Ethics & Issues in Contemporary Nursing

Correct Answer: A

Rationale: The correct answer is A: time-out. A time-out is a crucial pre-operative safety practice where the surgical team pauses to verify the patient's identity, procedure, and surgical site to prevent errors. This step ensures everyone is on the same page and reduces the risk of wrong-site surgeries. Explanation: 1. Identify patient and operative site: By verifying the patient's identity and the correct surgical site, the team prevents potential mistakes. 2. Address questions or concerns: Encouraging team members to voice any uncertainties or issues promotes open communication and collaboration. 3. Safety measure: The time-out is a key component of the World Health Organization's Surgical Safety Checklist to enhance patient safety. Summary: B: A critical pathway is a predetermined sequence of steps in patient care, not specific to surgical safety. C: Special cause variation refers to statistical process control, unrelated to surgical safety. D: Lean methodology focuses on efficiency and waste reduction in processes, not directly related to pre-operative safety checks like a time

Correct Answer: A

Rationale: The correct answer is A: Total patient care. Total patient care system involves one nurse being responsible for all aspects of care for a specific patient, including personal hygiene, medication administration, education, and emotional support. This system ensures continuity, individualized care, and better communication between the nurse, patient, and family. Partnership nursing (B) involves collaboration between the nurse and patient, team nursing (C) involves a team of healthcare providers working together, and functional nursing (D) involves dividing tasks among different healthcare professionals, none of which fully align with the comprehensive care provided in total patient care system.

Correct Answer: C

Rationale: The nurse's communication style of working independently, sharing ideas with the team, and suggesting a collaborative approach aligns with Generation X characteristics. Generation X values independence, work-life balance, and collaboration. Baby Boomers (A) tend to be more hierarchical, Traditionalists (B) prioritize loyalty and respect for authority, and Millennials (D) are known for their tech-savvy and collaborative nature, but the nurse's approach best fits Generation X.

Correct Answer: A

Rationale: The correct answer is A: chronic obstructive pulmonary disease. This is because COPD is a leading cause of death among minority groups due to factors like smoking, pollution exposure, and healthcare disparities. This aligns with the grant's goal of improving health outcomes for minorities. Malnutrition (B) is not a top cause of death for minorities. Cirrhosis of the liver (C) is more common in certain populations but not a top priority for this grant. Cancer (D) is a significant concern, but COPD is more prevalent among minority groups.

Correct Answer: A

Rationale: The correct answer is A: serving on interdisciplinary care teams. This is correct because as registered nurses enter the workforce, they are expected to collaborate with other healthcare professionals on interdisciplinary care teams to provide comprehensive patient care. This involves working together with professionals from different disciplines to ensure holistic and effective treatment plans. Explanation for why the other choices are incorrect: B: Being competent to work in several areas independently when dictated by patient census - While nurses may need to be versatile, the emphasis on independent work in various areas does not necessarily reflect expanded leadership responsibilities. C: Attending a meeting to plan advanced training for unlicensed assistive personnel - While important for team collaboration, attending meetings to plan training for support staff does not directly relate to expanded leadership responsibilities. D: Evaluating outcomes of care that are reported to a standing committee - While evaluating outcomes is important, it may not specifically denote expanded leadership responsibilities compared to the collaborative nature of serving on interdisciplinary care teams.