A new nurse states to a nursing colleague, "But why do I have to be involved in politics? I just want to be the very best clinical nurse I can." Which of the following would be the best response from the nursing colleague?
"When you’ve completed your clinical orientation, then you’ll have time to be involved in politics"
"You’re absolutely right; if you are good clinically, you have fulfilled your obligation"
"As long as you pay your membership fee to the American Nurses Association, you have participated in the profession’s political endeavors"
"Political action is the way you try to fulfill your ethical responsibilities to clients"
The Correct Answer is D
Choice A reason: Delaying political involvement until after orientation sidesteps its ongoing relevance. Nurses influence health policy, like staffing laws, impacting client care quality. This dismisses how advocacy shapes ethical practice, limiting systemic improvements beyond individual clinical skills alone comprehensively over time.
Choice B reason: Claiming clinical excellence fulfills all obligations ignores broader ethical duties. Politics shapes healthcare access, like funding for underserved areas. Focusing solely on bedside care neglects advocacy’s role in addressing systemic inequities affecting client outcomes long-term fundamentally across populations.
Choice C reason: Reducing political action to ANA fees minimizes its scope. True involvement, like lobbying for safety laws, directly impacts clients. Passive membership doesn’t address ethical needs for active policy influence on care quality and access beyond mere financial support alone.
Choice D reason: Political action fulfills ethical duties by advocating for clients’ rights, like better resources or laws. It extends care beyond the bedside, addressing systemic issues—e.g., opioid crisis policies—ensuring justice and beneficence in healthcare delivery comprehensively for all affected populations effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Rocky Mountain spotted fever, caused by Rickettsia rickettsii, spreads via tick bites, a classic vector-borne mechanism. Ticks transfer the bacteria during feeding, triggering fever and rash, demonstrating how vectors biologically transmit pathogens between hosts, distinguishing it epidemiologically clearly.
Choice B reason: Anthrax, from Bacillus anthracis, isn’t vector-borne but spreads via spores through direct contact, inhalation, or ingestion, like contaminated soil. No biological vector like ticks is involved; it’s an environmental exposure disease, not reliant on intermediary transmission biologically or consistently.
Choice C reason: Hepatitis B transmits through blood or bodily fluids, not vectors. It’s a viral infection from human-to-human contact, like needle sharing, lacking a biological intermediary like mosquitoes, distinguishing it from vector-borne diseases reliant on external carriers entirely for spread.
Choice D reason: E. coli O157:H7 spreads via contaminated food or water, not vectors. It’s a bacterial pathogen causing gastrointestinal illness, transmitted directly through ingestion, not biologically via insects or animals, separating it from vector-dependent disease transmission mechanisms completely and distinctly.
Correct Answer is D
Explanation
Choice A reason: Blood transfusions spread HIV; this is correct. Sitting doesn’t. This fits epidemiology standards. It’s universally distinct, no teaching needed.
Choice B reason: Needle sharing transmits HIV; this is accurate. Sitting is wrong. This aligns with nursing knowledge. It’s universally distinct, correct.
Choice C reason: Unprotected sex spreads HIV; this is true. Sitting isn’t transmission. This fits public health facts. It’s universally distinct, accurate.
Choice D reason: Sitting near someone doesn’t spread HIV; this needs teaching. This errors per epidemiology standards. It’s universally distinct, a misconception.
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