When focusing on addressing issues identified by the 2000 Institute of Medicine report, the nursing faculty will access information associated with which initiative?

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Ethics and Issues in Contemporary Nursing PDF Questions

Question 1 of 9

When focusing on addressing issues identified by the 2000 Institute of Medicine report, the nursing faculty will access information associated with which initiative?

Correct Answer: A

Rationale: The correct answer is A: Quality and Safety in Nursing Education. This initiative aligns with the Institute of Medicine report's focus on improving quality and safety in nursing education. The QSEN initiative provides resources and guidelines for nursing faculty to integrate quality and safety competencies into their curriculum. Choice B (COPA) is focused on competency outcomes and performance, which is not directly related to addressing the issues identified by the Institute of Medicine report. Choice C (NONPF) is specific to nurse practitioner faculties and may not cover the broader scope of issues highlighted in the report. Choice D (ACE) focuses on evidence-based practice in academic settings but does not specifically address the quality and safety concerns identified in the report.

Question 2 of 9

A group of new graduate nurses is asked to speak to a group of politicians to describe the current state of professional nursing and how best to alleviate the nursing shortage. Which statements accurately portray professional nursing today and tomorrow? (select all that apply)

Correct Answer: A

Rationale: The correct answer is A because the current trend in nursing education shows an increasing number of registered nurses (RNs) attaining a bachelor's degree compared to an associate degree or diploma. This shift is supported by research indicating that BSN-prepared nurses have better patient outcomes. Choice B is incorrect because while there is indeed a trend towards more outpatient and home health care, it does not necessarily mean that more RNs practice in these settings than in acute care. Choice C is incorrect as nurse practitioner is the most popular advanced practice specialty, not nurse anesthesia. Choice D is incorrect as it makes a broad and unsubstantiated statement based on ethnicity, which does not accurately represent the trends in nursing education and graduate studies.

Question 3 of 9

A person who is recovering from a stroke is becoming more forgetful and is unable to recall people's names. A friend suggests the use of a natural ingredient, ginkgo bilobThe nurse is concerned about the most serious risk associated with this herb, which is:

Correct Answer: A

Rationale: The correct answer is A: thromboembolism due to increased clotting. Ginkgo biloba is known to have a blood-thinning effect, which can increase the risk of thromboembolism, especially for individuals recovering from a stroke. This can lead to potentially life-threatening complications such as blood clots. Choice B: Seizures due to interaction with anticonvulsants is incorrect because ginkgo biloba is not known to significantly interact with anticonvulsants to cause seizures. Choice C: Hypertension due to sodium retention is incorrect because ginkgo biloba is not known to cause sodium retention or lead to hypertension. Choice D: Photosensitivity due to increased melanin production is incorrect because ginkgo biloba is not associated with increased melanin production or photosensitivity reactions.

Question 4 of 9

A nurse is interested in learning more about health policy and how it might impact nursing practice. She is especially interested in The Patient Protection and Affordable Care Act (PPACA) and how it will travel through the three branches of the federal government. She researches the roles of the legislative branch of the federal government and learns that this branch: (select all that apply)

Correct Answer: A

Rationale: The correct answer is A because the legislative branch determines which laws are constitutional by passing or rejecting proposed legislation. In the case of the PPACA, the legislative branch, specifically the Congress, passed the law. The Supreme Court's role is to interpret the constitutionality of laws (not determine which laws are constitutional), as seen in the case where the PPACA was upheld as a form of taxation. Choices B, C, and D are incorrect: B is incorrect because while the legislative branch appropriates funds, the actual allocation of federal dollars is determined through the budget process, not solely by the legislative branch. C is incorrect because the executive branch, not the legislative branch, consists of the President and executive departments that implement laws like the PPACA. D is incorrect because the legislative branch can override a presidential veto with a two-thirds majority vote, not vice versa. The President does not have the power to veto laws found constitutional by the Supreme Court.

Question 5 of 9

A nurse executive is concerned that the mortality rate in his or her hospital exceeds the national average and searches the literature finding Aiken's 2011 Survey on the effects of nurse staffing and education on mortality, including work environment. If Aiken's recommendations are followed, which change would be most effective?

