthy behaviors and lifestyles. This is a proactive approach that focuses on preventing diseases rather than managing or treating them after they have developed. Choice A focuses on managing existing conditions, choice B emphasizes educating patients after the fact, and choice D focuses on early detection and treatment rather than prevention. Preventing disease through health promotion is the most effective and cost-efficient approach to improving overall health outcomes.

Correct Answer: B

Rationale: The correct answer is B: Perform the irrigation using a 20-mL syringe. This is the correct action because using a 20-mL syringe allows for precise and controlled instillation of the irrigation fluid into the catheter. Using a smaller syringe helps prevent excessive pressure within the catheter, reducing the risk of trauma or damage to the client's urinary system. A: Positioning the client in a side-lying position is not essential for open irrigation technique, as long as the client is comfortable and the procedure can be safely performed. C: Instilling 15 mL of irrigation fluid with each flush may not be appropriate as the volume needed may vary based on the client's condition. D: Although measuring and recording the amount of irrigant used is important for documentation purposes, it is not the immediate action to ensure the safe and effective irrigation of the catheter.

Correct Answer: C

Rationale: The correct answer is C because virtue ethics primarily focuses on developing moral character and virtues in individuals rather than following specific rules for behavior. This approach emphasizes the importance of cultivating virtuous traits such as honesty, courage, and kindness to guide ethical decision-making. By emphasizing moral character over rules, virtue ethics promotes the idea that individuals should strive to embody virtuous qualities to lead a good and ethical life. Choice A is incorrect because virtue ethics does not rely on rigid moral rules but rather on cultivating virtues. Choice B is incorrect because virtue ethics does not prioritize knowledge of consequences in decision-making. Choice D is incorrect because virtue ethics does not provide a formal set of rules for behavior, but rather emphasizes the development of virtuous character.

Correct Answer: C

Rationale: The correct answer is C because evidence-based practice (EBP) involves integrating clinical expertise with the best available research evidence and considering patient preferences. This approach ensures that decisions are informed by both the clinician's experience and the most current and relevant research findings, leading to the most effective and individualized patient care. Choice A is incorrect as it solely relies on clinical expertise without considering research evidence. Choice B is incorrect as it suggests solely relying on research findings, neglecting the importance of clinical judgment. Choice D is incorrect as it focuses on following institutional guidelines rather than on the integration of clinical expertise and research evidence.

Correct Answer: D

Rationale: The correct answer is D because cultural humility in nursing emphasizes continuous learning from patients and adapting care based on their individual needs. This approach values patient input and focuses on building mutual respect and trust. Choice A is incorrect because cultural humility is not about a fixed set of competencies but rather an ongoing process. Choice B is incorrect as it only addresses one aspect of cultural humility related to power dynamics. Choice C is incorrect as it focuses on adapting care to fit different cultural contexts rather than individual patient needs. In summary, cultural humility in nursing involves actively listening, learning, and adapting to meet the unique needs of each patient.