The scope of Nursing practice is legally defined by:-

Correct Answer: A

Rationale: The correct answer to the question "The scope of Nursing practice is legally defined by: A) The nursing practice act" is A) The nursing practice act. This is because the nursing practice act is a set of laws established by each state that governs the scope of nursing practice within that state. It outlines the legal boundaries within which nurses can practice, defining the responsibilities and limitations of nursing practice. This act is essential for ensuring patient safety, maintaining professional standards, and protecting the public. Option B) Professional nursing organizations do play a role in setting standards and guidelines for nursing practice, but they do not legally define the scope of nursing practice. While they provide valuable resources and support for nurses, they do not have the authority to establish legal boundaries for nursing practice. Option C) Hospital policy and procedure manuals vary from one institution to another and are not legally binding documents that define the scope of nursing practice. They provide guidelines specific to the institution's policies and procedures but do not have the authority to establish legal boundaries for nursing practice. Option D) Physicians in the employing institution do not have the authority to legally define the scope of nursing practice. While collaboration with physicians is an essential aspect of nursing practice, physicians do not have the jurisdiction to set legal boundaries for nursing practice. In an educational context, understanding the legal framework that governs nursing practice is crucial for nursing students. It ensures that they are aware of their professional responsibilities, limitations, and the legal implications of their practice. Knowledge of the nursing practice act helps nurses provide safe and effective care within the legal boundaries of their practice.

Correct Answer: C

Rationale: The correct answer is C) Offer small sips of water initially. This is the best action for the nurse to take because a post-surgical client who has been NPO needs to start with small amounts of clear liquids to assess their tolerance and prevent complications such as aspiration or vomiting. By offering small sips of water initially, the nurse can monitor the client's response and gradually advance to larger amounts of fluids as tolerated. Option A) Push fluids to 200 cc per hour is incorrect because pushing fluids too quickly can overwhelm the client's digestive system and increase the risk of complications. Option B) Encouraging the client to drink as much as possible is incorrect because it may lead to overconsumption and potential complications for a client who has been NPO. Option D) Suggesting apple juice or orange juice is incorrect because these juices are not clear liquids, which are typically recommended as the first step in advancing a client's diet after being NPO. In an educational context, it is crucial for nursing students to understand the importance of following a stepwise approach when reintroducing fluids to a client who has been NPO to ensure patient safety and optimal recovery. Teaching students the rationale behind starting with small sips of water can help them make informed and evidence-based decisions in their future practice.

Correct Answer: B

Rationale: In the context of nursing, a holistic approach involves addressing the physical, emotional, social, and spiritual needs of a patient. Option B, calling the social worker because the patient is worried about caring for her children at home, exemplifies a holistic nursing approach by recognizing and addressing the patient's social and emotional concerns beyond just the physical aspect of care. Option A is incorrect because collaborating with the aide and respiratory therapist focuses more on the medical aspect of care rather than the holistic needs of the patient. Option C, being cordial to family and friends, is important for building relationships but does not directly address the patient's specific concerns or needs. Option D, allowing the patient to nap, is important but does not demonstrate a holistic approach as it only addresses the physical aspect of care. Educationally, understanding the principles of holistic nursing is crucial for nursing students to provide comprehensive care to patients. By choosing option B, students learn the importance of considering all aspects of a patient's well-being and how addressing social and emotional needs can contribute to overall health outcomes. This rationale helps students develop critical thinking skills in applying holistic care principles in their nursing practice.

Correct Answer: B

Rationale: By stating that she is not in his situation, the nurse is using the therapeutic communication technique of validation, whereby she shows sensitivity to the meaning behind his behavior. She is also creating a supportive and nonjudgmental environment, and inviting him to express his frustrations. Telling the patient to try a distraction dismisses the client's feelings and gives common advice instead of expert advice. Saying she knows what clients feel is presumptive and inappropriate.

Correct Answer: D

Rationale: Unilateral hypertrophy of the arm muscles, as seen in an individual who regularly plays tennis, is a result of specific muscle groups being targeted and developed through the repetitive actions required in the sport. Tennis involves a significant amount of unilateral arm movements, especially in the dominant arm used for swinging the racket. This leads to muscle hypertrophy in that arm due to the consistent stress and resistance placed on those muscles. The incorrect options can be ruled out based on their inability to consistently target and stress the arm muscles in a unilateral manner like tennis does. 1. Lifting weights: While weightlifting can lead to muscle hypertrophy, it typically targets both arms simultaneously or can be adjusted to target specific muscle groups symmetrically rather than unilaterally. 2. Playing soccer: Soccer involves whole-body movements and does not isolate the arm muscles in a way that would lead to unilateral hypertrophy. 3. Moving furniture: While moving furniture can be physically demanding, it does not provide the consistent and targeted stress needed to cause unilateral hypertrophy in the arm muscles. In an educational context, understanding the relationship between specific physical activities and muscle development is crucial for healthcare professionals, especially in fields like nursing where knowledge of the human body and its responses to different stimuli is essential. This question helps students grasp the concept of muscle hypertrophy and how different activities can impact muscle growth in a unilateral manner. It also reinforces the importance of tailored exercise programs for achieving specific fitness goals.