The nurse is providing pre-operative teaching to the anxious patient, who doesn't seem to be learning. What need must the nurse help this patient meet before continuing to teach?
- A. Self-esteem
- B. Love and belonging
- C. Safety
- D. Self-actualization
Correct Answer: C
Rationale: The correct answer is C: Safety. Before effective learning can occur, the patient's safety needs must be addressed. When patients feel safe and secure, they are better able to focus on receiving and processing information. Ensuring the patient's safety is a fundamental step in providing care and support, especially in a pre-operative setting where anxiety and concerns about the procedure may be high. Choices A, B, and D are incorrect because while self-esteem, love and belonging, and self-actualization are important needs, the immediate priority in this scenario is addressing the patient's safety concerns to create a conducive environment for learning.
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How does the nurse apply Maslow's hierarchy of needs in care?
- A. Judging the patient's behavior
- B. Improving the skillfulness of care
- C. Understanding the patient's behavior
- D. Improving communication skills
Correct Answer: C
Rationale: Maslow's hierarchy of needs is a framework that helps nurses understand the different levels of human needs and prioritize care accordingly. By applying this framework, nurses can better understand the patient's behavior in the context of their unmet needs. This understanding allows nurses to provide holistic and patient-centered care that addresses not just the physical but also the emotional, social, and psychological needs of the patient. Choice A is incorrect because applying Maslow's hierarchy is about understanding, not judging, the patient's behavior. Choice B is incorrect as it does not directly relate to the application of Maslow's hierarchy. Choice D is also incorrect as improving communication skills, although important, is not the primary focus when applying Maslow's hierarchy of needs in care.
What approach does the caring LPN manager avoid when dealing with staff?
- A. Delegating
- B. Understanding
- C. Judging
- D. Evaluating
Correct Answer: C
Rationale: The caring LPN manager avoids judging when dealing with staff to create a supportive and positive work environment. Judging can lead to demotivation and hinder effective communication. Understanding is important to empathize with staff, while evaluating is necessary for providing constructive feedback. Delegating is a crucial aspect of management to distribute tasks effectively.
Why is critical thinking necessary for identifying and understanding paradigms that exist in nursing practice?
- A. Critical thinking allows for the nurse to make superficial decisions.
- B. Critical thinking allows the nurse to thoroughly examine situations and issues.
- C. Critical thinking provides the nurse with quick answers.
- D. Critical thinking allows the nurse to accept information without needing to check its validity.
Correct Answer: B
Rationale: Critical thinking is essential for nurses to identify and understand paradigms in nursing practice because it enables them to thoroughly examine complex situations and issues. By critically analyzing information and considering various perspectives, nurses can gain a deeper understanding of the underlying paradigms that shape nursing practice. This thorough examination helps nurses make informed decisions and provide high-quality care to patients. Choice A is incorrect because critical thinking involves deeper analysis, not superficial decisions. Choice C is incorrect because critical thinking does not provide quick answers; it involves a systematic and thoughtful approach. Choice D is incorrect because critical thinking encourages nurses to question information and verify its validity rather than accepting it blindly.
Which patient would be appropriately transferred to an assisted living facility?
- A. The patient requiring ongoing skilled nursing observation
- B. The patient who has recovered enough to return to work and daily life
- C. The child who was burned in a fire after losing both parents to the tragedy
- D. The patient who needs minimal assistance in performing activities of daily living but cannot live alone
Correct Answer: D
Rationale: The correct answer is D. Patients suitable for transfer to assisted living facilities are those who require minimal assistance with activities of daily living but do not need constant skilled nursing observation. Option D aligns with the purpose of an assisted living facility, which provides support for individuals who can no longer live independently but do not require intensive medical care. Choices A, B, and C are incorrect because patients requiring ongoing skilled nursing observation, those who have recovered enough to return to work and daily life, and children who have experienced a traumatic event such as a fire are not typically candidates for assisted living facilities.
How does a student primarily gain personal knowing?
- A. Arriving at every class on time
- B. Never missing a clinical experience
- C. Taking religious classes
- D. Self-evaluation and conscious examination
Correct Answer: D
Rationale: Personal knowing in any field, especially in nursing, is primarily acquired through self-evaluation and conscious examination. This process involves reflecting on personal values, beliefs, experiences, and emotions to gain insight into oneself. By engaging in self-evaluation and conscious examination, students can enhance their self-awareness and develop a deeper understanding of themselves. This self-awareness is crucial for nurses as it enables them to provide holistic and patient-centered care. Choices A, B, and C do not directly contribute to personal knowing in the context of nursing. Being punctual, attending all classes, or participating in clinical experiences are important for professional development but do not necessarily lead to the deep self-reflection required for personal knowing.
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