Nokea
For what purpose does the nursing student predominantly use knowledge about the history of nursing?
- A. To understand the professional choices open to the student
- B. To prevent medication errors in practice
- C. To determine the optimal geographical area for practice
- D. To reduce the cost of delivering quality health care
Correct Answer: A
Rationale: The correct answer is A: To understand the professional choices open to the student. Understanding the history of nursing helps students learn about the evolution of the profession, key figures, and important milestones. This knowledge provides insight into various career paths, specialties, and opportunities within nursing. It also helps students appreciate the values, ethics, and core principles that shape modern nursing practice. Choices B, C, and D are incorrect because the history of nursing is not primarily used for preventing medication errors, determining geographical areas for practice, or reducing healthcare costs.
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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.
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.
In an underdeveloped country, the nurse observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?
- A. Pathogens and genetics
- B. Evil spirits
- C. Tides and planets
- D. Plants and animals
Correct Answer: B
Rationale: The correct answer is B: Evil spirits. The natives believe in a spiritual or supernatural cause of illness, as evidenced by their rituals involving fires and drums to ward off or appease evil spirits. This belief aligns with cultural practices in many underdeveloped countries where illness is often attributed to spiritual factors rather than pathogens or genetics (choice A), tides and planets (choice C), or plants and animals (choice D). The rituals surrounding the sick person suggest a belief in the influence of evil spirits on health, making option B the most appropriate choice.
A healthcare professional walks into the nurse's station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. Which of the following actions should the healthcare professional take first?
- A. remind the staff members that this is a breach of confidentiality
- B. discuss the issue with the unit manager
- C. request that an administrative restriction be placed on the client's medical access
- D. prepare a report for the facility ethics committee
Correct Answer: A
Rationale: The correct action is A: remind the staff members that this is a breach of confidentiality. This is the first step because addressing the immediate breach is crucial to prevent further unauthorized access to the client's information. It directly addresses the unethical behavior and educates staff on the importance of patient confidentiality.
Choice B (discussing with the unit manager) is not the first step as it may delay addressing the breach directly. Choice C (requesting an administrative restriction) is not immediate and may not prevent the current unauthorized access. Choice D (preparing a report for the ethics committee) is not the first step as it involves a formal process and may not address the immediate breach.
In a unionized hospital, nurses receive compensatory pay for working holidays based on the hours worked with no extra compensation. Despite management refusing to consider changes to the compensatory pay system suggested by nurses during the annual employee satisfaction survey, a trend member listened to both parties and made non-legally binding recommendations. What is this type of settlement known as?
- A. Collective bargaining
- B. Mediation
- C. Grievance
- D. Binding arbitration
Correct Answer: B
Rationale: The correct answer is B: Mediation. Mediation is a voluntary process where a neutral third party helps facilitate communication and negotiation between conflicting parties to reach a mutually acceptable agreement. In this scenario, the trend member listened to both parties and made non-legally binding recommendations, which aligns with the definition of mediation. Collective bargaining (A) involves negotiations between labor unions and management to reach a legally binding collective agreement. Grievance (C) is a formal complaint resolution process within the organization. Binding arbitration (D) is a process where a neutral third party makes a final and binding decision to resolve a dispute. In this case, the involvement of a trend member making non-legally binding recommendations indicates the use of mediation as the type of settlement.