What distinguishes BSN-prepared nurses from ADN-prepared nurses?

Correct Answer: A

Rationale: The correct answer is A) broader education including leadership, research, and public health. BSN-prepared nurses receive a more comprehensive education that encompasses leadership skills, research methodologies, and an understanding of public health issues, equipping them to deliver a higher level of patient care and take on more complex roles in healthcare settings. Option B) shorter duration of education is incorrect because BSN programs typically require a longer duration of study compared to ADN programs, but the added education results in a more well-rounded and prepared nurse. Option C) limited involvement in patient care is incorrect as BSN-prepared nurses are trained to be highly involved in patient care, with a focus on evidence-based practice and critical thinking skills to deliver quality care. Option D) increased focus on practical nursing skills is incorrect because while practical skills are important, BSN programs focus on a wider range of skills beyond just practical nursing, including critical thinking, communication, and leadership skills. In an educational context, understanding the differences between BSN and ADN-prepared nurses is crucial for nursing students to make informed decisions about their educational paths and career goals. It also highlights the importance of continuous learning and professional development in nursing practice.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Prevent stress ulcer. H2 receptor antagonist therapy works by decreasing stomach acid production, which helps in preventing stress ulcers in patients with severe burns. This is crucial because burn patients are at a higher risk of developing stress ulcers due to factors such as decreased mucosal blood flow and increased gastric acid secretion. Option A) Enhance gas exchange is incorrect because H2 receptor antagonists do not directly impact gas exchange in the lungs. This option is unrelated to the mechanism of action of these medications. Option C) Facilitate protein synthesis is incorrect as H2 receptor antagonists do not play a role in protein synthesis. These medications primarily target the stomach acid production and do not have a direct effect on protein synthesis. Option D) Block prostaglandin synthesis is incorrect because H2 receptor antagonists do not block prostaglandin synthesis. Prostaglandins are lipid compounds that play a role in inflammation and gastric mucosal protection, but they are not the target of H2 receptor antagonists. In an educational context, it is important for nursing students to understand the rationale behind using H2 receptor antagonists in burn patients to prevent stress ulcers. By grasping the pharmacological basis of this therapy, students can provide effective care and anticipate potential complications in burn patients receiving such treatment. This knowledge enhances their critical thinking skills and ability to make informed clinical decisions in similar patient care scenarios.

Correct Answer: C

Rationale: In nursing, the clinical manifestation of a female client with a fecal impaction frequently exhibiting liquid or semi-liquid stools is due to the blockage of the rectum by hardened feces. The correct answer is C because the impaction prevents formed stool from passing, leading to leakage of liquid stool around the obstruction. Option A is incorrect because increased appetite is not typically associated with fecal impaction. Option B is incorrect as hard, brown, formed stools are observed in constipation, not fecal impaction. Option D is incorrect as the loss of urge to defecate is more commonly seen in severe cases of constipation rather than fecal impaction. Educationally, understanding these clinical manifestations is crucial for nurses to provide appropriate care for clients with fecal impaction. Recognizing the signs and symptoms helps in prompt identification and intervention to prevent complications such as bowel perforation or infection. Nurses should be adept at assessing and managing bowel elimination issues to maintain optimal client health and comfort.

Correct Answer: A

Rationale: In the context of nursing, the correct answer to the question is A) Nursing care plans. Nursing care plans are essential documents that guide the provision of individualized care to patients. These plans are developed based on comprehensive nursing assessments, accurate diagnoses, specific goals, detailed care plans, interventions, and evaluation processes. A) Nursing care plans are the correct choice because they provide a systematic approach to delivering care that is evidence-based and tailored to meet the unique needs of each patient. These plans ensure continuity of care, promote effective communication among healthcare team members, and enhance patient outcomes by addressing specific health issues in a structured manner. B) Nursing notes are documentation entries that capture ongoing observations, assessments, and interventions performed by nurses. While important for tracking daily care activities, they do not encompass the comprehensive nature of a nursing care plan. C) Narrative planning typically involves a descriptive narrative of patient care without the structured format and specific elements found in a nursing care plan. It lacks the specificity and detail required for effective care management. D) Kardex is a concise summary of patient information, often used for quick reference, but it does not encompass the comprehensive scope of a nursing care plan, including detailed assessments, goals, and interventions. Educationally, understanding the significance of nursing care plans is crucial for nursing students as they learn to provide holistic, patient-centered care. Developing proficiency in creating and utilizing nursing care plans is essential for safe and effective nursing practice, promoting critical thinking, clinical reasoning, and evidence-based care delivery. Mastering this skill enhances a student's ability to prioritize care, individualize interventions, and collaborate effectively within the healthcare team.

Correct Answer: B

Rationale: The correct answer is B) Interpersonal. The nursing process involves a systematic method of delivering patient care that is centered around the individual's unique needs and goals. By demonstrating an interpersonal characteristic, the nurse is showing empathy, communication skills, and a holistic approach to patient care. This approach focuses on building relationships with patients, understanding their perspectives, and involving them in their care decisions. Option A) Systematic is not the best choice because while the nursing process is systematic, this question specifically highlights the importance of the nurse-patient relationship. Option C) Dynamic is not the best choice because although the nursing process is dynamic and adaptable, this question emphasizes the importance of the nurse's interpersonal skills in patient-centered care. Option D) Universally applicable in nursing situations is not the best choice because while the nursing process is a fundamental framework in nursing practice, this question highlights the humanistic aspect of nursing care that goes beyond a one-size-fits-all approach. Educationally, understanding the interpersonal nature of the nursing process is crucial for nursing students to develop empathy, communication skills, and a patient-centered approach to care. It emphasizes the importance of building therapeutic relationships with patients to provide holistic and individualized care.