Contemporary Ethical Issues in Nursing

Correct Answer: A

Rationale: The correct answer is A because most states require certification for all specialty roles identified as advanced practice. This is crucial for ensuring that nurse practitioners have met specific educational and clinical practice requirements to provide safe and competent care. Explanation for why other choices are incorrect: B: Nurse anesthetists and nurse-midwives are not the only advanced practice roles that require certification in most states. Other roles such as nurse practitioners and clinical nurse specialists also require certification. C: The increasing number of new advanced practice roles does not necessarily mean that the scope of practice remains unclear in state nurse practice acts. Certification requirements help define the scope of practice for each role. D: Certification is not automatic when applying for an advanced practice license. Nurses must complete specific educational programs and pass certification exams to obtain certification for their chosen specialty role.

Correct Answer: B

Rationale: Step 1: Managing variances in nursing overtime costs and supply usage is crucial for a nurse manager's performance evaluation as it demonstrates their ability to control expenses effectively. Step 2: This component directly relates to the nurse manager's responsibility in budgeting and financial management. Step 3: Analyzing and managing variances show the nurse manager's skill in monitoring and adjusting budgetary allocations to meet targets. Step 4: Other choices are not directly related to the nurse manager's core responsibilities in budgeting or evaluating performance. Step 5: Labor budget costs for overtime and benefits (Choice A) and predicting revenues (Choice C) are important but not as directly tied to performance evaluation as managing variances in costs. Step 6: Providing qualitative analysis for variances in the capital budget (Choice D) is not typically a key aspect of a nurse manager's evaluation, as it focuses more on long-term investments rather than day-to-day operational budgeting.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Proactive care emphasizes prevention and early intervention. 2. The Quality Chasm report advocates for patient-centered care. 3. Being proactive ensures better health outcomes and lower costs. 4. Reactive care may lead to delayed diagnosis and treatment. Summary: B: Focusing on common needs ignores individual preferences, contradicting patient-centered care. C: Limiting medical information to one provider is not patient-centered and hinders care coordination. D: Allowing specialized providers to control decisions may not consider the holistic needs of the patient.

Correct Answer: C

Rationale: The correct answer is C: a focus on preventable diseases. In the 1990s, nursing shifted towards preventative care due to the rise in chronic diseases. Nurses focused on educating patients on disease prevention strategies and promoting healthy lifestyles. This shift was in response to the increasing healthcare costs associated with treating preventable illnesses. A: Men leaving nursing to enter the armed services is irrelevant to the characterization of nursing in the 1990s. B: Traditional 8-hour shifts leading to nurse burnout and compassion fatigue may have been a challenge in the 1990s, but it does not characterize the entire nursing profession during that time. D: There was actually an increase in nursing research during the 1990s, so this choice is incorrect.

Correct Answer: A

Rationale: The correct answer is A because a cover letter should express genuine interest in the employer and show that you have taken the time to understand their organization. This demonstrates professionalism and a tailored approach. Choice B is incorrect because handwritten letters are rarely used in the digital age, and legibility is not a primary concern. Choice C is incorrect as cover letters should provide sufficient information to showcase qualifications, not limited to one paragraph. Choice D is incorrect because revealing desired salary, shift, and area of practice is typically done during the interview process, not in the initial application.