A family requests that no additional heroic measures be instituted for their terminally ill mother who has advance directives in place. The nurse respects this decision in keeping with the principle of:

Correct Answer: B

Rationale: The correct answer is B: autonomy. Autonomy refers to respecting the right of individuals to make their own decisions about their healthcare. In this scenario, the family's request to honor the terminally ill mother's advance directives aligns with the principle of autonomy as it acknowledges her right to make decisions about her own care. Accountability (A) pertains to taking responsibility for one's actions, nonmaleficence (C) involves avoiding harm, and veracity (D) refers to truthfulness. While these principles are important in healthcare, in this specific case, autonomy takes precedence as it respects the patient's wishes.

Correct Answer: B

Rationale: The correct answer is B because obtaining the clinical nurse leader certification denotes that the individual has met the minimum level of knowledge and skills required to practice safely in that role. This certification does not grant independent practice authority as in choice C, nor is it granted by the state board of nursing as stated in choice A. Additionally, while the certification recognizes advanced skills and knowledge, it specifically signifies the minimum level needed for safe practice, making choice D incorrect.

Correct Answer: D

Rationale: The correct answer is D: MEDLINE database. MEDLINE is a reputable database that provides access to a vast array of peer-reviewed medical literature, making it an excellent resource for scholarly publications. Here's the rationale: 1. Credibility: MEDLINE contains high-quality, peer-reviewed articles from reputable medical journals, ensuring the information obtained is reliable and accurate. 2. Specificity: The database is focused on medical research, including studies on hepatitis A, providing targeted and relevant information for the nurse's publication. 3. Efficiency: Search results in MEDLINE are organized and easily accessible, allowing the nurse to efficiently gather information without sifting through irrelevant sources. 4. Up-to-date: MEDLINE is regularly updated with the latest research findings, ensuring the nurse has access to the most current information on hepatitis A. In summary, using MEDLINE is the best choice for the nurse as it offers credible, specific, efficient, and up-to-date information compared to the other options.

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Planning for tomorrow today allows the nurse to set clear goals and prioritize tasks in advance. 2. By planning ahead, the nurse can allocate time efficiently, reducing the feeling of overwhelm. 3. This approach fosters better organization and focus, enhancing productivity and task completion. 4. Planning helps in identifying potential obstacles and developing strategies to overcome them. 5. Ultimately, effective planning leads to better time management and a sense of accomplishment. Summary of why other choices are incorrect: A: Focusing on activities rather than objectives can lead to a lack of direction and prioritization. C: Making the last hours most productive neglects the importance of consistent time management throughout the day. D: Maintaining a log of time spent can be helpful but does not address the proactive approach of planning ahead for better time management.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates empathy by acknowledging the son's request and providing support. By closing the door to allow privacy and promising to check back, the nurse shows understanding and compassion for the son's emotional needs. Choice A is incorrect as it is insensitive and blames the son. Choice B is inappropriate as it shifts the focus to purchasing a cell phone rather than addressing the son's emotional state. Choice D is also incorrect as it redirects the attention to the nurse's personal experience, failing to address the son's specific request.

Correct Answer: B

Rationale: The correct answer is B: biologic. Smallpox is a viral disease caused by the variola virus, making it a biological agent. The virus spreads from person to person through respiratory droplets or contact with infected bodily fluids. The term CBRNE encompasses various types of agents used in terrorism incidents. In this case, the incident involving smallpox falls under the biologic category due to its viral nature, as opposed to chemical (A), radiologic (C), or nuclear (D) agents. Chemical agents involve toxic substances, radiologic agents involve radiation, and nuclear agents involve nuclear materials. In summary, the smallpox incident is categorized as biologic due to the nature of the variola virus.

Correct Answer: D

Rationale: The correct answer is D: Personal and social factors. This finding is relevant to personal and social factors because it highlights the individual behaviors and financial decisions of the nurses entering the workforce. The nurses' lack of financial management skills and tendency to overspend on luxury items indicate personal factors influencing their ability to handle their finances effectively. Additionally, their social environment, such as peer influences or societal pressure to display wealth, could also contribute to their financial struggles. Incorrect choices: A: Staffing - This choice focuses on the recruitment and deployment of staff, which is not directly related to the nurses' personal financial management issues. B: Workflow design - This choice pertains to how tasks are organized and coordinated within the workplace, which is not directly related to the nurses' personal financial challenges. C: Organizational factors - This choice refers to the broader context of the hospital's policies, culture, and structures, which may indirectly influence the nurses' financial behaviors but are not as directly related as personal and social factors

Correct Answer: D

Rationale: The correct answer is D because master's programs, like the one for clinical nurse leaders, indeed provide entry into practice with a focus on interdisciplinary and bedside nursing care for complex client populations. This choice stands out as it specifically addresses the advanced level of education and specialization required for handling complex cases. Choice A is incorrect because diploma programs typically focus on basic nursing skills rather than specialization in complex client populations. Choice B is incorrect as most practicing RNs nowadays graduate from associate's or bachelor's degree programs, not diploma programs. Choice C is incorrect because baccalaureate programs emphasize a broader education including leadership, research, and critical thinking skills rather than just technical and hands-on nursing skills.

Correct Answer: C

Rationale: The correct answer is C: Participatory. In participatory budget development, input is gathered from various levels within the organization, such as staff and managers. In this scenario, the nurse manager met with her staff to establish strategic goals before budget negotiations, indicating a participatory approach. This allows for staff buy-in and ownership of the goals. A: Iterative budget development involves refining a budget through multiple rounds of review, which is not explicitly mentioned in the scenario. B: Top-down budget development is characterized by decisions made by upper management without input from lower levels, contradicting the scenario where staff provided input. D: Zero-based budgeting starts from scratch without considering previous budgets, which is not evident in the scenario where goals were established based on staff input. In summary, the participatory budget development is the appropriate choice in this scenario as it aligns with the collaborative approach taken by the nurse manager and her staff in setting strategic goals before budget negotiations.