Contemporary Issues in Nursing

Questions 113

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Contemporary Issues in Nursing Questions

Question 1 of 5

A nurse explaining the above graph indicates the frequency of falls in 2011 to detect and possibly explain causes of variation. The peaks in June were attributed to regular staff vacations during which agency nurses were used. The nurse is employed in which role?

Correct Answer: B

Rationale: Step 1: The nurse's role involves analyzing data to identify causes of variation in falls, indicating a focus on quality improvement. Step 2: As a Quality Manager, the nurse is responsible for monitoring and improving the quality of care provided. Step 3: Case Managers focus on coordinating patient care, Forensic Nurses deal with legal aspects, and Occupational Health Nurses focus on workplace health. Step 4: Therefore, the nurse's role aligns most closely with a Quality Manager in this scenario, making choice B the correct answer.

Question 2 of 5

A nurse is asked to "float" to another area where the patients require total care. The nurse smiles, picks up her stethoscope, and says, "I'll come back and eat lunch with everyone here." When she enters the elevator she hits the wall and mutters, "Always me. Don't I have any rights"? The nurse is demonstrating which communication style?

Correct Answer: D

Rationale: The correct answer is D, passive-aggressive. The nurse is indirectly expressing her displeasure and resistance to floating by smiling and agreeing to come back for lunch, but then displaying negative body language and muttering under her breath. This behavior is passive on the surface but aggressive in the underlying tone. The nurse is not openly confronting the issue but is still showing resistance and frustration. A: Assertive communication involves expressing one's needs and feelings in a direct and respectful manner. The nurse is not openly communicating her feelings or needs in this scenario. B: Aggressive communication involves expressing needs and feelings in a forceful and hostile manner. The nurse's behavior is not openly hostile towards others. C: Passive communication involves avoiding conflict and not expressing one's needs or feelings. The nurse is indirectly expressing her displeasure, so it's not purely passive.

Question 3 of 5

An RN with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a BSN. The nurse enrolls in a nursing program offering self-scheduling and a self-paced curriculum. This nurse is taking advantage of:

Correct Answer: A

Rationale: Rationale for Correct Answer (A - educational mobility): 1. Educational mobility refers to the ability to move between different levels of education in nursing. 2. The nurse with a diploma seeking a BSN is utilizing educational mobility by advancing to a higher level of education. 3. Choosing a program with self-scheduling and a self-paced curriculum allows for flexibility, facilitating educational mobility. Summary of Incorrect Choices: B: Traditional nursing programs typically have fixed schedules and structured curricula, not aligned with self-paced learning. C: Training for advanced practice nursing involves pursuing education beyond a BSN to become an advanced practice nurse, not directly related to obtaining a BSN. D: Credit by examination allows students to earn credits based on prior knowledge, but it does not specifically relate to pursuing a BSN for educational mobility.

Question 4 of 5

Advanced practice nurses are prepared minimally at the master's degree level with prescriptive privileges; these professionals include: (select all that apply)

Correct Answer: B

Rationale: The correct answer is B: nurse practitioner. Nurse practitioners are advanced practice nurses prepared at the master's level with prescriptive privileges. They are trained to provide comprehensive care, including diagnosing and prescribing medications. A: Clinical nurse leader focuses on improving patient outcomes in a specific unit or department, but they do not have prescriptive privileges. C: Nursing administrator is a managerial role that does not typically involve direct patient care or prescribing medications. D: Certified nurse-midwife is an advanced practice nurse focused on maternal and newborn care, but they do not have prescriptive privileges unless they also hold a nurse practitioner certification.

Question 5 of 5

In attempting to decide which services should be offered to a community, the public health nurse decides to implement hypertension screening and treatment because most of the residents are hypertensive. This decision is based on the principle of:

Correct Answer: C

Rationale: The correct answer is C: utilitarianism. Utilitarianism is the ethical principle that actions should be chosen based on their ability to maximize overall happiness or well-being. In this scenario, implementing hypertension screening and treatment for a community where most residents are hypertensive aligns with utilitarianism as it aims to benefit the greatest number of people by improving their health outcomes. This decision focuses on the overall good of the community, making it the most ethical choice. Rationale for why other choices are incorrect: A: Veracity is the principle of truthfulness. While honesty is important in healthcare decision-making, it is not the primary factor in this scenario. B: Values refer to personal beliefs and principles. While values may influence decision-making, the primary focus in this scenario is on maximizing community health outcomes. D: Autonomy is the principle of respecting individuals' right to make their own decisions. While autonomy is important in healthcare, it is not the guiding principle in this scenario where the focus is

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