Which of the following is true regarding standards of care for nurses?
Standards of care are developed without any basis in evidence.
Standards of care vary from state to state and nurse to nurse.
Nurses are exempt from liability in legal cases.
The care the nurse provides to clients meets set expectations and is what any nurse in a similar situation would do.
The Correct Answer is D
Choice A reason: Standards of care are grounded in evidence-based practice, professional guidelines, and legal statutes. They are developed through research, expert consensus, and regulatory oversight. This ensures consistency, safety, and accountability in nursing practice.
Choice B reason: While scope of practice may vary slightly by jurisdiction, standards of care are generally consistent across the profession. They are based on national guidelines and professional expectations, not individual or regional preferences.
Choice C reason: Nurses are not exempt from liability. They are held accountable for their actions and decisions. Failure to meet standards of care can result in legal consequences, including malpractice claims or disciplinary action.
Choice D reason: Standards of care define the expected level of performance for nurses in specific situations. They reflect what a reasonably prudent nurse would do under similar circumstances. Adhering to these standards ensures safe, ethical, and competent care.
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Correct Answer is B
Explanation
Choice A reason: Downsizing in retirement reflects planning and adaptation to life changes. It demonstrates foresight and acceptance of aging, which are consistent with healthy development.
Choice B reason: Believing that adult children need her as much as when they were small may indicate difficulty with letting go or boundary-setting. It suggests enmeshment and a lack of role transition, which can hinder the development of generativity and self-fulfillment in middle adulthood.
Choice C reason: Caring for aging parents is a common and expected role in middle adulthood. It reflects generativity and responsibility, not developmental concern.
Choice D reason: Enjoying social visits is a sign of emotional well-being and social engagement. It supports positive aging and does not raise concern.
Correct Answer is D
Explanation
Choice A reason: A roundabout but ultimately correct answer is more characteristic of circumstantial thinking, where the client includes excessive detail but eventually returns to the point. This is not tangential thinking.
Choice B reason: Lack of verbal response may indicate mutism or severe withdrawal, but it does not reflect tangential thought. Tangential thinking involves verbal output that deviates from the topic.
Choice C reason: A clear and correct answer reflects logical and goal-directed thinking. This is the opposite of tangential thinking, which lacks focus and coherence.
Choice D reason: Tangential thinking is defined by the client’s tendency to veer off-topic and fail to return to the original question. The response may be loosely related but never directly addresses the inquiry. This is commonly seen in thought disorders such as schizophrenia.
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