To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?

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Ethics & Issues in Contemporary Nursing Questions

Question 1 of 9

To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?

Correct Answer: B

Rationale: The correct answer is B: Sunset legislation. Sunset legislation mandates that laws, including nurse practice acts, must be reviewed periodically to determine if they are still needed. If a nurse practice act is not reviewed by the specified date, it is automatically rescinded. This process ensures that laws are current and relevant. Incorrect Choices: A: Nurse review act - There is no specific law called the Nurse review act that pertains to the automatic rescinding of nurse practice acts. C: Mandatory revocation - This choice does not align with the process of automatic rescinding based on a failure to review. D: Grandfathering - Grandfathering refers to exempting individuals from new regulations based on previous circumstances, not the automatic rescinding of laws.

Question 2 of 9

The massage therapist uses kinesthesia, or thinking about how movement is expressed, to correct habits that cause poor posture and limited movement. This type of massage is called:

Correct Answer: B

Rationale: The correct answer is B: Feldenkrais method. This method focuses on improving movement patterns through kinesthetic awareness and re-education. It helps correct habits that lead to poor posture and limited movement by increasing awareness of how the body moves. The Alexander technique (A) mainly focuses on improving posture and reducing tension. Healing touch (C) involves energy-based healing practices, not specifically related to movement correction. Reiki (D) is a form of energy healing that aims to promote relaxation and stress reduction, not movement correction. Therefore, the best choice for the given scenario is the Feldenkrais method.

Question 3 of 9

A new graduate desires a position in labor and delivery; however, no position is available. What is the best advice for this nurse?

Correct Answer: C

Rationale: The correct answer is C because it offers a practical solution. By accepting another nursing position and transferring to labor and delivery when a position is available, the nurse can gain experience, maintain employment, and potentially build a relationship with the organization. This approach shows flexibility and commitment. A: Continuing to study is important, but it may not guarantee a position in labor and delivery. B: Returning to college is unnecessary and may delay entering the workforce. D: Practicing skills in a simulation lab is beneficial, but it does not address the immediate need for employment in the desired field.

Question 4 of 9

A nurse is concerned about a trend in the hospital to regularly "float" nurses to different areas of the hospital based on staff shortage regardless of recent experience in caring for the population on the unit. When deciding to accept a staffing assignment in this situation, the nurse considers a "safe harbor." What is meant by "safe harbor"?

Correct Answer: D

Rationale: The correct answer is D because "safe harbor" refers to a legal provision that protects nurses when they feel unsafe accepting a staffing assignment due to lack of recent experience or competency. By invoking safe harbor, nurses can continue caring for patients while an investigation is conducted to ensure patient safety and protect the nurse's license. This process allows nurses to voice concerns without fear of reprisal. Option A is incorrect as it refers to a disaster response plan, unrelated to safe harbor. Option B is incorrect as it discusses patient care teams and infectious diseases, not safe harbor protections. Option C is incorrect because it addresses reporting violence, which is not directly related to safe harbor provisions for staffing assignments.

Question 5 of 9

Which trend is an effect of the nursing shortage on nursing education?

Correct Answer: D

Rationale: The correct answer is D because the nursing shortage has led to a situation where students may be assigned to preceptors who have not yet developed expertise in the field of interest. This is a direct effect of the shortage as experienced and qualified nurses may not always be available to mentor students. This can impact the quality of education and training students receive, potentially hindering their learning and skill development. Options A, B, and C are incorrect: A: While it is true that devoted qualified nurses may be providing bedside nursing due to the complexity of care required, this does not directly relate to the effect of the nursing shortage on nursing education. B: The increase in the number of applicants and limited enrollment due to financial reasons is a separate issue from the shortage's impact on nursing education. C: The increase in nurses entering graduate school does not necessarily result in a lower faculty/student ratio for nursing students and is not a direct effect of the nursing shortage on nursing education.

Question 6 of 9

A patient observes the practitioner burning a dried herb on the needle during an acupuncture session and asks about this practice. The practitioner responds, "I am inciting the acupuncture points and this is referred to as:

Correct Answer: B

Rationale: The correct answer is B: moxibustion. Moxibustion is a traditional Chinese medicine technique that involves burning dried herbs on or near acupuncture points to stimulate them. This practice helps to improve the flow of Qi and promote healing. Doshas (choice A) and kapha (choice D) are terms from Ayurveda, not related to acupuncture. Yoga (choice C) is a separate practice that involves physical postures and breathing exercises, not burning herbs on acupuncture points.

Question 7 of 9

Hospitals surveyed nurses who terminated their employment to determine why they chose to leave. One of the most common reasons for leaving was:

Correct Answer: B

Rationale: The correct answer is B: that the nurse/patient ratio prevents safe care. This answer is correct because inadequate nurse/patient ratios have been consistently identified as a major factor contributing to nurse dissatisfaction and burnout. When nurses are responsible for too many patients, they are unable to provide safe and effective care, leading to increased stress and job dissatisfaction. Explanation of other choices: A: Decreased pay for alternative shifts: While decreased pay may be a concern for some nurses, it is not typically cited as one of the most common reasons for leaving a position. C: Most facilities are choosing an all-RN staff, which decreases opportunities for advancement: While this may be a concern for some nurses, it is not as universally impactful as unsafe nurse/patient ratios. D: Agency and foreign nurses are favored by administration over full-time nursing staff: While favoritism may be an issue in some cases, it is not typically cited as one of the most common reasons for nurses leaving their employment.

Question 8 of 9

Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?

Correct Answer: B

Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.

Question 9 of 9

A nurse is submitting a grant application to improve access to health care and mortality for minority groups. The grant focuses on the six causes of death that are identified as priorities for minorities, which include:

Correct Answer: A

Rationale: The correct answer is A: chronic obstructive pulmonary disease. This is because COPD is a leading cause of death among minority groups due to factors like smoking, pollution exposure, and healthcare disparities. This aligns with the grant's goal of improving health outcomes for minorities. Malnutrition (B) is not a top cause of death for minorities. Cirrhosis of the liver (C) is more common in certain populations but not a top priority for this grant. Cancer (D) is a significant concern, but COPD is more prevalent among minority groups.

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