Contemporary Ethical Issues in Nursing

Correct Answer: B

Rationale: The correct answer is B: point-of-care technology. Point-of-care technology refers to tools and devices that assist healthcare providers in delivering care at the patient's bedside. In this scenario, the nurse is accessing a software application on a Personal Digital Assistant to follow steps for accessing a portacath, which is a form of point-of-care technology. This technology enables quick and accurate access to necessary information, ensuring safe and efficient care delivery. Incorrect choices: A: Electronic health records (EHR) primarily store patient information and medical history but do not provide real-time guidance on procedures like accessing a portacath. C: Data management involves organizing and analyzing healthcare data but does not directly assist in patient care tasks like accessing a portacath. D: Telehealth involves remote healthcare services, which are not relevant to the nurse's immediate task of accessing a portacath.

Correct Answer: D

Rationale: The correct answer is D because the role of a Clinical Nurse Leader (CNL) involves coordinating and managing the care of patients. In this scenario, the CNL is revising the care plan for a patient with complex health issues, such as heart failure and chronic bronchitis, by incorporating specific interventions like ambulation with assistance. This aligns with the core responsibilities of a CNL, which include care coordination, implementation of evidence-based practice, and leadership in interdisciplinary teams. Choice A is incorrect because nurses, including CNLs, do not have the authority to diagnose and prescribe medications, as this falls under the scope of practice of a physician or advanced practice nurse. Choice B is incorrect because while health education and referral are important aspects of nursing practice, they are more aligned with the role of a community health nurse rather than a CNL. Choice C is incorrect because investigating abuse and criminal activities is beyond the scope of a CNL's role, as their focus is primarily on

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Planning for tomorrow today allows the nurse to set clear goals and prioritize tasks in advance. 2. By planning ahead, the nurse can allocate time efficiently, reducing the feeling of overwhelm. 3. This approach fosters better organization and focus, enhancing productivity and task completion. 4. Planning helps in identifying potential obstacles and developing strategies to overcome them. 5. Ultimately, effective planning leads to better time management and a sense of accomplishment. Summary of why other choices are incorrect: A: Focusing on activities rather than objectives can lead to a lack of direction and prioritization. C: Making the last hours most productive neglects the importance of consistent time management throughout the day. D: Maintaining a log of time spent can be helpful but does not address the proactive approach of planning ahead for better time management.

Correct Answer: D

Rationale: The correct answer is D: scheduling daily activities. This is because positive time management skills involve planning and organizing tasks to effectively utilize time. By scheduling daily activities, individuals can prioritize tasks, set goals, and allocate time efficiently. This helps in achieving productivity and reducing stress. Choice A (maintaining an open-door policy) is incorrect as it pertains to communication style, not time management. Choice B (retaining all paperwork) is not directly related to time management but rather to organization. Choice C (returning all telephone calls immediately) is also not a direct indicator of effective time management as it focuses on communication responsiveness rather than overall time utilization.

Correct Answer: B

Rationale: The correct answer is B: case manager. A case manager is responsible for coordinating care for a patient from admission to discharge, collaborating with various healthcare providers. This role involves managing the patient's overall care plan, ensuring continuity and efficiency. The other choices are incorrect because: A: Nurse manager focuses on managing nursing staff and unit operations, not individual patient care. C: Coordinator of patient-centered care delivery may oversee care coordination but does not necessarily follow the patient throughout the entire care journey. D: Team leader in team nursing care delivery is focused on leading a specific nursing team, not managing the patient's entire care process.