What is the primary purpose of standards of nursing practice?

Correct Answer: B

Rationale: The primary purpose of standards of nursing practice (Correct Answer: B) is to ensure knowledgeable, safe, comprehensive nursing care. This answer is correct because standards guide nurses in delivering high-quality care based on evidence-based practices, ensuring patient safety and well-being. Standards encompass not just skills but also knowledge, critical thinking, ethics, and communication. Incorrect choices: A: While standards do help nurses perform skills safely, their primary purpose is broader and includes knowledge and comprehensive care. C: Establishing nursing as a profession and a discipline is important but not the primary purpose of standards, which focus on guiding clinical practice. D: While nurses may advocate for healthcare policy, the primary purpose of standards is to ensure quality care, not specifically to enable policy advocacy.

Correct Answer: B

Rationale: The correct answer, B, is the best illustration of the effect of self-concept on health and illness because it demonstrates a negative self-perception that can hinder motivation for positive change. The statement reflects a defeatist attitude and lack of belief in the possibility of improvement, which can lead to a cycle of poor self-care habits and negative health outcomes. A: This statement focuses on external factors as the reason for not prioritizing health, rather than internal self-perception. C: This statement compares oneself to others and reflects more on external appearance rather than personal self-concept. D: This statement suggests external validation from others as the reason for maintaining the current weight, rather than self-perception influencing health decisions.

Correct Answer: C

Rationale: The correct answer is C because providing information for a patient to participate in planning their care demonstrates altruism, as it involves selfless concern for the well-being of the patient. By empowering the patient to make informed decisions, the nurse shows a commitment to the patient's autonomy and dignity. Choices A, B, and D do not directly demonstrate altruism. A is about meeting a patient's language needs, B is about addressing pain management, and D is about confidentiality. While these actions are important, they do not specifically align with the professional value of altruism.

Correct Answer: D

Rationale: The legal source of rules for nurses is the Nurse Practice Acts. These acts are state laws that define the scope of nursing practice and set standards for licensure. They outline the legal duties and responsibilities of nurses. Choice A, agency policies, and protocols are internal rules and do not have the same legal authority. Choice B, the US Constitution, does not specifically regulate nursing practice. Choice C, the American Nurses Association, provides guidelines and standards but does not have the force of law like Nurse Practice Acts. Therefore, the correct answer is D because it is the primary legal source governing nursing practice.

Correct Answer: D

Rationale: The correct answer is D: facilitating coping. By referring the patient to a support group, the nurse is helping the patient cope with the emotional and psychological challenges of living with a new colostomy. This falls under the holistic care approach of nursing, addressing the patient's mental well-being. A: promoting health and B: preventing illness focus more on proactive measures to maintain health and prevent diseases, which are not directly related to the situation of the patient with a new colostomy. C: restoring health typically involves interventions to bring a patient back to their previous state of health, which may not apply to a patient with a permanent colostomy.