Ethics & Issues in Contemporary Nursing

Correct Answer: B

Rationale: The correct answer is B: shock or rejection. This phase of reality shock is characterized by feelings of being overwhelmed, confused, and unsure of how to proceed despite having knowledge. The novice nurse is experiencing a sense of rejection towards the situation due to the gap between theoretical knowledge and practical application. This phase is common among new healthcare professionals as they transition from academic learning to real-world clinical practice. A: Honeymoon phase refers to the initial period of excitement and enthusiasm in a new role. C: Recovery phase is when the individual starts to adapt and become more comfortable with the new role. D: Resolution phase is the final stage where the individual fully integrates into the role and becomes confident and competent. In this scenario, the novice nurse is clearly struggling and feeling overwhelmed, indicating that they are in the shock or rejection phase, making choice B the correct answer.

Correct Answer: B

Rationale: The correct answer is B: those skills necessary for safe, competent nursing practice. Core competencies refer to the essential skills and knowledge required for safe and competent nursing practice. In the scenario provided, the nursing student needs to demonstrate proficiency in indwelling catheter insertion and wound care to meet these core competencies. These skills are crucial for providing quality patient care and ensuring patient safety. Choice A is incorrect because core competencies are not about reducing attrition but rather about ensuring students possess the necessary skills for nursing practice. Choice C is incorrect as core competencies focus on skills required for practice, not on educational remediation. Choice D is incorrect because core competencies are not about improving reading and math skills but about the specific nursing skills needed for practice.

Correct Answer: D

Rationale: The correct answer is D: fear of completion. This is because the student nurse is prolonging the conclusion of the project despite constantly adding new information and filtering it out slowly to others. This behavior indicates a reluctance to finish the project, likely due to a fear of moving on to the next stage or fear of evaluation. The student nurse is enjoying the attention and positive feedback, leading to a delay in completing the task. A: The need for perfection is not the primary obstacle in this scenario as the student nurse is not necessarily striving for perfection but rather avoiding completion. B: Fear of losing creativity is not the main issue here as the student nurse is still adding new information, indicating creativity is not the concern. C: Unclear goals do not seem to be the obstacle as the student nurse is actively engaged in the project and receiving positive feedback.

Correct Answer: A

Rationale: The correct answer is A: Referent power. Referent power is based on an individual's personal characteristics that others admire and seek to emulate. In this case, the nurse's ability to manage time effectively, maintain control in her personal and professional life, and serve in various leadership roles demonstrates her influence over others through admiration and respect. It is not legitimate power (B) as her authority does not stem from a formal position. It is not information power (C) as her power is not derived from possessing or sharing specific knowledge. It is not connection power (D) as her influence is not based on her network or relationships but rather on her personal qualities.

Correct Answer: A

Rationale: The correct answer is A because during the relief response phase of a "dirty bomb" disaster, victims are likely to suffer from burns and poisoning due to radiation exposure. Providing treatment for burns and poisoning is crucial to saving lives and preventing further health complications. Choice B is incorrect because emergency plans coordination typically occurs during the preparedness phase, not the relief response phase. Choice C is incorrect as reconstruction usually takes place in the recovery phase, which follows the relief response phase. Choice D is incorrect as collecting food stores is more related to preparedness or immediate response, not specifically during the relief response phase.