Contemporary Issues in Nursing

Contemporary Issues in Nursing Related

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A director of nursing (DON) asks the staff to list how their nursing unit can help the organization meet its goal to "provide quality patient care with attention to compassion and excellence." An ad hoc committee is formed to develop a timeline of identified actions. The DON coaches the committee to reach desired outcomes. This DON is demonstrating which other role of leadership and management?

  • A. Transactional
  • B. Clinical consultant
  • C. Corporate supporter
  • D. Autocratic
Correct Answer: B

Rationale: The correct answer is B: Clinical consultant. In this scenario, the DON is providing guidance and expertise to the ad hoc committee in developing strategies to meet the organization's goal of providing quality patient care. As a clinical consultant, the DON utilizes their clinical knowledge and experience to coach and support the committee in achieving desired outcomes related to patient care. The other choices are incorrect because:
A: Transactional leadership focuses on exchanging rewards for performance and does not align with the DON's role in providing clinical guidance.
C: Corporate supporter role involves advocating for organizational goals at a higher level and is not directly related to coaching a committee on clinical matters.
D: Autocratic leadership style is characterized by making decisions without input from others, which is not demonstrated in the scenario where the DON is coaching and guiding the committee.

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Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020?

  • A. Positions that historically required registered nurses will be filled by unlicensed personnel.
  • B. The job growth rate for RNs will surpass job growth in all other occupations.
  • C. The need for hospital nurses will dramatically decrease.
  • D. Hospitals will finally achieve the required RN workforce.
Correct Answer: B

Rationale: The correct answer is B because the U.S. Bureau of Labor Statistics predicts that the job growth rate for RNs will surpass job growth in all other occupations by 2020. This is supported by the increasing demand for healthcare services due to an aging population and advancements in medical technology. Choice A is incorrect as the need for registered nurses is expected to continue due to the complexity of patient care. Choice C is incorrect as the need for hospital nurses is projected to increase, not decrease. Choice D is incorrect as many hospitals still struggle to achieve the required RN workforce due to various factors like turnover and retention issues.

An RN with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a BSN. The nurse enrolls in a nursing program offering self-scheduling and a self-paced curriculum. This nurse is taking advantage of:

  • A. educational mobility.
  • B. a traditional nursing program.
  • C. training for advanced practice nursing.
  • D. credit by examination.
Correct Answer: A

Rationale: Rationale for Correct Answer (A - educational mobility):
1. Educational mobility refers to the ability to move between different levels of education in nursing.
2. The nurse with a diploma seeking a BSN is utilizing educational mobility by advancing to a higher level of education.
3. Choosing a program with self-scheduling and a self-paced curriculum allows for flexibility, facilitating educational mobility.

Summary of Incorrect Choices:
B: Traditional nursing programs typically have fixed schedules and structured curricula, not aligned with self-paced learning.
C: Training for advanced practice nursing involves pursuing education beyond a BSN to become an advanced practice nurse, not directly related to obtaining a BSN.
D: Credit by examination allows students to earn credits based on prior knowledge, but it does not specifically relate to pursuing a BSN for educational mobility.

A nurse hopes to improve time management skills using the ABC prioritization approach. Which tasks would be prioritized as "B"? (select all that apply)

  • A. Turn in time sheet due in 3 days.
  • B. Review dress code policy to give feedback before appointment in the morning.
  • C. Perform blood glucose test on a patient admitted with Kussmaul respirations and change in level of consciousness.
  • D. Complete patient teaching prior to discharge in 2 hours.
Correct Answer: B

Rationale: The correct answer is B because reviewing the dress code policy to give feedback before an appointment in the morning is time-sensitive and directly impacts the nurse's professional responsibilities. This task falls under the "B" category in the ABC prioritization approach, which prioritizes tasks that are important but not urgent. This task requires attention before the morning appointment to ensure professionalism and compliance.

Tasks A, C, and D are not prioritized as "B" because they are either more urgent or less important compared to reviewing the dress code policy before the morning appointment. Task A is important but not urgent as the time sheet is not due immediately. Task C is categorized as "A" as it involves a critical patient situation that requires immediate attention. Task D is categorized as "C" as it is important and time-sensitive, needing completion before discharge in 2 hours.

A nurse realizes that much time is wasted during shift report when coworkers discuss personal items such as recent movies or department store sales. Which statement would help with time management during this critical interaction?

  • A. "Let's talk only about one movie you recently watched."
  • B. "I like to know about department store sales, but we need to get through this report, so let's talk about sales as we walk between patient rooms."
  • C. "I know your shift has been busy. What went wrong?"
  • D. "I have the list of patients; let's start with revisions to the plan of care and scheduled activities for the next shift."
Correct Answer: D

Rationale: The correct answer is D because it directly addresses the issue of time management during shift report by focusing on the essential tasks that need to be discussed. By starting with revisions to the plan of care and scheduled activities for the next shift, the nurse ensures that the most critical information is covered efficiently. This approach helps prioritize the discussion and prevent unnecessary time spent on non-essential topics.

Option A is incorrect because limiting the discussion to just one movie does not address the overall time management issue during shift report. Option B is incorrect because discussing department store sales while walking between patient rooms may still lead to distractions and inefficiencies in the report.

Option C is incorrect as it focuses on what went wrong during the shift rather than addressing the need for efficient time management during the report. The correct answer, D, is the most effective choice as it directly tackles the issue of time wasted during shift report by emphasizing the essential tasks that need to be covered.

The statement, "Nursing is a caring profession that focuses on helping people be as healthy as possible," is an example of a:

  • A. concept.
  • B. construct.
  • C. philosophy.
  • D. model.
Correct Answer: C

Rationale: The correct answer is C: philosophy. This statement reflects the fundamental beliefs and values that guide the practice of nursing. It outlines the core principles of nursing, emphasizing caring and promoting health. A concept (A) refers to a general idea or notion. A construct (B) is an abstract idea or theory. A model (D) is a representation or framework used to explain a phenomenon. In this case, the statement is more aligned with a philosophy as it encapsulates the overarching principles and purpose of nursing practice.

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