Correct Answer: A

Rationale: The correct answer is A: Increasing staffing ratios to include more nurses of all levels of educational preparation on all shifts. Aiken's survey emphasized the importance of adequate nurse staffing in improving patient outcomes and reducing mortality rates. By increasing staffing ratios with nurses of all educational levels, the hospital can ensure better patient care, effective coordination, and timely interventions. This approach addresses the key factors highlighted in Aiken's survey - nurse staffing and education. Choices B, C, and D are incorrect because they do not directly address the issue of nurse staffing, which was the primary focus of Aiken's survey. Employing bachelor's prepared nurses participating in interprofessional rounds (B) may improve communication but does not solely address the staffing concerns. Ensuring nurse managers have a master's degree (C) may improve leadership but does not directly impact frontline staffing. Encouraging unlicensed assistive personnel to attend educational programs (D) may enhance skills but does not address the need for more nurses in the staffing ratios

Question 6 of 9

A primary function of the budgeting process is to provide managers with an opportunity to:

Correct Answer: B

Rationale: The correct answer is B because the primary function of the budgeting process is to discuss concerns about resource allocation with leaders capable of resolving issues. This allows managers to make informed decisions on how to allocate resources effectively. Choice A is incorrect as the budgeting process is not primarily about insisting on specific salary increases. Choice C is incorrect as it focuses on changing budgeting methods rather than the purpose of budgeting itself. Choice D is incorrect as developing an educational program is not the primary purpose of the budgeting process.

Question 7 of 9

A nurse interested in an entry level position as a registered nurse prepares the cover letter. A correctly written cover letter might include:

Correct Answer: A

Rationale: Rationale for Correct Answer A: The correct answer is A because it emphasizes alignment with the organization's values, specifically community outreach. This shows the nurse has researched the organization and tailored their cover letter accordingly, demonstrating genuine interest in the position. It also indicates a willingness to contribute to the organization's mission, which is appealing to employers. Summary of Incorrect Choices: B: This choice focuses too much on unrelated degrees and certifications, which may not be relevant to the nursing position. It does not address the specific needs of the organization. C: While work-life balance is important, this choice does not demonstrate a clear connection to the organization or the nursing position. D: This choice includes personal information that is not relevant to the job application and does not highlight any qualifications or interest in the organization.

Question 8 of 9

An experienced nurse working in oncology is shocked to realize that he feels little empathy when a patient explains, "I developed cancer from having to work in the dry cleaning industry since I was only 8 years old to help support my younger siblings during the depression. Now they have all moved away and refuse to help me financially, and it takes everything I have to pay for my chemotherapy medicine." The nurse is experiencing:

Correct Answer: B

Rationale: The correct answer is B: compassion fatigue. Compassion fatigue refers to the emotional and physical exhaustion that healthcare providers may experience from caring for patients in distressing situations over a prolonged period. In this scenario, the nurse's lack of empathy despite the patient's heart-wrenching story indicates emotional exhaustion and desensitization, which are common symptoms of compassion fatigue. This nurse has likely become overwhelmed by the emotional toll of consistently supporting patients facing difficult circumstances, leading to a diminished capacity for empathy. Incorrect choices: A: Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. While the nurse may be experiencing emotional exhaustion, the specific lack of empathy in response to the patient's situation aligns more closely with compassion fatigue. C: Reality shock typically refers to the discrepancy between the expectations of a new role and the actual experiences encountered. This term does not accurately describe the nurse's emotional response to the patient's situation. D: Horizontal hostility refers to negative

Question 9 of 9

A group of local volunteers respond to a tornado. Volunteers have completed an emergency response course and are able to assist with triage of injured citizens. They also participate in local health fairs to teach residents how to react during tornadoes. The responders are members of the:

Correct Answer: A

Rationale: The correct answer is A: Medical Reserve Corps (MRC). Step 1: The MRC is a community-based program of volunteers who are trained to respond to public health emergencies. Step 2: The volunteers in the scenario have completed an emergency response course and are assisting with triage and educating the public, aligning with the MRC's mission. Step 3: The MMRS focuses on responding to mass casualty incidents, not necessarily public health emergencies like tornadoes. NDMS is a federally coordinated system for medical response in disasters, not typically focused on community-based responses. CCRF is a reserve force within the U.S. Public Health Service, not specifically focused on community emergency response.

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