Ethics and Issues in Contemporary Nursing PDF

Correct Answer: B

Rationale: The correct answer is B: Hill-Burton Act. The Hill-Burton Act, passed in 1946, provided federal funds for hospital construction, leading to a significant increase in the number of hospitals. This increase in hospital facilities created a higher demand for nurses to staff them, thereby initiating the shift from community-based nursing care to hospital-based care. The Sheppard-Towner Act (A) focused on maternal and child health programs, not hospital construction. The Veterans Bill (C) primarily addresses healthcare benefits for veterans. The Access to Health Care Bill (D) is a generic term and does not refer to a specific piece of legislation related to hospital construction or nursing staffing.

Correct Answer: A

Rationale: The correct answer is A because reading the financial policy manual will provide the new nurse manager with a comprehensive understanding of the organization's budgeting process, which is crucial for successful budget management. This will help the nurse manager make informed decisions and align their actions with the organization's budgeting guidelines. Choice B is incorrect as it suggests delegating budget management to the nursing administration office, which does not promote the nurse manager's development of budgeting skills and knowledge. Choice C is incorrect because while it is important to communicate with the hospital's finance office for guidance, solely relying on this communication may not provide the nurse manager with a deep understanding of the budgeting process. Choice D is incorrect because focusing only on bottom-line numbers without understanding the details of each line in budget reports can lead to oversight of important budget components and hinder effective budget management.

Correct Answer: A

Rationale: The correct answer is A: burnout. Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. In this scenario, the novice nurses are exhibiting symptoms such as insomnia, lack of energy, and self-doubt, which are commonly associated with burnout. Burnout is specifically related to work-related stressors and can lead to negative feelings about one's job performance. Incorrect choices: B: Low self-esteem - While low self-esteem could be a contributing factor, the symptoms described are more indicative of burnout. C: Lack of confidence - Lack of confidence may be a result of burnout, but it is not the primary issue in this scenario. D: Resilience - Resilience is the ability to bounce back from challenges, but the symptoms described suggest that the nurses are struggling with stress and exhaustion rather than demonstrating resilience.

Correct Answer: D

Rationale: The correct answer is D because shared governance involves empowering nurses to participate in decision-making related to patient care. This element is fundamental as it promotes autonomy, collaboration, and professional growth among nurses. Option A is incorrect as an open-door policy does not necessarily imply shared governance. Option B, dispute resolution, is important but not a fundamental characteristic of shared governance. Option C, mandatory reporting, does not align with the collaborative nature of shared governance. In summary, nurses having an active role in patient care decision making is crucial for the successful implementation of a shared governance model.

Correct Answer: D

Rationale: The correct answer is D because it specifically asks about the exercise practices the older adults participate in, providing detailed information on their current exercise routines. This question is valuable as it helps the nurse understand the type, intensity, and frequency of exercises being performed by the individuals with osteoporosis. Choice A is too broad and doesn't focus on specific exercise practices. Choice B is about personal preferences rather than actual exercise practices. Choice C focuses on the timing of exercise but does not delve into the types of exercises being performed. Thus, D is the most valuable question for gathering pertinent information regarding the exercise practices of older adults with osteoporosis.