Contemporary Issues in Nursing

Correct Answer: B

Rationale: The correct answer is B: nurse practitioner. Nurse practitioners are advanced practice nurses prepared at the master's level with prescriptive privileges. They are trained to provide comprehensive care, including diagnosing and prescribing medications. A: Clinical nurse leader focuses on improving patient outcomes in a specific unit or department, but they do not have prescriptive privileges. C: Nursing administrator is a managerial role that does not typically involve direct patient care or prescribing medications. D: Certified nurse-midwife is an advanced practice nurse focused on maternal and newborn care, but they do not have prescriptive privileges unless they also hold a nurse practitioner certification.

Correct Answer: A

Rationale: The correct answer is A because when a nurse moves to a new state, they must check the new state's nurse practice act related to licensure for endorsement. This is important to ensure the nurse meets all requirements and regulations for practicing in the new state. Option B is incorrect as licensure is not automatically transferred. Option C is incorrect as certification is different from licensure, and the NCLEX-RN� is typically required for licensure. Option D is incorrect as the American Nurses Credentialing Center is not responsible for determining state licensure eligibility. Checking the new state's nurse practice act is the standard procedure for obtaining licensure endorsement.

Correct Answer: B

Rationale: The correct answer is B: nurse practitioner. Nurse practitioners are advanced practice nurses prepared at the master's level with prescriptive privileges. They are trained to provide comprehensive care, including diagnosing and prescribing medications. A: Clinical nurse leader focuses on improving patient outcomes in a specific unit or department, but they do not have prescriptive privileges. C: Nursing administrator is a managerial role that does not typically involve direct patient care or prescribing medications. D: Certified nurse-midwife is an advanced practice nurse focused on maternal and newborn care, but they do not have prescriptive privileges unless they also hold a nurse practitioner certification.

Correct Answer: A

Rationale: The correct answer is A: more secure. Electronic Health Records (EHR) typically have built-in security features such as encryption, access controls, and audit trails, making it more secure than paper-and-pencil records. EHRs offer better protection against unauthorized access, tampering, and loss compared to traditional paper records. This is due to the ability to restrict access to specific users, track changes made to the records, and implement authentication measures. Therefore, the security of EHRs surpasses that of paper-and-pencil records. Choices B, C, and D are incorrect because they do not acknowledge the enhanced security measures and advantages that EHRs provide over traditional paper records.

Correct Answer: C

Rationale: The correct answer is C because efforts to reduce healthcare expenditures do not necessarily impact the need for RNs, which remains stable. This is supported by the ongoing demand for nurses in various healthcare settings. Choice A is incorrect as the demand for RNs is generally high. Choice B is incorrect because job availability depends on various factors beyond just the location of the hospital. Choice D is incorrect as the need for nurses in acute care hospitals remains significant despite the shift towards outpatient and ambulatory settings.