An orthopedic unit is considering different types of care delivery models and staff have an opportunity to ask questions about how the models differ. The nurse manager provides an overview and uses the above visual to demonstrate which model of care delivery?

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Contemporary Ethical Issues in Nursing Questions

Question 1 of 9

An orthopedic unit is considering different types of care delivery models and staff have an opportunity to ask questions about how the models differ. The nurse manager provides an overview and uses the above visual to demonstrate which model of care delivery?

Correct Answer: A

Rationale: The correct answer is A: Team. In a team care delivery model, multiple healthcare professionals work collaboratively to provide comprehensive care to patients. This is demonstrated in the visual of the orthopedic unit considering different types of care delivery models. The team model emphasizes teamwork, communication, and coordination among healthcare providers to ensure holistic patient care. Summary of why other choices are incorrect: B: Partnership typically involves collaboration between healthcare providers and patients but may not necessarily involve multiple healthcare professionals working together as a team. C: Primary care delivery model focuses on the patient's main point of contact, usually a primary care physician, rather than a team approach. D: Functional care delivery model organizes care based on specific functions or tasks, which may not emphasize the collaborative teamwork seen in a team care delivery model.

Question 2 of 9

An orthopedic unit is considering different types of care delivery models and staff have an opportunity to ask questions about how the models differ. The nurse manager provides an overview and uses the above visual to demonstrate which model of care delivery?

Correct Answer: A

Rationale: The correct answer is A: Team. In a team care delivery model, multiple healthcare professionals work collaboratively to provide comprehensive care to patients. This is demonstrated in the visual of the orthopedic unit considering different types of care delivery models. The team model emphasizes teamwork, communication, and coordination among healthcare providers to ensure holistic patient care. Summary of why other choices are incorrect: B: Partnership typically involves collaboration between healthcare providers and patients but may not necessarily involve multiple healthcare professionals working together as a team. C: Primary care delivery model focuses on the patient's main point of contact, usually a primary care physician, rather than a team approach. D: Functional care delivery model organizes care based on specific functions or tasks, which may not emphasize the collaborative teamwork seen in a team care delivery model.

Question 3 of 9

The role of the Clinical Nurse Leader (CNL) would include:

Correct Answer: D

Rationale: The correct answer is D because the role of a Clinical Nurse Leader (CNL) involves coordinating and managing the care of patients. In this scenario, the CNL is revising the care plan for a patient with complex health issues, such as heart failure and chronic bronchitis, by incorporating specific interventions like ambulation with assistance. This aligns with the core responsibilities of a CNL, which include care coordination, implementation of evidence-based practice, and leadership in interdisciplinary teams. Choice A is incorrect because nurses, including CNLs, do not have the authority to diagnose and prescribe medications, as this falls under the scope of practice of a physician or advanced practice nurse. Choice B is incorrect because while health education and referral are important aspects of nursing practice, they are more aligned with the role of a community health nurse rather than a CNL. Choice C is incorrect because investigating abuse and criminal activities is beyond the scope of a CNL's role, as their focus is primarily on

Question 4 of 9

A new graduate secures the first interview and wants to work where cultural diversity is appreciated. The applicant feels that accepting this interview was the right choice when the recruiter states, "We do not discriminate based on sex, race, or age and practice inclusiveness of diversity." Which question would reflect this statement?

Correct Answer: B

Rationale: The correct answer is B because it focuses on the benefits offered to employees, which aligns with the recruiter's statement about inclusiveness and non-discrimination. Asking about educational benefits and health insurance shows that the organization values its employees' well-being and development regardless of their background. Choice A is incorrect because it is discriminatory to ask about religious beliefs related to work schedules. Choice C is incorrect because it promotes a biased perspective on patient care and cultural beliefs. Choice D is incorrect as it implies a negative stereotype about patients from disadvantaged backgrounds, which goes against the principles of inclusivity and non-discrimination stated by the recruiter.

