Contemporary Issues in Nursing

Correct Answer: B

Rationale: The correct answer is B because decreasing the number of patients cared for on a specific unit can improve patient outcomes by allowing nurses to provide more individualized care, reduce workload stress, and prevent errors. Staffing only 8-hour shifts (A) may not address the root cause of patient outcomes. Increasing salaries for experienced nurses (C) may improve retention but does not directly impact patient care. Increasing staffing on the evening shift (D) may help with workload distribution but does not address the overall patient load issue.

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: B

Rationale: The correct answer is B: objectivity. The nurse should be concerned about the objectivity of the information due to the potential bias introduced by the funding received from a pharmaceutical company. This could influence the scientist's findings and conclusions to favor the interests of the company, affecting the accuracy of the information. Authority (choice A) refers to the expertise of the author, not the potential bias. Accuracy (choice C) is impacted by objectivity and the potential conflict of interest. Currency (choice D) relates to how up-to-date the information is, which is not the main concern in this scenario.

Correct Answer: A

Rationale: The correct answer is A: the federally coordinated National Disaster Medical System (NDMS). This system is specifically designed to provide medical care and support during disasters, including incidents involving mass casualties like the suicide bombing in the question. NDMS can rapidly deploy medical teams, equipment, and supplies to support local medical responses. Choice B is incorrect because local homeland communities may not have the necessary resources and capabilities to handle a large-scale medical emergency like this. Choice C is incorrect because while the Medical Reserve Corps can provide additional support, it may not have the same level of coordination and resources as the NDMS. Choice D is incorrect as the National Incident Management System focuses on overall coordination of all emergency response efforts, not specifically medical care.

Correct Answer: A

Rationale: The correct answer is A because it reflects the patient's cultural variation in seeking health information from family members, specifically the grandmother. This shows respect for family opinions and involvement in decision-making. Option B is incorrect as it generalizes that the eldest male makes all health decisions, which may not be true for every cultural group. Option C is incorrect as nodding approvingly and not complying with instructions does not necessarily indicate cultural variations. Option D is incorrect as speaking quietly and reaching for the nurse's hand may simply indicate a patient's communication style rather than cultural variation in seeking health information.