A nurse plans to move to an area that is rich in immigrants from several countries and is concerned about respecting others' cultural beliefs. The nurse's first step to ensure cultural competence and sensitivity is to:

Correct Answer: D

Rationale: The correct answer is D: conduct a cultural self-assessment. This is the first step to ensure cultural competence because it allows the nurse to reflect on their own beliefs, biases, and cultural background, which can impact interactions with culturally diverse clients. By understanding one's own cultural identity, the nurse can better appreciate and respect the beliefs of others. Choice A is incorrect because enrolling in a nursing theories course may provide knowledge but does not address the nurse's own biases. Choice B is also incorrect as immersion in nursing literature may increase knowledge but does not promote self-awareness. Choice C is incorrect as focusing on health assessment variations does not necessarily address cultural sensitivity in interactions. Conducting a cultural self-assessment is essential for building a foundation of cultural competence and respect.

Correct Answer: A

Rationale: The correct answer is A: Magnet therapy. Magnet therapy is contraindicated in pregnancy due to the risk of unknown effects on the fetus. Magnets may interfere with the body's natural magnetic fields, potentially causing harm to the developing baby. Aromatherapy (B), imagery (C), and therapeutic touch (D) are generally considered safe during pregnancy when performed by trained professionals and with appropriate precautions. Aromatherapy uses essential oils, imagery involves mental visualization techniques, and therapeutic touch uses energy-based techniques that do not pose significant risks to the pregnant woman or the fetus.

Correct Answer: A

Rationale: The correct answer is A: Columbia Teachers College. This institution was the first to offer nursing graduates a baccalaureate degree, pioneering the advancement of nursing education. Columbia Teachers College had a dedicated nursing program that emphasized academic and clinical training, setting the standard for future nursing education. Explanation: A: Columbia Teachers College - Correct. Pioneered baccalaureate degree for nursing graduates. B: Yale University - Incorrect. Not historically known for offering the first baccalaureate degree in nursing. C: Harvard University - Incorrect. Focused on medical education, not nursing, at the time. D: New York Regents Program - Incorrect. Not a university and did not offer baccalaureate degrees in nursing.

Correct Answer: D

Rationale: The correct answer is D because developing a 5-year plan that incorporates the clinical nurse leader aligns with strategic planning, which involves setting long-term goals and outlining strategies to achieve them. This action demonstrates forward-thinking and aligns with the organization's overall vision. A: Ensuring nurses understand organizational philosophy is important but does not specifically relate to strategic planning. B: Evaluating communication processes is more operational or tactical in nature, not directly tied to long-term strategic planning. C: Monitoring data from a quality management initiative is important for quality improvement but does not directly relate to future planning and strategy development.

Correct Answer: A

Rationale: Rationale: A is correct as paper-and-pencil records can physically track who accessed them, ensuring privacy and security. B is incorrect as computer-based records can also be detailed. C is irrelevant to the comparison. D is incorrect as signing for each item is not a standard practice in computer-based records.