Where do many people get medical insurance from?
- A. The primary care physician
- B. The local clinic
- C. Social security office
- D. The employer
Correct Answer: D
Rationale: Many people obtain medical insurance through their employer. This is a common practice where employers offer health insurance benefits to their employees as part of their employment package. Choice A, primary care physician, is incorrect as they provide medical care, not insurance. Choice B, the local clinic, is incorrect as clinics offer medical services, not insurance. Choice C, social security office, is incorrect as it is not a typical source for obtaining medical insurance.
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Which action directly resulted from the contribution made by Linda Richards?
- A. Using an antiseptic before administering an injection
- B. Exploring the psychosocial needs of the patient
- C. Documenting patient care in the medical record
- D. Listening to a patient describe his or her symptoms
Correct Answer: C
Rationale: The correct answer is C because Linda Richards was the first professionally trained nurse in the United States and she established the practice of documenting patient care in medical records. This action is directly linked to her contribution as it improved the organization and continuity of patient care. Exploring psychosocial needs (B) and listening to patient symptoms (D) are important nursing practices, but they were not specifically attributed to Linda Richards. Using antiseptic before injections (A) is important for infection control, but it was not directly related to Linda Richards' contribution.
Who is credited with creating a written record of health care practices and dispelling the mythical aspect of health care?
- A. Hammurabi
- B. Florence Nightingale
- C. Hippocrates
- D. Apollo
Correct Answer: C
Rationale: The correct answer is C: Hippocrates. Hippocrates is credited with creating a written record of health care practices and is known as the "Father of Medicine." He emphasized observational and logical approaches to medicine, moving away from superstition and myth. Hammurabi is known for his code of laws, not health care practices. Florence Nightingale is known for her contributions to nursing. Apollo is a Greek god associated with healing, but he is not a historical figure credited with creating a written record of health care practices.
When teaching about community preparedness for a community group, the nurse should explain that the components of the national disaster medical system (NDMS) provide assistance in what form?
- A. making available a nationwide bomb disposal squad team for the rapid removal of explosive devices
- B. Facilitating patient evacuation from the disaster area to a non-affected area
- C. organizing ground for detonation of bombs by bomb squad
- D. providing mental health care for victims and healthcare providers in the community
Correct Answer: B
Rationale: The correct answers are B and C. The NDMS is designed to provide medical response during disasters, assist in patient movement, and offer definitive care to disaster victims. This includes organizing teams of healthcare providers with specialized skills and equipment to respond effectively to emergencies. Patient evacuation from disaster areas to safer locations is also a key function of the NDMS to ensure the well-being of those affected by the disaster. Options A and D are incorrect because the NDMS does not provide bomb disposal services and is primarily focused on medical response rather than mental health care.
During preoperative teaching for a client scheduled for a total knee arthroplasty who speaks a different language than the nurse, which interprofessional team member should the nurse include in the discussion?
- A. Interpreter
- B. Social worker
- C. Occupational therapist
- D. Spiritual advisor
Correct Answer: A
Rationale: The correct answer is A: Interpreter. The nurse should include an interpreter in the discussion to ensure effective communication with the client. Clear communication is crucial for informed consent and understanding preoperative instructions. Social worker (B) may provide emotional support, not language translation. Occupational therapist (C) focuses on rehabilitation post-surgery. Spiritual advisor (D) addresses religious or spiritual needs, not language translation.
Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient's choice without condemning or frightening them.
- A. Finding a way for the patient to see the dog, even if they can only look out a window, shows caring by understanding this patient's needs.
- B. The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential.
- C. This statement includes the patient in planning care, demonstrating care for the patient's needs and preferences.
- D. Curative nursing care is high-tech, or nursing care that is based on the medical model of care, which often is based on the use of technology.
Correct Answer: C
Rationale: The correct answer is C because it aligns with the definition of caring provided in the question stem. By including the patient in planning care, the nurse demonstrates a genuine concern for the patient's needs and preferences, which is a key aspect of caring. This approach acknowledges the patient as a unique individual and respects their autonomy.
Choice A is incorrect because while finding a way for the patient to see the dog may be a kind gesture, it does not directly relate to the core concept of caring as described in the question.
Choice B is incorrect as it mentions the importance of a nonjudgmental attitude, which is indeed a part of transpersonal caring but does not directly address the specific aspect of including the patient in planning care.
Choice D is incorrect as it introduces a different concept of curative nursing care, which is not relevant to the definition of caring provided in the question.