After keeping a log of activities designed to improve time management, the nurse divides the distractions into internal and external sources. The nurse would classify which distraction as internal?

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: 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.

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: A

Rationale: The correct answer is A: financially supporting candidates. PACs are established to raise and spend money to support candidates for political office. They can donate funds to candidates' campaigns, run independent expenditure campaigns, and engage in other activities to influence elections. This is the primary purpose of PACs. Other choices are incorrect: B: While PACs may aim to persuade policymakers to support certain policies, their main function is to support candidates financially. C: While lobbying legislators is a common activity PACs engage in, their main purpose is to financially support candidates. D: Recommending health care policy is not the primary purpose of PACs, as their main role is to support political candidates.

Correct Answer: C

Rationale: The correct answer is C: supportiveness. In this scenario, the nurses are engaging in a collaborative process, listening to each other's perspectives, and being open to reconsidering their initial recommendations. Supportiveness involves actively encouraging others, showing understanding, and fostering a positive and constructive environment. Empathy (A) involves understanding and sharing others' feelings, which is important but not the primary focus in this context. Positiveness (B) is about having a positive attitude, which is beneficial but does not capture the essence of the nurses' behavior. Accommodation (D) involves making concessions, which is not the main theme in this situation where the nurses are aiming for mutual understanding and collaboration.

Correct Answer: D

Rationale: Step 1: In the work environment, evaluation focuses on appraising outcomes to assess effectiveness and compliance with policies. Step 2: Appraising outcomes according to policy ensures that results align with organizational objectives. Step 3: This process helps identify areas for improvement and ensures accountability. Step 4: Choices A, B, and C do not directly address the evaluation of outcomes based on policy, making them incorrect. Step 5: Therefore, the correct answer is D as it aligns with the purpose of evaluation in the work environment.

Correct Answer: A

Rationale: Rationale: A nurse grouping patients with specific criteria to determine staffing needs aligns with a patient classification system. This system helps allocate appropriate staff levels based on patient acuity and needs for safe and effective care. It focuses on matching patient needs with staff expertise to ensure quality care. Choices B, C, and D do not directly relate to determining staffing levels based on patient criteria. B refers to billing, C to coordination of care, and D to specific care plans.

Correct Answer: D

Rationale: The correct answer is D because shared governance involves empowering nurses to participate in decision-making related to patient care. This element is fundamental as it promotes autonomy, collaboration, and professional growth among nurses. Option A is incorrect as an open-door policy does not necessarily imply shared governance. Option B, dispute resolution, is important but not a fundamental characteristic of shared governance. Option C, mandatory reporting, does not align with the collaborative nature of shared governance. In summary, nurses having an active role in patient care decision making is crucial for the successful implementation of a shared governance model.

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