Ethics & Issues in Contemporary Nursing

Correct Answer: A

Rationale: The correct answer is A: the patient census. This is crucial for determining the appropriate number of staff needed to provide safe and effective care based on the current number of patients. The patient census directly impacts workload and patient acuity levels. Choices B, C, and D are incorrect because although they may be important factors to consider when staffing a medical-surgical unit, they are not as directly related to determining the immediate staffing needs based on the current patient load. The physical layout of the unit, complexity of care required, and educational level of staff are important for overall unit operations and quality of care but do not have the same immediate impact on staffing decisions as the patient census.

Correct Answer: A

Rationale: The correct answer is A: utilization. Research utilization refers to the application of research findings in nursing practice to improve patient outcomes. Utilization involves integrating research evidence into clinical decision-making. Dissemination (B) refers to sharing research findings. Generalizability (C) pertains to the extent to which research findings can be applied to different populations or settings. Analysis (D) involves examining data to draw conclusions, but it does not specifically relate to using research in practice like utilization does.

Correct Answer: C

Rationale: Rationale: Choice C is correct because asking the nurse to represent the unit on the budget planning committee will directly expose them to the financial budget goals. This involvement will provide insight into the importance of accurate documentation and resource utilization. It offers a practical understanding of how decisions impact the unit's financial health. Summary: A: Working in payroll does not directly connect the nurse to the unit's financial goals. B: Personal finance CEUs are not specific to the unit's budget goals. D: Monitoring supplies is important but does not provide a comprehensive understanding of the unit's financial budget goals.

Correct Answer: B

Rationale: The correct answer is B: Advanced. The nurse conducted an advanced search by specifically looking for cause and effect diagrams on a website dedicated to providing images and templates for fishbone diagrams. This demonstrates a targeted and refined search strategy, indicating a higher level of proficiency in using search tools. The other choices are incorrect because: A) Quick and dirty implies a hasty and superficial search, which was not the case here. C) Brute force suggests an exhaustive and unrefined search method, which was not demonstrated in this scenario. D) Link searching involves following hyperlinks to find information, which was not explicitly stated in the question.

Correct Answer: A

Rationale: The correct answer is A: Blocking. In both situations, the patient's actions are ignored or dismissed, indicating a lack of active listening. Blocking involves avoiding communication by not acknowledging the patient's gestures or needs. The nurse fails to engage with the patient and address their non-verbal cues. Summary: B: Filtration is not relevant as it involves selectively presenting information. C: Empathy is not demonstrated as the nurse is not responding to the patient's non-verbal cues. D: False assurance is not applicable as it involves giving misleading reassurance, which is not present in the scenario.