A nurse has recently been appointed to the position of nurse manager. To become successful in managing the unit's budget, the new nurse manager should: (select all that apply)

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Ethics and Issues in Contemporary Nursing PDF Questions

Question 1 of 9

A nurse has recently been appointed to the position of nurse manager. To become successful in managing the unit's budget, the new nurse manager should: (select all that apply)

Correct Answer: A

Rationale: The correct answer is A because reading the financial policy manual will provide the new nurse manager with a comprehensive understanding of the organization's budgeting process, which is crucial for successful budget management. This will help the nurse manager make informed decisions and align their actions with the organization's budgeting guidelines. Choice B is incorrect as it suggests delegating budget management to the nursing administration office, which does not promote the nurse manager's development of budgeting skills and knowledge. Choice C is incorrect because while it is important to communicate with the hospital's finance office for guidance, solely relying on this communication may not provide the nurse manager with a deep understanding of the budgeting process. Choice D is incorrect because focusing only on bottom-line numbers without understanding the details of each line in budget reports can lead to oversight of important budget components and hinder effective budget management.

Question 2 of 9

When reading Peplau's theory, a nurse was unable to determine the relationships among concepts. The nurse listed each concept and drew lines denoting relationships to be able to understand the effect of each element. The nurse created a:

Correct Answer: B

Rationale: The correct answer is B: model. In this scenario, the nurse used visual representation to illustrate the relationships among concepts in Peplau's theory. A model is a simplified representation of a real-world system that helps understand complex relationships. By listing concepts and drawing lines to denote relationships, the nurse created a visual model to clarify the interconnections between elements. A hypothesis (A) is a testable prediction, not a visual representation. A construct (C) is an abstract concept, not a visual representation of relationships. A variable (D) is a measurable factor that can change, not a visual representation of relationships.

Question 3 of 9

A licensed practical nurse (LPN) has been practicing for 25 years on a unit where a newly graduated RN with a bachelor's degree is hired. Before the RN arrives on the unit, the LPN is heard saying, "She'll try to tell everyone what to do because she makes more money. She'll sit at the desk and let us do all the work." This is an example of a(n):

Correct Answer: D

Rationale: The correct answer is D: preconceived idea. This is because the LPN's statement reflects a preconceived notion or bias about the RN based on their education level and salary. The LPN is assuming the RN will act a certain way without any evidence or experience with the RN's behavior. It is important to recognize and challenge our preconceived ideas to avoid unfair judgments. Incorrect answers: A: interpretation - This refers to understanding the meaning of something based on analysis or judgment, which is not present in the scenario. B: context - This refers to the circumstances or setting in which something occurs, but it does not apply to the LPN's biased statement. C: precipitating event - This refers to an event that triggers a particular situation, which is not evident in the scenario.

Question 4 of 9

One workplace issue "the nursing shortage" is caused by several complex issues, including:

Correct Answer: D

Rationale: The correct answer is D: an aging nursing workforce. This is because as nurses age, many are retiring or reducing their work hours, leading to a shortage of experienced nurses in the workforce. This issue is further exacerbated by the increasing demand for healthcare services due to population growth and aging populations. The other choices are incorrect because: A: Movement of nurses into acute care settings may shift the distribution of nurses but does not directly cause a shortage. B: The use of unlicensed assistive personnel may impact the workload of RNs but is not the primary cause of the nursing shortage. C: While Baby Boomers may have contributed to the overall number of nurses, it does not directly explain the current shortage.

Question 5 of 9

Which situation would be considered a workforce advocacy issue that is reportable to the state nurses association or the Center for American Nurses if it is not resolved at the local level?

Correct Answer: D

Rationale: Step 1: Identification of the Issue - The situation described in option D directly impacts the safety of nurses by preventing them from changing the sharps container when needed, posing a risk for needlestick injuries. Step 2: Significance of the Issue - Needlestick injuries are a serious occupational hazard for healthcare workers and can result in exposure to bloodborne pathogens, leading to infections such as HIV and Hepatitis. Step 3: Advocacy Relevance - The inability to access the key to change the sharps container compromises the safety of nurses and violates their right to a safe work environment, making it a workforce advocacy issue. Step 4: Reporting to Higher Authorities - If the issue is not resolved at the local level, it should be reported to the state nurses association or the Center for American Nurses for intervention and resolution to ensure the safety of healthcare workers. Summary: Options A, B, and C do not directly relate to workforce advocacy issues that pose a significant risk to nurses' safety. Option

Question 6 of 9

When preparing to complete a competency examination involving a neurologic assessment in a simulation laboratory, the nurse reviews the critical elements, which consist of:

Correct Answer: B

Rationale: The correct answer is B because in a competency examination involving a neurologic assessment, the critical elements are the required criteria that must be incorporated into the assessment to achieve the desired outcome. These elements are essential components that assessors need to include to ensure a thorough and accurate evaluation of the client's neurological status. Choice A is incorrect as critical elements do not necessarily equate to life or death situations. Choice C is incorrect as fundamental strategies unique to complex dynamic care environments are not specifically related to the critical elements of a neurologic assessment. Choice D is incorrect as objective data for client recovery likelihood is not the same as the required criteria for a neurologic assessment.

Question 7 of 9

People are living longer and with older age comes a higher risk of terminal illness. Many individuals have chosen to maximize their quality of life but stop aggressive life- sustaining treatments. Nurses who work with terminally ill patients and their families to provide end-of-life care, pain management, and family support are practicing in which role?

Correct Answer: A

Rationale: The correct answer is A: Hospice. Rationale: 1. Hospice care focuses on providing end-of-life care, pain management, and family support for terminally ill patients. 2. Nurses in hospice work closely with patients and their families to ensure comfort and dignity during the end-of-life process. 3. Hospice care emphasizes quality of life over aggressive life-sustaining treatments, aligning with the scenario described in the question. 4. Infection control and coordination roles do not specifically focus on end-of-life care or pain management for terminally ill patients. 5. While case managers may provide support and coordination of care, they do not specialize in end-of-life care like hospice nurses do.

Question 8 of 9

A researcher conducts a survey to determine the perceived health status of elderly persons living independently at home. The same subjects participate in a telephone call in which they describe the lived experience of living with chronic illness. When writing up the research study, the nurse would describe using:

Correct Answer: B

Rationale: The correct answer is B: triangulation. Triangulation involves using multiple data sources or methods to validate findings. In this scenario, the nurse is using both survey data and telephone interviews to gain a comprehensive understanding of the elderly persons' health status. This method enhances the study's credibility and reliability by cross-verifying information. A: A control group is not relevant in this context as it involves comparing an intervention group with a control group to assess the impact of an intervention. C: A pilot study is a small-scale preliminary study conducted to evaluate the feasibility of a larger study. It is not the appropriate description for using multiple data sources. D: Secondary data analysis involves analyzing existing data collected by someone else. It is not applicable in this case where the researcher is collecting primary data through surveys and interviews.

Question 9 of 9

A potential applicant reviews the application process and learns that preemployment physicals often include:

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.

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