Nursing Elites

1. Which of the following statements about ethical principles and laws is true?

• A. The government holds the power to enforce ethics.
• B. Laws provide standards that assist in decision making.
• C. Ethics are very specific.
• D. As a standard for measuring actions, ethical principles may be the basis for laws.

Correct answer: D

Rationale: The correct answer is D: 'As a standard for measuring actions, ethical principles may be the basis for laws.' This statement is true as ethical principles can influence the creation and implementation of laws. Ethical principles often serve as a foundation for laws by reflecting societal values and moral standards. Choice A is incorrect because while the government may enforce laws, ethics are typically guided by moral principles rather than government enforcement. Choice B is incorrect because laws provide legal standards, not ethical standards, for decision-making. Choice C is incorrect because ethics are not always very specific; they can be broad and encompass various moral values and principles.

2. What is the main focus of the Magnet Recognition Program?

• A. Nurse satisfaction
• B. Patient outcomes
• C. Financial performance
• D. Nursing excellence

Correct answer: D

Rationale: The main focus of the Magnet Recognition Program is nursing excellence. While nurse satisfaction and patient outcomes are important aspects influenced by the program, the primary goal is to recognize and promote nursing excellence. Financial performance is not the main focus of this program.

3. A client who had a stroke resulting in aphasia and dysphagia needs assistance. Which of the following tasks should the nurse assign to an assistive personnel (AP)?

• A. Assist the client with a partial bed bath.
• B. Measure the client's BP after the nurse administers an antihypertensive medication.
• C. Test the client's swallowing ability by providing thickened liquids.
• D. Use a communication board to ask what the client wants for lunch.

Correct answer: A

Rationale: The correct answer is A because assisting the client with a partial bed bath is within the scope of practice for an assistive personnel and does not require specialized medical knowledge. Choice B involves measuring BP, which requires specific training and assessment skills that an assistive personnel may not have. Choice C involves testing swallowing ability, which should be done by a healthcare provider due to the risks involved in dysphagia. Choice D involves communication, which is crucial but should be done by someone with training in managing aphasia to ensure effective communication with the client.

4. A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent?

• A. The situation should be tolerated for as long as possible because of the amount of time and paperwork required to terminate an incompetent nurse.
• B. Incompetence only impacts the individual nurse.
• C. The director should follow her institution�s formal process for reporting and handling practices that jeopardize patient safety.
• D. Most nurse practice acts direct how to handle incompetent nurses.

Correct answer: C

Rationale: The director should follow her institution�s formal process for reporting and handling practices that jeopardize patient safety.

5. According to Maslow's theory, which level of needs must be met first?

• A. Self-actualization needs
• B. Esteem needs
• C. Safety needs
• D. Physiological needs

Correct answer: D

Rationale: According to Maslow's hierarchy of needs, physiological needs are at the lowest level and must be satisfied first before an individual can progress to fulfilling higher-level needs. Physiological needs include basic requirements for survival such as food, water, shelter, and sleep. Esteem needs, safety needs, and self-actualization needs are higher-level needs that can only be addressed once physiological needs are adequately met. Therefore, the correct answer is D, physiological needs.

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