Correct Answer: D

Rationale: The correct answer is D: practice-based competency. This teaching-learning style focuses on developing practical skills and competencies through hands-on experiences such as case studies and simulator practice. This approach is more effective in preparing nursing students for real-world scenarios and NCLEX® exams compared to just memorizing basic facts (choice A). Objective Structured Clinical Examinations (OSCE) (choice B) involve structured assessments of clinical skills and are not the primary focus of the teaching style described. Peer-to-peer learning (choice C) emphasizes collaborative learning among students, which may be a component of the teaching style but not the central focus. Practice-based competency (choice D) aligns best with the emphasis on practical application and skill development described in the scenario.

Correct Answer: B

Rationale: The correct answer is B: compassion fatigue. Compassion fatigue refers to the emotional and physical exhaustion that healthcare providers may experience from caring for patients in distressing situations over a prolonged period. In this scenario, the nurse's lack of empathy despite the patient's heart-wrenching story indicates emotional exhaustion and desensitization, which are common symptoms of compassion fatigue. This nurse has likely become overwhelmed by the emotional toll of consistently supporting patients facing difficult circumstances, leading to a diminished capacity for empathy. Incorrect choices: A: Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. While the nurse may be experiencing emotional exhaustion, the specific lack of empathy in response to the patient's situation aligns more closely with compassion fatigue. C: Reality shock typically refers to the discrepancy between the expectations of a new role and the actual experiences encountered. This term does not accurately describe the nurse's emotional response to the patient's situation. D: Horizontal hostility refers to negative

Correct Answer: A

Rationale: The correct answer is A: the increase in the number of minimally invasive procedures being performed for disease treatment. This is because advancements in medical technology have led to a shift towards less invasive procedures, impacting how nursing care is delivered. Minimally invasive procedures often require specialized care and monitoring, necessitating changes in nursing practice. Choice B is incorrect as care provided for patients over an extended period in acute care settings is not a significant factor driving dramatic changes in nursing care delivery over the next 20 years. This scenario is more related to the current healthcare system rather than future changes. Choice C is incorrect as the reduction in the number of nurses and healthcare professionals available to provide care is unlikely to be a driving force for dramatic changes. In fact, efforts are being made to address the nursing shortage through various initiatives. Choice D is incorrect as widespread illiteracy and decreased self-efficacy of the aging patient population, while important considerations for nursing care, are not the primary factors driving dramatic changes in

Correct Answer: B

Rationale: The correct answer is B because a patient with moderate Alzheimer's disease may have impaired decision-making capacity due to cognitive decline. Patients with Alzheimer's may struggle to understand, remember, and evaluate information needed to make informed decisions. Choice A shows the patient's curiosity, not necessarily a lack of capacity. Choice C indicates family involvement but does not directly address the patient's capacity. Choice D reflects anxiety about decision-making, not necessarily incapacity.

Correct Answer: A

Rationale: Step 1: Charge nurses are typically considered part of the nursing staff, not part of the management team. Step 2: Since charge nurses are not considered part of the management team, they are eligible to be represented by the union. Step 3: Being part of the union means the charge nurse can benefit from collective bargaining activities and have a voice in workplace decisions. Step 4: Choice A is correct as it aligns with the general understanding of charge nurses' roles and their eligibility for union representation. Summary: Choice B is incorrect because charge nurses are not typically considered part of the management team, so union participation would not necessarily be a conflict of interest. Choice C is incorrect because union representation does not automatically mean filing grievances that will be arbitrated. Choice D is incorrect because charge nurses can participate in collective bargaining activities related to unfair labor practices if they are represented by the union.