Contemporary Issues in Nursing

Contemporary Issues in Nursing Related

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A nurse who is participating in a health fair asks, "Other than nursing, what are some opportunities for careers in the health care professions, and what education is required?" The nurse informs participants that a baccalaureate degree is required as the minimum standard for the role of:

  • A. speech therapist.
  • B. occupational therapist.
  • C. nurse-midwife.
  • D. nurse anesthetist.
Correct Answer: D

Rationale: The correct answer is D: nurse anesthetist. Nurse anesthetists require a minimum of a baccalaureate degree in nursing as a prerequisite for their advanced practice role. They then need to complete a master's or doctoral program in nurse anesthesia. This advanced education and training enable nurse anesthetists to provide anesthesia care in various healthcare settings.

Incorrect answers:
A: Speech therapists require a master's degree in speech-language pathology.
B: Occupational therapists require a master's degree in occupational therapy.
C: Nurse-midwives require a master's degree in nurse-midwifery or a related field.

In summary, the minimum education requirement of a baccalaureate degree aligns with the role of a nurse anesthetist, making choice D the correct answer.

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Consumers are concerned with security issues related to their confidential health information being placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is:

  • A. more secure.
  • B. less secure.
  • C. equivalent.
  • D. not comparable with the paper-and-pencil record.
Correct Answer: A

Rationale: The correct answer is A: more secure. Electronic Health Records (EHR) typically have built-in security features such as encryption, access controls, and audit trails, making it more secure than paper-and-pencil records. EHRs offer better protection against unauthorized access, tampering, and loss compared to traditional paper records. This is due to the ability to restrict access to specific users, track changes made to the records, and implement authentication measures. Therefore, the security of EHRs surpasses that of paper-and-pencil records. Choices B, C, and D are incorrect because they do not acknowledge the enhanced security measures and advantages that EHRs provide over traditional paper records.

The nurse who admits making a medication error and immediately files an incident report is demonstrating:

  • A. accountability.
  • B. individuality.
  • C. an injustice.
  • D. values clarification.
Correct Answer: A

Rationale: The correct answer is A: accountability. By admitting the error and filing an incident report, the nurse is taking responsibility for their actions, being transparent, and willing to face the consequences. This demonstrates professionalism and integrity. Choice B is incorrect because it does not address the nurse's responsibility. Choice C is incorrect as it does not relate to the nurse's actions. Choice D is incorrect as values clarification is not demonstrated by admitting an error and reporting it.

What is the best way for the individual nurse to maintain the most effective professional image?

  • A. Change out of their work attire before running errands.
  • B. Renew membership in a nursing organization.
  • C. Earning an advanced nursing degree.
  • D. Developing effective nurse-physician relationships.
Correct Answer: A

Rationale: The correct answer is A: Change out of their work attire before running errands. This is because maintaining a professional image involves setting clear boundaries between work and personal life. By changing out of work attire before running errands, the nurse avoids potential misconceptions or misunderstandings from the public.

Choice B (Renew membership in a nursing organization) is not directly related to maintaining a professional image, although it is important for professional development. Choice C (Earning an advanced nursing degree) may enhance professional qualifications but does not directly impact the nurse's image. Choice D (Developing effective nurse-physician relationships) is important for teamwork but does not specifically address individual professional image.

A nurse in an acute care facility helps patients understand how to prevent diabetic neuropathies. This nurse is functioning in the role of:

  • A. change agent.
  • B. educator.
  • C. manager.
  • D. coordinator.
Correct Answer: B

Rationale: The correct answer is B: educator. The nurse is providing information and teaching patients about preventing diabetic neuropathies, which aligns with the role of an educator. Educators focus on imparting knowledge and empowering individuals to make informed decisions about their health. The other choices are incorrect because:
A: Change agents initiate and lead changes within an organization, not directly related to patient education.
C: Managers oversee daily operations and resources within a healthcare setting, not specifically focused on patient education.
D: Coordinators facilitate communication and collaboration among healthcare team members, but not primarily responsible for patient education.

To determine basic competency, the interview for a nursing position may include a test in:

  • A. pathophysiology.
  • B. correctly writing nursing diagnoses.
  • C. pharmacology.
  • D. computer skills.
Correct Answer: A

Rationale: The correct answer is A: pathophysiology. This is because understanding pathophysiology is fundamental for a nurse to comprehend how diseases affect the body. It helps nurses provide appropriate care and make critical decisions. Incorrect choices: B focuses on documentation, C on medication knowledge, and D on technical skills, which are important but not as essential as understanding the physiological mechanisms of diseases.

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