Questions 9

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Ethics & Issues in Contemporary Nursing Questions

Question 1 of 5

A certified oncology nurse notices that a novice nurse is unsure of decision making and lacks technical skills. The novice nurse gains confidence by sharing and learning with the experienced nurse. This relationship continues and builds, allowing the novice nurse to become more confident. This relationship is known as:

Correct Answer: A

Rationale: The correct answer is A: mentoring. Mentoring involves an experienced individual guiding and supporting a less experienced individual to help them develop skills, confidence, and knowledge. In this scenario, the certified oncology nurse is providing guidance and support to the novice nurse, helping them gain confidence and improve decision-making and technical skills. Mentoring fosters a personalized and supportive relationship that allows for growth and development. Summary of other choices: B: Role modeling involves observing and emulating behaviors of others, but it does not necessarily involve the direct guidance and support seen in mentoring. C: Preceptorship typically refers to a structured program where a more experienced individual (preceptor) guides a less experienced individual (preceptee) for a specific period, which is more formalized than the relationship described in the scenario. D: Socialization refers to the process of adapting to the norms and values of a group or society, which is not directly related to the mentorship relationship described in the scenario.

Question 2 of 5

A nurse is concerned about a trend in the hospital to regularly "float" nurses to different areas of the hospital based on staff shortage regardless of recent experience in caring for the population on the unit. When deciding to accept a staffing assignment in this situation, the nurse considers a "safe harbor." What is meant by "safe harbor"?

Correct Answer: D

Rationale: The correct answer is D because "safe harbor" refers to a legal provision that protects nurses when they feel unsafe accepting a staffing assignment due to lack of recent experience or competency. By invoking safe harbor, nurses can continue caring for patients while an investigation is conducted to ensure patient safety and protect the nurse's license. This process allows nurses to voice concerns without fear of reprisal. Option A is incorrect as it refers to a disaster response plan, unrelated to safe harbor. Option B is incorrect as it discusses patient care teams and infectious diseases, not safe harbor protections. Option C is incorrect because it addresses reporting violence, which is not directly related to safe harbor provisions for staffing assignments.

Question 3 of 5

Following a terrorist attack, victims are exhibiting posttraumatic stress syndrome, and care providers are exhibiting compassion fatigue. Which federal response system should be initiated?

Correct Answer: D

Rationale: The correct answer is D: National Disaster Medical System (NDMS). This system is designed to provide medical care during disasters, including addressing mental health needs like posttraumatic stress syndrome in victims and compassion fatigue in care providers. NDMS coordinates federal medical response resources and personnel to support communities during disasters. A: Strategic National Stockpile focuses on providing medicines, vaccines, and medical supplies, but does not directly address mental health needs or provide medical care. B: Metropolitan Medical Response System (MMRS) focuses on local response capabilities for mass casualty incidents, but does not have the same scope as NDMS in providing comprehensive medical care. C: Commissioned Corps Readiness Force is a team of healthcare professionals within the U.S. Public Health Service, but it is not specifically designated for disaster medical response like NDMS.

Question 4 of 5

A patient informs the nurse, "I can't sit in the yard for even 10 minutes without my skin turning red and tender." The nurse would assess for the use of which complementary alternative medicine (CAM)?

Correct Answer: C

Rationale: The correct answer is C: Feverfew. Feverfew is commonly used for its anti-inflammatory properties and may help reduce skin sensitivity to sunlight, which could be the cause of the patient's skin turning red and tender. St. John's wort is used for depression, Ginkgo biloba for memory, and Echinacea for immune support, none of which are directly related to the patient's symptom.

Question 5 of 5

A patient presents with chest pain that increases when lying flat and low-grade fever. Assessment reveals muffled heart sounds, tachycardia, and 3+ edema in the lower extremities. The nurse asks the patient to learn forward, which eases respiratory efforts. The nurse then places the stethoscope at which area on the chest to facilitate auscultation? The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?

Correct Answer: B

Rationale: The correct answer is B: Hot-spot item, analysis level. In this scenario, the patient's symptoms suggest pericardial effusion or cardiac tamponade. To facilitate auscultation, the nurse should place the stethoscope at the point of maximal intensity of the heart sounds, which is typically at the apex of the heart or the lower left sternal border. This requires the nurse to analyze the patient's symptoms and apply knowledge of cardiac anatomy to determine the optimal auscultation site. A: Multiple-response item, comprehension level - This choice involves selecting multiple correct answers from a list of options based on understanding the presented information. It doesn't require the critical thinking and analysis needed in this scenario. C: Chart/exhibit item, application level - This choice involves interpreting information presented in a chart or exhibit to apply it to a specific situation. While it involves application, it doesn't require the same level of analysis as determining the best auscultation site. D: Drag-and

Similar Questions

A patient presents with chest pain that increases when lying flat and low-grade fever. Assessment reveals muffled heart sounds, tachycardia, and 3+ edema in the lower extremities. The nurse asks the patient to learn forward, which eases respiratory efforts. The nurse then places the stethoscope at which area on the chest to facilitate auscultation? The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?
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Registered nurses who are entering the workforce will have expanded leadership responsibilities that include: (select all that apply)

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