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

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Contemporary Ethical Issues in Nursing Questions

Question 1 of 5

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.

Question 2 of 5

A nurse is completing the degree requirements for an advanced practice role as a nurse practitioner and is concerned about certification requirements. Which statement concerning certification for advanced practice is true?

Correct Answer: A

Rationale: The correct answer is A because most states require certification for all specialty roles identified as advanced practice. This is crucial for ensuring that nurse practitioners have met specific educational and clinical practice requirements to provide safe and competent care. Explanation for why other choices are incorrect: B: Nurse anesthetists and nurse-midwives are not the only advanced practice roles that require certification in most states. Other roles such as nurse practitioners and clinical nurse specialists also require certification. C: The increasing number of new advanced practice roles does not necessarily mean that the scope of practice remains unclear in state nurse practice acts. Certification requirements help define the scope of practice for each role. D: Certification is not automatic when applying for an advanced practice license. Nurses must complete specific educational programs and pass certification exams to obtain certification for their chosen specialty role.

Question 3 of 5

Which nursing theory might a nurse use as a conceptual framework to determine how to meet the needs of immigrants while ensuring provision of high-quality and culturally sensitive care?

Correct Answer: D

Rationale: The correct answer is D, Madeleine Leininger's nursing theory. Leininger's Cultural Care Theory emphasizes the importance of providing culturally congruent care to individuals, taking into account their cultural beliefs, values, and practices. This theory is particularly relevant when caring for immigrants as it helps nurses understand and address their unique cultural needs. A: Martha Rogers' nursing theory focuses on the science of unitary human beings and energy fields, not specifically on cultural care. B: Dorothea Orem's nursing theory, the Self-Care Deficit Theory, emphasizes the individual's ability to perform self-care activities, not specifically cultural care. C: Hildegard Peplau's nursing theory, the Theory of Interpersonal Relations, focuses on the nurse-patient relationship and therapeutic communication, not specifically on cultural care for immigrants.

Question 4 of 5

What are general explanations that scholars use to explain, predict, control, and understand commonly occurring events?

Correct Answer: A

Rationale: The correct answer is A: Theories. Theories are comprehensive explanations that scholars use to understand commonly occurring events by organizing and explaining a set of principles or laws. Theories help in predicting and controlling events based on established frameworks. Constructs (B) refer to abstract concepts within theories, systems (C) are organized structures of elements, and propositions (D) are statements that describe relationships between concepts, but they do not provide the comprehensive explanations that theories do.

Question 5 of 5

A young child is having abdominal pain, and the doctor informs the parents that a computed tomography (CT or CAT) scan of the abdomen will be ordered. The doctor tells the child, "This CAT scan won't hurt you." The child is visibly upset because of a fear of cats. According to Mishel's uncertainty in illness theory, which stage of the framework is represented?

Correct Answer: A

Rationale: Step 1: The child is upset due to a fear of cats, leading to uncertainty about the situation. Step 2: Mishel's uncertainty in illness theory focuses on how individuals respond to uncertainty in health-related situations. Step 3: In this case, the child's fear of cats creates a misinterpretation of the term "CAT scan." Step 4: This misinterpretation falls under the Stimuli frame stage, where the individual perceives the situation based on external cues. Step 5: Other choices are incorrect as they do not directly address the initial misinterpretation caused by the fear of cats. In summary, choice A is correct because it aligns with Mishel's theory by highlighting the initial stimuli (fear of cats) causing uncertainty in the child's understanding of the situation. Choices B, C, and D are incorrect as they do not address the specific misinterpretation of the term "CAT scan" due to the fear of cats.

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