Florence Nightingale is attributed with being intelligent (she developed statistical methods to evaluate health care), dependable (she often worked long hours to care for the injured), and ambitious (she fought against society's perception of nursing). Those who depict her as a leader on the basis of these qualities are practicing which leadership theory?

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Contemporary Ethical Issues in Nursing Questions

Question 1 of 9

Florence Nightingale is attributed with being intelligent (she developed statistical methods to evaluate health care), dependable (she often worked long hours to care for the injured), and ambitious (she fought against society's perception of nursing). Those who depict her as a leader on the basis of these qualities are practicing which leadership theory?

Correct Answer: A

Rationale: Step 1: Identify the qualities attributed to Florence Nightingale: intelligent, dependable, ambitious. Step 2: Recognize these qualities as traits. Step 3: Trait theory states that effective leaders possess certain traits. Step 4: Florence Nightingale's leadership qualities align with trait theory. Step 5: Therefore, depicting her as a leader based on her traits falls under trait theory. Summary: A: Trait theory focuses on inherent qualities of leaders, which align with Florence Nightingale's qualities. B: Chaos theory emphasizes unpredictability and complexity, not relevant here. C: Bureaucracy theory centers on structured organizations, not applicable to Nightingale's personal traits. D: Organizational theory addresses structure and management within organizations, not related to individual leadership attributes like traits.

Question 2 of 9

A team of experienced nurses work together to develop algorithms that are converted into checklists to ensure standardization of commonly performed procedures. The focus of this team is primarily on which Institute of Medicine (IOM) competency?

Correct Answer: A

Rationale: The correct answer is A: Safety. The team of nurses developing algorithms and checklists aims to ensure standardization of procedures, which directly relates to patient safety. Safety is a fundamental competency in healthcare, as it involves minimizing harm to patients. Standardization through checklists helps reduce errors and promote consistency in care delivery. Timely care (B) focuses on providing care promptly, equitable care (C) emphasizes fairness and eliminating disparities, and patient-centered care (D) prioritizes individual preferences and needs. While these competencies are important in healthcare, in this scenario, the team's primary focus on standardization aligns with the safety competency.

Question 3 of 9

The advanced practice nurse who is seeking information about requirements for practice in a specialized area should contact the:

Correct Answer: C

Rationale: The correct answer is C: American Nurses Credentialing Center (ANCC). ANCC is the primary organization responsible for certifying advanced practice nurses in specialized areas. They provide information on requirements for practice, certification exams, and continuing education. ANA (A) focuses on promoting the profession of nursing. NLN (B) focuses on nursing education. NCSBN (D) oversees the state boards of nursing and does not specifically provide information on requirements for practice in specialized areas.

Question 4 of 9

Nurses caring for the victims of a mass casualty incident:

Correct Answer: D

Rationale: The correct answer is D because prioritizing care based on the greatest chance of survival maximizes the number of lives saved in a mass casualty incident. This approach follows the principle of triage, which aims to allocate resources efficiently. Choice A is incorrect as it pertains to coordination rather than immediate patient care. Choice B is incorrect as it is not the primary role of nurses during a mass casualty incident. Choice C is incorrect as determining a credible threat is the responsibility of security and law enforcement, not nurses.

Question 5 of 9

The novice nurse arrives on the nursing unit, is introduced to the staff, is assigned a preceptor, and is asked to participate in the next staff meeting. This introduction into nursing is appropriately termed:

Correct Answer: B

Rationale: The correct answer is B: socialization. Socialization is the process by which individuals learn and adapt to the values, norms, and behaviors of a particular group, in this case, the nursing profession. In this scenario, the novice nurse is being introduced to the staff, assigned a preceptor, and asked to participate in a staff meeting, all of which are key components of the socialization process in nursing. A: Biculturalism refers to the coexistence of two distinct cultures within one society, which is not applicable in this context. C: Transition is the process of changing from one state to another, which is a broader concept than just the introduction to a new profession. D: "Going native" is a colloquial term that refers to adopting the lifestyle or customs of a foreign culture, which is not relevant to the scenario of a novice nurse being introduced to the nursing profession.

Question 6 of 9

Which statement related to delegation is correct?

Correct Answer: D

Rationale: The correct answer is D because the RN must have knowledge of laws and regulations governing nursing practice, including those that have unclear boundaries for UAP. This is crucial to ensure safe and effective delegation. Option A is incorrect because the nurse practice act typically does not define UAP roles. Option B is incorrect as delegation also requires assessing competency, not just training. Option C is incorrect as supervision is necessary regardless of the task's routine nature. The correct answer emphasizes the importance of legal knowledge for proper delegation.

Question 7 of 9

Florence Nightingale is attributed with being intelligent (she developed statistical methods to evaluate health care), dependable (she often worked long hours to care for the injured), and ambitious (she fought against society's perception of nursing). Those who depict her as a leader on the basis of these qualities are practicing which leadership theory?

Correct Answer: A

Rationale: Step 1: Identify the qualities attributed to Florence Nightingale: intelligent, dependable, ambitious. Step 2: Recognize these qualities as traits. Step 3: Trait theory states that effective leaders possess certain traits. Step 4: Florence Nightingale's leadership qualities align with trait theory. Step 5: Therefore, depicting her as a leader based on her traits falls under trait theory. Summary: A: Trait theory focuses on inherent qualities of leaders, which align with Florence Nightingale's qualities. B: Chaos theory emphasizes unpredictability and complexity, not relevant here. C: Bureaucracy theory centers on structured organizations, not applicable to Nightingale's personal traits. D: Organizational theory addresses structure and management within organizations, not related to individual leadership attributes like traits.

Question 8 of 9

When an RN is asked to accept an assignment that he or she may not be qualified to perform, the nurse should:

Correct Answer: D

Rationale: Step-by-step rationale for why Answer D is correct: 1. Ensures patient safety: RN should only accept assignments they are qualified for to provide safe care. 2. Upholds professional standards: Accepting only familiar assignments aligns with nursing scope of practice. 3. Legal and ethical responsibility: RN must prioritize patient well-being over external pressures. 4. Promotes personal growth: RN can seek additional training for unfamiliar assignments. Summary: - A: Incorrect. Accepting based on power dynamics disregards patient safety and professional ethics. - B: Incorrect. Patient safety should be the primary concern over workload. - C: Incorrect. Past handling may not guarantee appropriateness. Focus should be on personal qualification.

Question 9 of 9

The first field of nursing to certify advanced practitioners was the field of:

Correct Answer: B

Rationale: The correct answer is B: nurse-midwifery. Nurse-midwifery was the first field of nursing to certify advanced practitioners, starting in the 1920s. Nurse-midwives provide prenatal, childbirth, and postpartum care to women. Other choices are incorrect because adult nurse practitioners, clinical nurse specialists, and nurse anesthesia programs were established after nurse-midwifery certification.

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