Contemporary Issues in Nursing

Correct Answer: C

Rationale: The correct answer is C: Participatory. The nurse manager involves staff in the budgeting process by allowing input through tuition reimbursement and flexible work hours. This approach promotes engagement and collaboration, aligning with the organization's strategic goal of increasing BSN staff. Participatory budgeting is characterized by involving stakeholders in decision-making, leading to buy-in and better implementation of the budget. Summary of other choices: A: Iterative - Involves repeating steps to refine the budget, not necessarily focused on stakeholder participation. B: Top-down - Decision-making comes from upper management without much input from lower levels. D: Zero-based - Requires justifying every expense from scratch, not necessarily involving staff input in decision-making.

Correct Answer: C

Rationale: The correct answer is C because the nurse who refuses to work an extra shift despite needing money is more prone to burnout. This choice indicates a lack of work-life balance and boundary-setting, leading to increased stress and potential burnout. Refusing to take breaks or extra shifts can result in exhaustion and emotional strain. Option A is incorrect as academic performance does not necessarily correlate with burnout. Option B, being industrious and conscientious, is actually a positive trait that may help prevent burnout through effective time management and self-care. Option D's involvement in one committee and maintaining school connections is also not indicative of burnout risk, as long as boundaries are maintained.

Correct Answer: B

Rationale: The correct answer is B: durable power of attorney. This legal document grants authority to another person, known as the healthcare proxy or agent, to make medical decisions on behalf of the client when they are unable to do so themselves. This is essential for ensuring that the client's wishes are respected and that appropriate medical care is provided. A: A living will is a document that outlines a person's preferences for medical treatment in case they become incapacitated, but it does not appoint someone to make decisions on their behalf. C: Informed consent is the process of ensuring that a patient understands the risks and benefits of a medical treatment before giving consent, but it does not authorize someone to make decisions on their behalf. D: Immunity refers to protection from legal liability and is not relevant to authorizing someone to make medical decisions for a client.

Correct Answer: C

Rationale: The correct answer is C: philosophy. This statement reflects the fundamental beliefs and values that guide the practice of nursing. It outlines the core principles of nursing, emphasizing caring and promoting health. A concept (A) refers to a general idea or notion. A construct (B) is an abstract idea or theory. A model (D) is a representation or framework used to explain a phenomenon. In this case, the statement is more aligned with a philosophy as it encapsulates the overarching principles and purpose of nursing practice.

Correct Answer: D

Rationale: The correct answer is D: false assurance. By not providing a verbal response to the patient's question and shrugging her shoulders, the nurse is not giving any indication of the patient's actual condition. This lack of communication can lead the patient to interpret the nurse's actions as reassurance that everything is fine, which is a form of false assurance. This behavior can be misleading and may prevent the patient from receiving important information about their health status. Incorrect choices: A: open communication - The nurse's lack of verbal response and shrugging shoulders does not demonstrate open communication. B: filtration - Filtration is not relevant to the situation described. C: blocking - While the nurse is not providing necessary information, the term "blocking" does not accurately describe the situation.