Contemporary Issues in Nursing

Correct Answer: A

Rationale: The correct answer is A: outcomes. Nursing education focused on outcomes aligns with real-world practice by emphasizing measurable results and the impact of nursing interventions on patient care. Objectives (B) are specific steps to achieve outcomes, while goals (C) are broader aims. Subjective appraisals (D) lack the objective, evidence-based focus required in nursing education. Therefore, focusing on outcomes ensures that nursing students are prepared for the demands of real-world practice.

Correct Answer: B

Rationale: The correct answer is B: Right-to-work law. This law prohibits requiring union membership or payment of union fees as a condition of employment. The nurse can work in the unionized trauma center without being obligated to join or pay fees due to the provisions of the Right-to-work law. A: National Labor Relations Act - This act protects the rights of employees to join or form unions but does not specifically address the issue of mandatory union membership or fees. C: National Labor Relations Act - This is a duplicate choice. D: Taft-Hartley Act - This act regulates labor unions but does not specifically address the issue of mandatory union membership or fees.

Correct Answer: C

Rationale: Step 1: The Industrial Revolution introduced poor working conditions in factories, which extended to hospitals. Step 2: Poor conditions in hospitals led to the need to protect healthcare workers, sparking unionization. Step 3: This movement influenced the unionization in American health care agencies and hospitals. Step 4: As a result, choice C is the correct answer. Summary: Choice A is incorrect as immigration laws did not directly influence the unionization movement in American healthcare. Choice B is incorrect as women entering the workforce, while significant, did not have the most influence on healthcare unionization. Choice D is incorrect as the exposure to diseases among nurses, while important, did not drive the overall movement for worker protection in healthcare during that time.

Correct Answer: D

Rationale: Step 1: The Law of Cure in homeopathy states that symptoms improve in the reverse order of their appearance. Step 2: The worsening of symptoms initially is known as a healing crisis or aggravation. Step 3: By remaining on the current regimen, the patient allows the body to go through the healing process. Step 4: This indicates that the body is responding to the remedy and working towards a deeper level of healing. Step 5: Discontinuing therapy or increasing potency/dosage may disrupt this natural healing process.

Correct Answer: A

Rationale: The correct answer is A: Mishel's uncertainty of illness. This theory focuses on how individuals cope with uncertainty related to illness or health events. In this scenario, the mother is facing unexpected news about her baby's condition, causing her to withdraw as a coping mechanism due to the uncertainty she is experiencing. By utilizing Mishel's theory, nurses can provide support and guidance to help the mother navigate her feelings of uncertainty and develop coping strategies. Choice B (Orem's self-care deficit model) is not the best fit as it primarily focuses on the individual's ability to perform self-care activities, which may not directly address the mother's emotional response to uncertainty. Choice C (Nightingale's canons of nursing) is more focused on the environmental factors impacting health and may not address the mother's coping needs. Choice D (Levine's conservation model) emphasizes maintaining stability and balance in the body systems, which may not directly address the mother's emotional needs in coping with uncertainty.