Contemporary Issues in Nursing

Correct Answer: D

Rationale: The correct answer is D because it directly addresses the issue of time management during shift report by focusing on the essential tasks that need to be discussed. By starting with revisions to the plan of care and scheduled activities for the next shift, the nurse ensures that the most critical information is covered efficiently. This approach helps prioritize the discussion and prevent unnecessary time spent on non-essential topics. Option A is incorrect because limiting the discussion to just one movie does not address the overall time management issue during shift report. Option B is incorrect because discussing department store sales while walking between patient rooms may still lead to distractions and inefficiencies in the report. Option C is incorrect as it focuses on what went wrong during the shift rather than addressing the need for efficient time management during the report. The correct answer, D, is the most effective choice as it directly tackles the issue of time wasted during shift report by emphasizing the essential tasks that need to be covered.

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.

Correct Answer: A

Rationale: The correct answer is A: Qi gong. Qi gong is a form of energy therapy that focuses on balancing the body's energy flow. It involves gentle movements, meditation, and breathing exercises to promote healing and overall well-being. Osteopathy (B) is a manual therapy focusing on physical manipulation of the body, not energy. Imagery (C) involves mental visualization, not energy manipulation. Healing touch (D) is a form of energy therapy, but Qi gong is a more widely recognized and specific example in this context.

Correct Answer: D

Rationale: The correct answer is D because it is a red herring statement that distracts from the main issue. Phenytoin is not known to be viscous enough to cause line occlusion. Step 1: Identify the issue - failure to check compatibility. Step 2: A, B, and C address the issue directly or indirectly, while D deflects blame to the drug's viscosity. Step 3: A acknowledges the mistake, B deflects by attacking the supervisor, and C blames the IV setup. In summary, D is incorrect as it diverts attention from the main issue, making it a red herring.

Correct Answer: B

Rationale: The most effective nursing leadership style in a crisis like this is democratic. In this situation, collaboration and input from all team members are essential for quick decision-making and effective communication. Democratic leadership promotes teamwork, empowers staff, and fosters open communication, leading to better coordination and outcomes. Autocratic leadership may hinder staff engagement and morale. Laissez-faire lacks direction and may result in chaos during a crisis. Referent leadership focuses on personal relationships rather than team dynamics, not the most effective approach in this urgent situation.