Correct Answer: A

Rationale: The correct answer is A: Communication of choices. Competency assessment in nursing evaluates the ability to effectively communicate choices to patients, colleagues, and healthcare team. Understanding of relevant information (B) is essential, appreciation for situation and consequences (C) demonstrates critical thinking, and discussion of what is right and wrong (D) reflects ethical reasoning, but communication is crucial for effective nursing practice. Therefore, the instructor should focus on providing additional instruction on communication of choices to ensure comprehensive competency assessment.

Correct Answer: D

Rationale: The correct answer is D: Incidence. Incidence refers to the number of new cases of a specific disease or condition within a defined time period. In this scenario, the nursing student is reviewing the number of persons newly diagnosed with major depression in the past year, which aligns with the concept of incidence. This information helps in understanding the risk of developing major depression in a given population over a specific time frame. Now, let's analyze why the other choices are incorrect: A: Rate - This term is too broad and does not specifically address the number of new cases within a defined period. B: Prevalence - Prevalence refers to the total number of cases (both new and existing) of a disease within a specific population at a given time, not just new cases. C: Point prevalence - This term specifically refers to the proportion of a population that has a particular condition at a specific point in time, not the number of new cases within a specific period.

Correct Answer: B

Rationale: The correct answer is B because Confucianism does not believe in assigning people to castes. Confucianism emphasizes meritocracy and the importance of personal virtue rather than birthright or social status. A: People are born good aligns with Confucianism's belief in the innate goodness of individuals. C: Authority figures are respected reflects Confucianism's emphasis on respecting and obeying elders and leaders. D: Self-responsibility leads to improvement is in line with Confucian teachings on self-cultivation and ethical conduct. Therefore, the belief that people are assigned to castes is not associated with Confucianism.

Correct Answer: B

Rationale: The correct answer is B because ethical decision-making requires examining assumptions and seeking more information before making a judgment. By questioning assumptions, the nurse can avoid biases and ensure decisions are based on accurate data. This step is crucial in understanding the full context of the ethical dilemma and considering all perspectives involved. Choices A, C, and D are incorrect because focusing on personal feelings, existing knowledge, or patient values alone may not address the root of the ethical issue or lead to a comprehensive decision-making process.

Correct Answer: A

Rationale: The correct answer is A: Communication of choices. Competency assessment in nursing evaluates the ability to effectively communicate choices to patients, colleagues, and healthcare team. Understanding of relevant information (B) is essential, appreciation for situation and consequences (C) demonstrates critical thinking, and discussion of what is right and wrong (D) reflects ethical reasoning, but communication is crucial for effective nursing practice. Therefore, the instructor should focus on providing additional instruction on communication of choices to ensure comprehensive competency assessment.