Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?

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Ethics and Issues in Contemporary Nursing Questions

Question 1 of 9

Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?

Correct Answer: C

Rationale: The correct answer is C: Clara Maas. Clara Maas died after deliberately acquiring two bites from yellow fever carrier mosquitoes to provide care during the Spanish-American War. This is correct because Clara Maas was a real historical figure known for her selfless dedication to nursing and her sacrifice to help others. Florence Nightingale (A) is renowned for her work in nursing during the Crimean War, but she did not die from acquiring yellow fever. Margaret Hoolihan (B) and Sairy Gamp (D) are fictional characters and not relevant to the historical context of the Spanish-American War.

Question 2 of 9

When paper-and-pencil medical records are compared with computer-based records:

Correct Answer: A

Rationale: Rationale: A is correct as paper-and-pencil records can physically track who accessed them, ensuring privacy and security. B is incorrect as computer-based records can also be detailed. C is irrelevant to the comparison. D is incorrect as signing for each item is not a standard practice in computer-based records.

Question 3 of 9

Which nurse best portrays nursing as a "knowledge worker"?

Correct Answer: A

Rationale: The correct answer is A because the nurse in matched scrubs with a lab coat and minimal jewelry portrays professionalism and adherence to safety standards. The lab coat signifies a commitment to infection control and respect for the clinical environment. The hair being pulled back ensures cleanliness and prevents hair from falling into a patient's wound. Small stud earrings are safe and do not pose a risk of injury to the nurse or patient. Choice B is incorrect because mismatched scrubs and large hoop earrings may not reflect professionalism or attention to detail, which are crucial in nursing practice. Choice C is incorrect as the nurse in a white uniform with apron and no jewelry may seem traditional but lacks the modern approach and attention to safety standards displayed by choice A. Choice D is incorrect because the nurse with nose and eyebrow piercings, despite wearing a starched white uniform and cap, may not be perceived as a professional and may not adhere to conservative workplace standards.

Question 4 of 9

A client involved in a motor vehicle accident is blinded. The nurse helps the client obtain a guide dog so the client may continue grocery shopping and visiting friends and family. This enables the client to cope with the handicap and perform activities of daily living. Which nursing theory can be applied to this scenario?

Correct Answer: A

Rationale: The correct answer is A: Watson's philosophy and science of caring and humanistic nursing. This theory emphasizes the importance of the nurse-client relationship, caring, and holistic care. In this scenario, obtaining a guide dog for the client reflects the nurse's caring actions to promote the client's independence and well-being. By helping the client cope with the handicap and continue daily activities, the nurse embodies the essence of caring and humanistic nursing. Incorrect Choices: B: Mishel's uncertainty in illness - This theory focuses on how individuals respond to uncertainty in illness situations, which does not directly apply to the scenario of obtaining a guide dog for a blinded client. C: Orem's self-care deficit - This theory emphasizes the nurse's role in assisting clients with self-care activities when they are unable to do so independently. While related to the scenario, it does not capture the essence of caring and humanistic nursing demonstrated in the client's situation. D: Rogers' science of unitary human beings - This

Question 5 of 9

A nurse tallies the patient satisfaction surveys and approves the use of an agency nurse because of the high census. This nurse is involved in which nursing role?

Correct Answer: C

Rationale: The correct answer is C: Manager. In this scenario, the nurse is making decisions related to staffing and resource management based on patient census, which falls under the responsibilities of a nurse manager. A manager oversees the organization and coordination of nursing care to ensure efficient and effective delivery. The other choices - Change agent, Educator, and Coordinator - do not directly align with the decision-making process related to staffing and resource management as seen in the scenario.

Question 6 of 9

A nurse plans to move to an area that is rich in immigrants from several countries and is concerned about respecting others' cultural beliefs. The nurse's first step to ensure cultural competence and sensitivity is to:

Correct Answer: D

Rationale: The correct answer is D: conduct a cultural self-assessment. This is the first step to ensure cultural competence because it allows the nurse to reflect on their own beliefs, biases, and cultural background, which can impact interactions with culturally diverse clients. By understanding one's own cultural identity, the nurse can better appreciate and respect the beliefs of others. Choice A is incorrect because enrolling in a nursing theories course may provide knowledge but does not address the nurse's own biases. Choice B is also incorrect as immersion in nursing literature may increase knowledge but does not promote self-awareness. Choice C is incorrect as focusing on health assessment variations does not necessarily address cultural sensitivity in interactions. Conducting a cultural self-assessment is essential for building a foundation of cultural competence and respect.

Question 7 of 9

A patient is admitted for a hip replacement complicated by uncontrolled diabetes and early dementiThe nurse coordinates referrals to an endocrinologist to establish an insulin protocol and organizes out-patient physical therapy in an Alzheimer's assisted living facility upon discharge. The role of this nurse is the:

Correct Answer: C

Rationale: Step-by-step rationale for why choice C (case manager) is correct: 1. A case manager coordinates referrals and services for patients with complex needs, such as this patient with diabetes and dementia. 2. In this scenario, the nurse is coordinating referrals to an endocrinologist and organizing physical therapy, which aligns with the role of a case manager. 3. Case managers ensure continuity of care and facilitate communication between different healthcare providers. 4. The nurse's role in organizing follow-up care and services for the patient falls under the responsibilities of a case manager. Summary of why other choices are incorrect: A: Informatics specialist - This role focuses on managing health information systems, not coordinating referrals and services for patients. B: Educator - While education may be a component of the nurse's role, the primary focus in this scenario is on coordinating referrals and services, which is more in line with a case manager's responsibilities. D: Quality manager - Quality managers focus on ensuring healthcare services meet quality standards

Question 8 of 9

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 9 of 9

A nurse would like to advocate for increased protective services and reporting mechanisms for elder abuse and attends the "meet the candidate" session at the town hall meeting. This is an important time for the nurse to:

Correct Answer: D

Rationale: The correct answer is D because the nurse's goal is to advocate for increased protective services for elder abuse. By learning about the key issues in the candidate's platform, the nurse can identify if the candidate supports policies related to elder abuse. This information will help the nurse assess the candidate's alignment with their advocacy goals and determine if the candidate is a suitable ally in advancing elder abuse prevention measures. A, B, and C are incorrect because: A: Educating the public about the nurse's political platform is not the primary purpose of attending the session. B: Being spontaneous may lead to an ineffective communication strategy without proper preparation. C: Addressing the candidate by their first name or title is a matter of personal preference and does not directly impact the nurse's advocacy efforts.

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