Ethics and Issues in Contemporary Nursing PDF

Correct Answer: A

Rationale: The correct answer is A because starting the workday productively sets a positive tone, leading to better focus and efficiency. By utilizing the first hour effectively, one can tackle important tasks when energy and concentration levels are at their peak. This approach helps in prioritizing and accomplishing key objectives early on, maximizing productivity throughout the day. Choice B is incorrect because completing trivial tasks first can waste valuable time and energy that could be better spent on more significant tasks. Choice C is incorrect as recreational activities can provide necessary mental breaks, leading to increased productivity and overall well-being. Choice D is incorrect because breaks are essential for maintaining focus and preventing burnout, ultimately enhancing productivity in the long run.

Correct Answer: B

Rationale: The correct answer is B because communities are indeed the first responders in any disaster. Local resources are typically the first to mobilize and provide immediate assistance due to their proximity to the affected area. Federal agencies may take time to arrive on the scene, so it is crucial for communities to have their own disaster response plans in place. Choice A is incorrect because the federal government can become involved in disasters even without known terrorist activities, especially in large-scale disasters. Choice C is incorrect as it oversimplifies the roles of different agencies in disaster response. Choice D is incorrect because state and federal agencies may still provide assistance even if local health care facilities are operational.

Correct Answer: C

Rationale: The correct answer is C: urine drug screening. Preemployment physicals commonly include urine drug screening to ensure that job applicants are free from illegal substances. This step is crucial for workplace safety and productivity. Cholesterol screening (A) is not typically part of preemployment physicals unless specifically required by the employer. Pregnancy testing (B) is considered discriminatory and is not standard practice. Vision and hearing tests (D) may be included in preemployment physicals, but they are not as common as urine drug screening for ensuring a drug-free workplace.

Correct Answer: B

Rationale: Rationale for Correct Answer (B - LPN/LVNs are licensed, and accountability for their own practice rests with each LPN/LVN): 1. LPN/LVNs are licensed professionals, accountable for their own scope of practice as outlined by the state nursing board. 2. Accountability ensures that LPN/LVNs are responsible for their actions and decisions in providing patient care. 3. LPN/LVNs must adhere to the state's nursing practice act and regulations, ensuring safe and competent care delivery. Summary of Incorrect Choices: A: The health care facility cannot override the state practice act as licensure requirements are set by the state nursing board. C: UAPs, although important in the care team, do not have the same level of accountability as licensed nurses. D: The nurse practice act and state regulations related to delegation are essential in guiding delegation practices, but they do not necessarily override organization policies.

Correct Answer: B

Rationale: The correct answer is B: patient-centered care. Patient-centered care is a core competency recommended by QSEN as it emphasizes the importance of considering the patient's preferences, values, and needs in all aspects of healthcare delivery. This approach leads to improved patient outcomes, increased satisfaction, and overall better quality of care. Explanation for why the other choices are incorrect: A: Advanced health assessment techniques are important skills for nurses, but they are not specifically listed as recommended competencies by QSEN. C: Prescriptive pharmacology content focuses on medication administration and management, which is important but not a core competency recommended by QSEN. D: Quality improvement is a crucial aspect of healthcare, but it is not the only competency highlighted by QSEN for educating nursing professionals.