Contemporary Issues in Nursing

Correct Answer: D

Rationale: The correct answer is D because the IOM competencies aim to improve healthcare by addressing both individual and system-based approaches. This is crucial as it recognizes that improving healthcare requires a comprehensive approach that involves changing both individual behaviors and systemic structures. A: Each competency is mutually exclusive - This is incorrect as the competencies are designed to work together, not in isolation. B: The competencies focus on individual efforts to reduce errors - This is incorrect as the competencies also emphasize the importance of systemic changes to prevent errors. C: Physicians lead the team to achieve each competency - This is incorrect as the competencies are meant to be achieved collaboratively by a multidisciplinary team, not solely led by physicians.

Correct Answer: C

Rationale: The correct answer is C: security. The scenario describes measures to protect the patient records system from unauthorized access, such as requiring consent, assigning passwords, and conducting audits. Security specifically refers to safeguarding information from unauthorized access, ensuring data integrity and availability. Privacy (A) is about controlling access to personal information, while confidentiality (B) is about keeping information private. Data capture (D) refers to the process of collecting data, not protecting it from unauthorized access. In this case, the focus is on security measures implemented to protect patient records, making it the most appropriate choice.

Correct Answer: A

Rationale: The correct answer is A: accountability. By admitting the error and filing an incident report, the nurse is taking responsibility for their actions, being transparent, and willing to face the consequences. This demonstrates professionalism and integrity. Choice B is incorrect because it does not address the nurse's responsibility. Choice C is incorrect as it does not relate to the nurse's actions. Choice D is incorrect as values clarification is not demonstrated by admitting an error and reporting it.

Correct Answer: B

Rationale: The correct answer is B: Provide incentives for minorities and men to enter nursing. This is because increasing diversity in the nursing profession can help address shortages and improve patient care. Incentives can attract underrepresented groups and address disparities. A, determining why few black women enter graduate school, may address a specific subgroup but not the broader issue of nursing shortages. C, obtaining grant funding for faculty and scholarships, may help improve education opportunities but may not directly address the retention and recruitment of nurses. D, surveying nurses about job satisfaction, is important but may not directly address attracting more nurses into the profession or keeping them in practice.

Correct Answer: C

Rationale: The correct answer is C: founding the American Red Cross. Clara Barton is renowned for establishing the American Red Cross in 1881, providing humanitarian aid during times of war and disaster. This is the most accurate choice as it aligns with her significant contribution to society. Choice A is incorrect as Clara Barton was not the first black public health nurse. Choice B is incorrect as the Henry Street Settlement was founded by Lillian Wald. Choice D is incorrect as while Clara Barton did advocate for improvements in nursing education, her most notable accomplishment was the establishment of the American Red Cross.