Nursing Elites

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

• A. Beneficence and justice
• B. Beneficence and nonmaleficence
• C. Beneficence and veracity
• D. Beneficence and confidentiality

Correct answer: B

Rationale: The correct answer is B: Beneficence and nonmaleficence. Beneficence refers to the obligation to do good and act in the best interest of the patient, while nonmaleficence means to 'do no harm.' With advances in technology, there can be situations where the pursuit of benefit (beneficence) may inadvertently cause harm (nonmaleficence), leading to a conflict between these two ethical principles. Choice A, beneficence and justice, is incorrect because justice pertains to fairness and equality in the distribution of resources and treatments, not conflicting directly with beneficence. Choice C, beneficence and veracity, involves the obligation to tell the truth and is not in direct conflict with beneficence. Choice D, beneficence and confidentiality, relate to maintaining privacy and trust, which can complement rather than conflict with beneficence in most cases.

2. When someone is consistently late for work due to unreliable transportation, this is known as which type of barrier?

• A. Attendance
• B. Voluntary
• C. Motivation
• D. Involuntary

Correct answer: A

Rationale: The correct answer is 'Attendance.' In this scenario, the nurse being late for work due to unreliable transportation is an example of an attendance barrier. This type of barrier refers to factors that affect an individual's ability to be present at work on time, such as transportation issues. Choices B, C, and D are incorrect because voluntary barriers are ones that individuals choose to impose on themselves, motivation barriers relate to lacking the drive to perform a task, and involuntary barriers are obstacles beyond one's control.

3. Which of the following are effective ways to apply power and politics in nursing? (EXCEPT)

• A. Picketing the employer
• B. Networking with other professionals
• C. Writing letters to legislators
• D. Joining professional organizations

Correct answer: A

Rationale: The correct answer is A - 'Picketing the employer.' Networking with other professionals, writing letters to legislators, and joining professional organizations are effective ways to apply power and politics in nursing. Picketing the employer is not an appropriate approach in a healthcare setting as it may lead to disruptions in patient care and conflict within the workplace.

4. Which of the following would a nurse suggest are significant benefits to an organization that is considering adoption of a practice partnership model? (Select one that does not apply.)

• A. Clients express greater satisfaction.
• B. It is more expensive to implement than other models.
• C. Continuity of care is facilitated.
• D. Leadership is well accepted.

Correct answer: B

Rationale: The correct answer is B. Practice partnership models are shown to be the most cost-effective of the nursing care delivery systems, contrary to being more expensive. Clients express greater satisfaction due to the collaborative and holistic approach of this model. Continuity of care is improved when the healthcare team works together cohesively. While leadership acceptance is beneficial, it is not the most significant benefit highlighted in the context of practice partnership models.

5. The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following is one that has emerged in response to these changes?

• A. Quantum
• B. Servant
• C. Autocratic
• D. Democratic

Correct answer: A

Rationale: The correct answer is A: Quantum. The quantum theory of leadership addresses complexity in organizations, making it suitable for the challenges posed by the current health care delivery systems. Servant leadership (choice B) focuses on serving others rather than traditional hierarchies, but it is not specifically tailored to address complexities. Autocratic leadership (choice C) and Democratic leadership (choice D) are more traditional styles that may not be as effective in handling the intricacies of modern health care systems.

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