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A group of workers wish to seek union representation that would protect all workers in the agency, including unlicensed assistive personnel and non-nursing employees such as a nutritionist and dietary workers. The type of union being sought is the strongest collective group and is known by what term?
- A. A right-to-work bargaining organization
- B. An occupational union
- C. Industrial unionism
- D. Union shop
Correct Answer: C
Rationale: The correct answer is C: Industrial unionism. Industrial unionism represents all workers in a particular industry, regardless of their job roles. In this scenario, the workers seeking union representation include various non-nursing employees, making industrial unionism the most suitable option to protect all workers in the agency.
A: A right-to-work bargaining organization focuses on individual rights and does not necessarily represent all workers collectively.
B: An occupational union typically represents workers in a specific occupation or trade, not all workers in an industry.
D: A union shop requires all workers to join the union after a probationary period, which may not apply to all workers in this scenario.
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Nurses on a unit provide personal hygiene, administer medications, educate patients, and provide emotional support. The nurses are providing patient care based on which nursing delivery system?
- A. total patient care
- B. team nursing
- C. functional nursing
- D. partnership nursing
Correct Answer: A
Rationale: The correct answer is A: total patient care. In this nursing delivery system, nurses are responsible for providing comprehensive care to assigned patients, including personal hygiene, medication administration, education, and emotional support. They have full autonomy and accountability for the patient's care throughout their stay. This system ensures continuity, individualized care, and a strong nurse-patient relationship.
Summary of other choices:
B: Team nursing involves a team of healthcare professionals working collaboratively to provide care. It does not assign individual nurses to specific patients for comprehensive care.
C: Functional nursing divides tasks among different nursing staff based on their expertise. It focuses on efficiency but lacks continuity and individualized care for each patient.
D: Partnership nursing involves collaboration between nurses and patients in decision-making and care planning. It emphasizes shared responsibility but does not assign individual nurses to provide total care to specific patients.
Which statement about the U.S. healthcare system made by the nurse is untrue and inaccurate?
- A. There is no central agency governing the healthcare system.
- B. Access to healthcare is available to all persons regardless of ability to pay.
- C. Legal risk must be considered when providing healthcare.
- D. High-tech equipment is available but payment for its use is troublesome to the system.
Correct Answer: B
Rationale: The correct answer is B. Access to healthcare in the U.S. is not universally available regardless of ability to pay. This is inaccurate as many individuals face financial barriers to healthcare due to lack of insurance or high costs. Choice A is true as there is no central agency governing the U.S. healthcare system. Choice C is also true as legal risk is an important consideration in healthcare delivery. Choice D is true as high-tech equipment availability and payment issues are challenges in the healthcare system.
What is customer satisfaction primarily based on?
- A. Personal interactions with employees
- B. Access to modern, up-to-date facilities
- C. Availability of a wide menu selection
- D. Having to undergo fewer invasive procedures
Correct Answer: A
Rationale: Customer satisfaction is primarily based on personal interactions with employees because positive interactions create a sense of trust, empathy, and understanding. Customers value feeling valued and appreciated by staff, which directly impacts their overall experience. In contrast, access to modern facilities and wide menu selection may enhance satisfaction, but they are secondary factors. Having to undergo fewer invasive procedures is irrelevant in the context of customer satisfaction in most industries.
How can the nurse best advocate for a patient who will be discharged from acute care to home?
- A. Arranging for Meals on Wheels to provide in-home meals
- B. Administering pain medication prior to discharge
- C. Teaching the patient how to take medications at home
- D. Taking the patient by wheelchair to the car
Correct Answer: A
Rationale: Arranging for in-home support services like Meals on Wheels is crucial for ensuring the patient receives proper nutrition and support after discharge. This goes beyond simply administering medications or providing transportation. By arranging for in-home meals, the nurse addresses the patient's nutritional needs, promotes their overall well-being, and supports their ongoing care requirements. Administering pain medication or teaching medication management, while important, do not directly address the patient's need for nutritional support. Taking the patient by wheelchair to the car is focused on physical transportation and does not encompass the holistic care approach needed for a successful transition to home care.
Which action demonstrates a coparticipative manner in the nursing model of care?
- A. Working with the patient and family to achieve the best outcome.
- B. Encouraging the shy student to participate in class discussions, demonstrating transpersonal caring.
- C. Finding a way for a patient to see a dog, understanding the patient's needs.
- D. Accepting individuals for who they are, maintaining a nonjudgmental attitude.
Correct Answer: A
Rationale: The correct answer is A because it involves collaboration and shared decision-making between the nurse, patient, and family to achieve the best outcome. This aligns with the coparticipative approach in nursing care, where all parties work together towards a common goal. Choice B focuses on individual encouragement, not coparticipation. Choice C highlights empathy but lacks the collaboration aspect. Choice D emphasizes acceptance but doesn't explicitly involve active participation and collaboration as in choice A. Thus, choice A best exemplifies coparticipative nursing care.