Correct Answer: C

Rationale: The correct answer is C because disclosure is a key component of the national patient safety movement. By disclosing the error to the patient and involving them in the decision-making process, the nurse promotes transparency, trust, and patient-centered care. This approach also allows for timely interventions to address the allergic reaction effectively. Choice A is incorrect because prioritizing agency consequences over patient safety goes against ethical principles. Choice B is incorrect as it suggests disclosing before discussing with the physician or management, which could lead to confusion and potential miscommunication. Choice D is incorrect since reporting to the patient's insurance company does not address the immediate patient safety concern of the allergic reaction.

Correct Answer: B

Rationale: The correct answer is B: patient-centered care. Patient-centered care is a core competency recommended by QSEN as it emphasizes the importance of considering the patient's preferences, values, and needs in all aspects of healthcare delivery. This approach leads to improved patient outcomes, increased satisfaction, and overall better quality of care. Explanation for why the other choices are incorrect: A: Advanced health assessment techniques are important skills for nurses, but they are not specifically listed as recommended competencies by QSEN. C: Prescriptive pharmacology content focuses on medication administration and management, which is important but not a core competency recommended by QSEN. D: Quality improvement is a crucial aspect of healthcare, but it is not the only competency highlighted by QSEN for educating nursing professionals.

Correct Answer: A

Rationale: The correct answer is A: Health information and data capture. This functionality of the EHR system allows for the documentation and storage of patient health information, including allergy details. By inputting the patient's severe allergy to eggs and penicillin into the system, it ensures that this critical information is readily available for healthcare providers. The other choices are incorrect because: B: Results/data management focuses on organizing and presenting test results, not specifically on capturing patient allergies. C: Provider order entry management involves entering orders for medications, treatments, and procedures, not directly related to documenting allergies. D: Clinical decision support assists healthcare providers in making clinical decisions based on data and guidelines, but it does not specifically address capturing and sharing patient allergy information.

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: Hill-Burton Act. The Hill-Burton Act, passed in 1946, provided federal funds for hospital construction, leading to a significant increase in the number of hospitals. This increase in hospital facilities created a higher demand for nurses to staff them, thereby initiating the shift from community-based nursing care to hospital-based care. The Sheppard-Towner Act (A) focused on maternal and child health programs, not hospital construction. The Veterans Bill (C) primarily addresses healthcare benefits for veterans. The Access to Health Care Bill (D) is a generic term and does not refer to a specific piece of legislation related to hospital construction or nursing staffing.