A young adult on a limited income who is having back pain states, "I want to see a chiropractor, but I don't have any money. However, I do have health insurance." The most appropriate response that the nurse can provide is:

Correct Answer: A

Rationale: The correct answer is A: "most insurance companies will pay for chiropractic treatment." Chiropractic care is a recognized form of treatment by most health insurance providers. Many insurance plans cover chiropractic services for conditions such as back pain. This is because chiropractic care is considered a cost-effective and evidence-based treatment option for musculoskeletal issues. Choice B is incorrect because chiropractors are licensed healthcare professionals in all states and many insurance plans do cover their services. Choice C is incorrect as chiropractic medicine is a well-established form of complementary and alternative medicine that is recognized by insurance companies. Choice D is incorrect because while chiropractic medicine does have preventive aspects, it is still commonly covered by insurance for treatment of various conditions.

Correct Answer: A

Rationale: Rationale: A: The correct answer emphasizes that nursing practice has evolved based on societal needs and beliefs in different historical contexts. This reflects the adaptive nature of nursing to address changing populations and societal norms. B: This choice is incorrect because it does not accurately describe the historical perspective of nursing practice. The shift towards evidence-based practice is a more recent development in nursing. C: While diversity in nursing is important, this statement does not directly address the historical perspective of nursing practice. D: This choice is incorrect as it is a limited view that focuses on the United States and ignores the global historical development of nursing practice.

Correct Answer: A

Rationale: The correct answer is A: Increasing staffing ratios to include more nurses of all levels of educational preparation on all shifts. Aiken's survey emphasized the importance of adequate nurse staffing in improving patient outcomes and reducing mortality rates. By increasing staffing ratios with nurses of all educational levels, the hospital can ensure better patient care, effective coordination, and timely interventions. This approach addresses the key factors highlighted in Aiken's survey - nurse staffing and education. Choices B, C, and D are incorrect because they do not directly address the issue of nurse staffing, which was the primary focus of Aiken's survey. Employing bachelor's prepared nurses participating in interprofessional rounds (B) may improve communication but does not solely address the staffing concerns. Ensuring nurse managers have a master's degree (C) may improve leadership but does not directly impact frontline staffing. Encouraging unlicensed assistive personnel to attend educational programs (D) may enhance skills but does not address the need for more nurses in the staffing ratios

Correct Answer: A

Rationale: The correct answer is A because responding to recurring crises at work or in one's personal life is an internal distraction. Internal distractions originate from within the individual, affecting focus and productivity. In this scenario, the nurse's response to crises is within their control and can be managed through personal strategies. Choices B, C, and D are external distractions as they involve interactions with others or unclear job responsibilities imposed from outside sources, making them not directly related to the individual's internal state of mind. Hence, option A is the correct classification of an internal distraction in this context.

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: C

Rationale: Step-by-step rationale for choice C: 1. Licensure ensures RNs meet minimum standards to practice. 2. Protects the public from incompetent or unqualified nurses. 3. Ensures RNs adhere to ethical and legal standards. 4. Maintains accountability and promotes safe patient care. Summary: A: Incorrect, as licensure is not primarily about title protection. B: Incorrect, as while RNs demonstrate knowledge, licensure is broader. D: Incorrect, as enhancing recognition is not the primary goal of licensure.

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

Correct Answer: A

Rationale: The correct answer is A: burnout. Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. In this scenario, the novice nurses are exhibiting symptoms such as insomnia, lack of energy, and self-doubt, which are commonly associated with burnout. Burnout is specifically related to work-related stressors and can lead to negative feelings about one's job performance. Incorrect choices: B: Low self-esteem - While low self-esteem could be a contributing factor, the symptoms described are more indicative of burnout. C: Lack of confidence - Lack of confidence may be a result of burnout, but it is not the primary issue in this scenario. D: Resilience - Resilience is the ability to bounce back from challenges, but the symptoms described suggest that the nurses are struggling with stress and exhaustion rather than demonstrating resilience.

Correct Answer: A

Rationale: The correct answer is A: increased trustworthiness. Acculturation in nursing involves gaining experience and knowledge from various sources, leading to increased credibility and trustworthiness among patients, colleagues, and the healthcare team. This ongoing process helps nurses build rapport and establish trust with diverse patient populations. Explanation for why the other choices are incorrect: B: While enhanced ability to consider many aspects of ethical situations is important in nursing, it is not directly related to the outcome of increased trustworthiness. C: Confidence in making decisions based on experience and ethical intelligence is valuable, but it does not directly lead to increased trustworthiness. D: Improved clinical decision making and advocacy for patient autonomy are crucial aspects of nursing practice, but they do not specifically address the outcome of increased trustworthiness that comes from acculturation.