Contemporary Issues in Nursing

Correct Answer: C

Rationale: The correct answer is C: procrastination. Procrastination is the act of delaying or avoiding a task that needs to be accomplished. In this scenario, the novice nurse is avoiding the task of inserting a nasogastric tube for a patient who needs it due to uncertainty and fear. Waiting for someone else to volunteer or delaying the task until the end of the shift are clear examples of procrastination. Energy management (A) involves efficiently allocating time and resources, which is not demonstrated here. Priority setting (B) would involve recognizing the urgency of the situation and taking appropriate action. Introspection (D) refers to self-reflection and analyzing one's thoughts and feelings, which is not the primary issue at hand in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Strategic National Stockpile. This is because the Strategic National Stockpile is a federal repository of antibiotics, medical supplies, and equipment to respond to public health emergencies. In this scenario, the local supply of antibiotics is exhausted, so contacting the Strategic National Stockpile would provide the necessary antibiotics to treat the injured victims. Explanation for why other choices are incorrect: A: The Commissioned Corps Readiness Force is a team of health professionals who can be deployed during public health emergencies, but they do not specifically store or distribute medical supplies like antibiotics. C: The Department of Homeland Security focuses on national security and disaster response, but they do not directly handle the distribution of medical supplies like antibiotics. D: The local Young Men's Christian Association (YMCA) is a community organization that is not equipped to provide medical supplies for emergency response situations like this earthquake scenario.

Correct Answer: D

Rationale: The correct answer is D because a residency program offers extended time for both theory and clinical activities that promote problem-solving and clinical decision-making skills. This is important for new graduates to enhance their clinical skills and transition into practice effectively. A: Providing housing for the graduate nurse is not typically a component of a residency program. B: Partnering a medical resident with a nurse resident for interprofessional care is not a defining feature of a nursing residency program. C: Allowing new graduates to work on a higher degree in nursing while being paid full-time is not the primary focus of a nursing residency program, which is more about developing clinical skills.

Correct Answer: B

Rationale: The correct answer is B: State. State governments are responsible for enforcing health policies such as certificates of inspection within their own jurisdiction. They have the authority to regulate and monitor health standards at the state level. Local governments (A) typically focus on implementing policies within their specific region, while federal governments (C) oversee broader health policies that apply across the entire country. International (D) level does not have jurisdiction over local health policies. Therefore, the state level is the most appropriate answer for enforcing a certificate of inspection in this context.

Correct Answer: D

Rationale: Step 1: Many younger workers prioritize professional advancement and flexible work hours over longevity. Step 2: This mindset leads them to change institutions to achieve their career goals. Step 3: The nurse learns about this behavior during the committee meeting. Step 4: Therefore, the correct answer is D as it aligns with the behavior and motivations of younger nurses. Summary: A: Encouraging older nurses to retire is age discrimination and does not address retention issues. B: Magnet hospitals attract nurses with benefits, but lack of autonomy is not the primary reason for retention issues. C: Multitasking preferences do not directly relate to recruitment and retention challenges.