In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:       Exemplify professionalism in diverse health care settings.

1.3:       Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

3.4:       Demonstrate professional standards of practice.

answer as short as possible. 

there are 15 questions

L.W., a 20-year-old college student, comes to the university health clinic for a pregnancy test. She has been sexually active with her boyfriend of 6 months, and her menstrual period is now “a few” weeks late. The pregnancy test result is positive. The patient begins to cry, saying, “I don’t know what to do.” 

1. How will you begin to counsel L.W.?

2. What information do you need to obtain from L.W. and why? 

3. What options does a woman experiencing a pregnancy have? 

4. If your role is to assist her in making a choice, what information will you want L.W. to provide? 

5. What are the nurse’s moral and ethical obligations in this situation? 

6. L.W. asks you to tell her about abortion. What will you tell her? 

7. You tell L.W. there are two types of abortions, vacuum aspiration and medical abortion. How would you explain the difference to her? 

8. What are the contraindications to using mifepristone (Mifeprex) for a medical abortion? 

9. She tells you that she has heard that if a woman has an abortion, she might not be able to get pregnant again. How would you counsel her? 

10. L.W. asks you, “Do you think abortion is killing?” What is your best response?

a. “Good question. What do you think about it?” 

b. “A lot of people think this is what an abortion is.” 

c. “Absolutely not. What happens with pregnancy is a woman’s choice.” 

d. “I am not able to answer that question. Are you uncertain about abortion as an option?” 

11. What types of emotional reactions do women experience after an abortion? 

12. L.W. wants to know about adoption. What will you tell her? 

13. You ask L.W. if her boyfriend is aware of the possibility, she was pregnant. She tells you that she did not tell him about her period being late or her visit to the clinic today. She asks you if she should tell him because she is afraid, he will “freak out.” How should you respond? 

14. L.W. says she is uncertain as to what to do and wants to know how long she has to decide. How will you respond? 

15. L.W. declines an examination and says she needs to “think about all this.” She does make an appointment to return in 1 week. What teaching do you need to provide L.W. about how to care for herself in the meantime? How will you respond?