Question 5 of 9

A nurse researcher is attempting to describe the demographics of today's RNs and reports that:

Correct Answer: A

Rationale: Correct Answer: A Rationale: The correct answer is A because statistics show that currently, less than half of all registered nurses work in hospital settings, with the majority working in community, home health, long-term care, and other non-hospital settings. This information is supported by recent workforce studies and trends in nursing practice. Summary of other choices: B: The average age for an RN is not necessarily 50 years, as there is a wide range of ages among RNs, with many entering the profession at younger ages. C: Approximately 25% of RNs are male, which is a significant proportion but does not encompass the majority of the nursing workforce. D: While the number of RNs with bachelor's degrees is increasing, the majority of RNs still do not hold a bachelor's degree as their highest level of education.

Question 6 of 9

A nurse at a school notices that several students have "blisters" on their bodies. Further investigation reveals that a terrorist incident has occurred, causing smallpox. If the chemical, biologic, radiologic, nuclear, and explosive (CBRNE) agent categories are used, this incident would be classified as:

Correct Answer: B

Rationale: The correct answer is B: biologic. Smallpox is a viral disease caused by the variola virus, making it a biological agent. The virus spreads from person to person through respiratory droplets or contact with infected bodily fluids. The term CBRNE encompasses various types of agents used in terrorism incidents. In this case, the incident involving smallpox falls under the biologic category due to its viral nature, as opposed to chemical (A), radiologic (C), or nuclear (D) agents. Chemical agents involve toxic substances, radiologic agents involve radiation, and nuclear agents involve nuclear materials. In summary, the smallpox incident is categorized as biologic due to the nature of the variola virus.

Question 7 of 9

Despite the presence of safety aids such as handrails in the bathrooms at an assisted living facility, the number of fractures due to unsteady ambulation upon arising from the bed and when attempting to perform activities of daily living has increased. Which complementary alternative medicine (CAM) would be an effective intervention for this population?

Correct Answer: C

Rationale: Rationale: Tai chi is the correct answer because it focuses on improving balance, strength, and flexibility, which are essential for preventing falls in the elderly. Tai chi's slow, controlled movements can help improve stability and reduce the risk of fractures. Summary: A (Yoga) focuses more on flexibility and relaxation, not specifically on balance and stability. B (Acupuncture) is not a physical activity and does not directly address the issue of unsteady ambulation. D (Magnet therapy) lacks scientific evidence to support its effectiveness in improving balance and preventing falls.

Question 8 of 9

A nurse working in a factory performs routine hearing tests for employees. The factory uses 90 dB as the safe limit for an 8-hour day's exposure to machine noise rather than 85 dB as recommended by the Occupational Safety and Health Administration. The nurse is functioning in the role of:

Correct Answer: C

Rationale: The correct answer is C: occupational health nurse. This is because an occupational health nurse specializes in promoting health and safety in the workplace, including monitoring employees' exposure to occupational hazards like noise. By conducting hearing tests and recognizing the discrepancy between the factory's safe noise level and OSHA's recommendation, the nurse is fulfilling the role of an occupational health nurse. Choice A (quality management) is incorrect as it involves ensuring high-quality care and services, not specifically focused on workplace health and safety. Choice B (informatics nurse specialist) is incorrect as it pertains to using technology and data to improve healthcare outcomes, not directly related to workplace health monitoring. Choice D (case manager) is incorrect as it involves coordinating care for individual patients, not overseeing workplace health and safety practices.

Question 9 of 9

A priority action for the nurse who works with culturally diverse clients is completion of a:

Correct Answer: B

Rationale: The correct answer is B: cultural self-assessment. This is important as it helps the nurse understand their own beliefs, values, and biases, which can impact how they interact with culturally diverse clients. By being self-aware, the nurse can better recognize and address any potential cultural misunderstandings or conflicts. A: Taking a sign language course is not the priority as not all culturally diverse clients are deaf or use sign language. C: While cultural client assessment is important, it is secondary to the nurse understanding their own cultural biases first. D: Taking a course on how to speak Spanish is helpful but may not address the broader cultural competence needed to work with diverse clients.

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