Contemporary Issues in Nursing

Correct Answer: C

Rationale: Rationale: 1. The nurse's interest in coordinating patient care across different settings aligns with the role of a case manager. 2. Case managers focus on ensuring continuity of care and coordinating services for patients transitioning between different healthcare settings. 3. This role involves advocating for patients' needs and optimizing their health outcomes through seamless care transitions. Summary: A: DMP focuses on managing chronic illnesses, not coordinating care across settings. B: Utilization management nurses focus on determining appropriate reimbursement levels, not on care coordination. D: Reviewers for Managed Care Organizations focus on assessing medical necessity and cost-effectiveness, not on care coordination.

Correct Answer: B

Rationale: The correct answer is B: Primary nursing care delivery. In primary nursing, one nurse assumes 24-hour responsibility for planning, implementing, and evaluating the care of a patient. In this scenario, the RN developed and implemented the plan of care and delegated specific tasks to the LPN/LVN. The RN remains responsible for the overall care even while off duty, as evidenced by receiving a call regarding a change in the plan of care. The other choices are incorrect because: A: Modular nursing involves a team of healthcare providers working together, sharing responsibilities, and providing care collectively. C: Team nursing involves a team of healthcare providers with different levels of expertise working collaboratively to deliver patient care. D: Functional nursing divides tasks among different team members based on their skill sets, which is not the case in the scenario provided.

Correct Answer: C

Rationale: The correct answer is C: Participatory. The nurse manager involves staff in the budgeting process by allowing input through tuition reimbursement and flexible work hours. This approach promotes engagement and collaboration, aligning with the organization's strategic goal of increasing BSN staff. Participatory budgeting is characterized by involving stakeholders in decision-making, leading to buy-in and better implementation of the budget. Summary of other choices: A: Iterative - Involves repeating steps to refine the budget, not necessarily focused on stakeholder participation. B: Top-down - Decision-making comes from upper management without much input from lower levels. D: Zero-based - Requires justifying every expense from scratch, not necessarily involving staff input in decision-making.

Correct Answer: A

Rationale: The correct answer is A because it directly addresses the enrollment trends in nursing schools. The statement indicates that a greater number of individuals have chosen nursing as a career but could not meet entrance requirements, implying an increase in interest but a barrier to entry. Explanation: - Choice A directly relates to enrollment trends by highlighting an increase in interest but a challenge in meeting requirements. - Choice B is incorrect as the question focuses on enrollment trends, not the age of individuals entering nursing. - Choice C is incorrect as it suggests a decrease in career opportunities and projects a negative outlook for women, which is not supported by the question. - Choice D is incorrect as it introduces a gender dynamic not mentioned in the question and does not address enrollment trends.

Correct Answer: B

Rationale: The correct answer is B: stereotyping. The nurse is making a generalization about an entire group based on a perceived characteristic. This statement is not only inaccurate but also perpetuates harmful stereotypes. Cultural humility (A) involves recognizing and respecting the differences and complexities of various cultures. Cultural assimilation (C) refers to adopting the cultural norms of a dominant group, which is not applicable in this scenario. Acculturation (D) is the process of adapting to a new culture, which is also not relevant to the nurse's statement. Stereotyping is the most appropriate choice as it directly addresses the nurse's biased and inaccurate assumption about intelligence based on race.