Ethics and Issues in Contemporary Nursing PDF

Correct Answer: B

Rationale: The correct answer is B: variance. In this scenario, the patient's extended time on the ventilator deviates from the expected clinical pathway of extubation and discharge the day after surgery. Variances are deviations from established protocols or guidelines. This situation highlights a deviation from the standard practice and requires further evaluation to understand the reasons for the delay in extubation. The other choices are incorrect because: A: Patient outcome refers to the result of care received by the patient, not the deviation from the expected process. C: Goal represents the desired outcome or target to achieve, not the deviation from the pathway. D: Standard is the established protocol or guideline to follow, not the deviation from it.

Correct Answer: D

Rationale: The correct answer is D. The Needlestick Safety and Prevention Act (2000) mandates that employers must document how and where a sharps injury occurred, including the brand of device involved. This helps in identifying patterns of injuries and evaluating the effectiveness of safety devices. Choice A is incorrect because the Act does not specifically mention nurses in managerial positions evaluating safe needle devices. Choice B is incorrect as there is no requirement for registered nurses to pass a test after sustaining a needle stick. Choice C is incorrect as the Act sets federal standards for safe needle devices, not leaving it up to individual states to determine.

Correct Answer: A

Rationale: The correct answer is A: by licensure and by endorsement. When a nurse holds a license in one state and wishes to practice in another state not participating in a compact agreement, they can typically obtain licensure in the second state through endorsement, which allows them to practice without retaking the licensure examination. This process involves the second state recognizing the nurse's credentials from the original state and granting them a license upon payment of a fee. Choices B, C, and D are incorrect because: B: Mandatory continuing education is a requirement for maintaining licensure but not typically for obtaining initial licensure in a new state. C: Being "grandfathered" usually refers to exempting individuals from new requirements based on previous qualifications, which is not applicable in this scenario. D: Sunset legislation refers to laws that automatically expire unless reauthorized, which is not relevant to the process of obtaining licensure in a new state.

Correct Answer: D

Rationale: The correct answer is D because interviews are a common and effective method in qualitative research to gather in-depth insights and descriptions of complex phenomena. Interviews help researchers understand participants' perspectives and experiences, allowing for a rich and nuanced exploration of the research topic. In contrast, options A, B, and C are incorrect because qualitative research can still be time-consuming, does not require large sample sizes for statistical significance, and focuses on in-depth understanding rather than generalizability to a larger population.

Correct Answer: B

Rationale: The correct answer is B: triangulation. Triangulation involves using multiple data sources or methods to validate findings. In this scenario, the nurse is using both survey data and telephone interviews to gain a comprehensive understanding of the elderly persons' health status. This method enhances the study's credibility and reliability by cross-verifying information. A: A control group is not relevant in this context as it involves comparing an intervention group with a control group to assess the impact of an intervention. C: A pilot study is a small-scale preliminary study conducted to evaluate the feasibility of a larger study. It is not the appropriate description for using multiple data sources. D: Secondary data analysis involves analyzing existing data collected by someone else. It is not applicable in this case where the researcher is collecting primary data through surveys and interviews.