,1. A nurse researcher is conducting a randomized
controlled trial to compare the effectiveness of two
interventions for smoking cessation. The researcher
randomly assigns participants to either group A or group B
and follows them for six months. The researcher measures
the number of cigarettes smoked per day at baseline and at
the end of the study. What type of research design is this?
a) Descriptive
b) Correlational
c) Experimental*
d) Quasi-experimental
Rationale: This is an example of an experimental design,
which involves manipulating an independent variable (the
intervention) and measuring its effect on a dependent
variable (the number of cigarettes smoked per day) while
controlling for other variables (random assignment, follow-
up period).
2. A nurse is working in a palliative care unit and is caring
for a patient who has terminal cancer. The patient has
expressed a wish to die at home and has signed a do-not-
resuscitate (DNR) order. However, the patient's family
members are opposed to this decision and want the patient
to receive aggressive treatment in the hospital. The nurse is
facing an ethical dilemma and needs to balance the patient's
autonomy with the family's beneficence. What ethical
principle should guide the nurse's actions in this situation?
a) Justice
, b) Fidelity
c) Nonmaleficence
d) Respect for persons*
Rationale: Respect for persons is an ethical principle that
recognizes the dignity and worth of each individual and
their right to self-determination. The nurse should respect
the patient's wishes and preferences, even if they differ
from those of the family.
3. A nurse is using an electronic health record (EHR)
system to document the care provided to a patient. The
nurse notices that some of the information in the EHR is
inaccurate and outdated. The nurse wants to correct the
errors and update the data, but is unsure how to do so
without compromising the integrity and security of the
system. What should the nurse do in this situation?
a) Delete the incorrect information and enter the correct
information
b) Use a strike-through to indicate the incorrect information
and enter the correct information
c) Contact the system administrator or IT support staff for
assistance*
d) Ignore the errors and continue with the documentation
Rationale: Contacting the system administrator or IT
support staff for assistance is the best option, as they can
provide guidance on how to edit or modify the information
in the EHR without violating any policies or protocols.
Deleting or ignoring the errors could lead to inaccurate or
incomplete records, which could affect patient safety and
quality of care.
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