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A healthcare professional is reviewing the plan of care for a client following a total hip arthroplasty. Which of the following procedural plans is the healthcare professional following?
- A. patient classification categories
- B. diagnostic related groups
- C. Care map / clinical practice guideline
- D. functional nursing
Correct Answer: C
Rationale: The correct answer is C: Care map / clinical practice guideline. In this scenario, the healthcare professional is using a Care Map or clinical practice guideline to review the plan of care for the client post total hip arthroplasty. Care maps provide a structured, step-by-step approach to care delivery based on evidence-based practices, ensuring consistency and quality of care.
Choice A, patient classification categories, does not involve a specific plan of care but rather categorizes patients based on acuity levels. Choice B, diagnostic related groups, is a payment classification system that groups patients with similar diagnoses and treatments for reimbursement purposes, not for developing care plans. Choice D, functional nursing, is a care delivery system where tasks are divided among staff based on their function, which is not the same as following a procedural plan like a care map.
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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.
In a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel implement specific tasks like medication administration or personal hygiene for the entire nursing unit, what term describes this type of delivery system?
- A. Primary nursing
- B. Team nursing
- C. Functional nursing
- D. Total patient care
Correct Answer: C
Rationale: The correct answer is C: Functional nursing. In functional nursing, tasks are divided among different levels of nursing staff based on their specific functions, such as medication administration or personal hygiene, for the entire unit. This system focuses on efficiency and specialization of tasks, allowing each staff member to focus on their assigned duties.
A: Primary nursing is a system where one nurse is responsible for coordinating the care of a group of patients.
B: Team nursing involves a team of healthcare professionals working together to provide care to a group of patients.
D: Total patient care, also known as case method nursing, involves one nurse providing all aspects of care for a patient.
Functional nursing best describes the scenario where tasks are divided among different staff members based on their roles and functions.
Which professional organization was the first to focus on licensed practical nurses (LPNs)?
- A. National Association for Practical Nurse Education and Services (NAPNES)
- B. National Federation of Licensed Practical Nurses (NFLPN)
- C. National League for Nursing (NLN)
- D. American Nurses Association (ANA)
Correct Answer: A
Rationale: The correct answer is A: National Association for Practical Nurse Education and Services (NAPNES). NAPNES was the first organization to focus specifically on licensed practical nurses (LPNs) when it was established in 1941. This organization was founded with the primary goal of promoting and supporting practical nursing education and services. The other choices are incorrect because: B (NFLPN) primarily focuses on advocating for LPNs but was not the first organization; C (NLN) focuses on nursing education in general, not specifically on LPNs; and D (ANA) is a broader organization representing all nurses, not solely LPNs. Therefore, based on the historical context and focus of the organization, A is the correct answer.
What term is used to identify the care delivery model being used when a nurse makes patient care assignments as follows: RN1 has rooms 202-210, RN2 has rooms 211-221, RN3 has rooms 222-232. The unlicensed assistive personnel have half the rooms, with one assigned to 202-215 and the second to 216-232?
- A. Partnership
- B. Primary
- C. Modular
- D. Team
Correct Answer: C
Rationale: The correct answer is C: Modular. This care delivery model involves assigning specific patient care responsibilities to individual nurses and unlicensed assistive personnel based on room numbers. This modular approach allows for efficient and organized care delivery by dividing the workload based on room assignments.
A: Partnership - This term refers to the collaborative relationship between healthcare providers and patients, not the specific care delivery model described in the question.
B: Primary - The primary care delivery model focuses on a designated primary care provider who oversees and coordinates all aspects of a patient's care, which is different from the modular approach described in the question.
D: Team - While teamwork is essential in healthcare, the term "team" does not specifically describe the care delivery model outlined in the question, which is based on room assignments and individual responsibilities.
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.