Nokea
To form a core support group of nurses, where should the nurse organizer conduct meetings to gather initial information?
- A. Away from the work site with a group of managers to learn both sides of the situation
- B. In homes or local businesses with staff nurses
- C. At the facility to discuss nursing concerns
- D. At the work site with staff nurses who are respected leaders
Correct Answer: B
Rationale: The correct answer is B because conducting meetings in homes or local businesses with staff nurses creates a comfortable and informal setting for open communication. This environment fosters trust and encourages honest sharing of perspectives and concerns. It also allows for a more personal connection among the nurses, promoting collaboration and unity. Choices A and D may not provide a conducive atmosphere for open dialogue, as meetings with managers or at the work site could lead to power dynamics and inhibitions. Choice C, while at the facility, may not offer the same level of comfort and privacy as meeting outside the workplace.
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Who were the first public health nurses who provided care for the sick and the poor?
- A. The Presbyterian Church
- B. Salerno
- C. Jewish scholars
- D. Convent deaconesses
Correct Answer: D
Rationale: The correct answer is D, Convent deaconesses. They were the first public health nurses providing care for the sick and poor in the early centuries. They were trained and devoted to serving the community, establishing the foundation for modern public health nursing. The other choices, A: The Presbyterian Church, B: Salerno, and C: Jewish scholars, are incorrect as they do not align with the historical context of the first public health nurses.
What is a major source of stress on the current U.S. healthcare system?
- A. Rising cost of providing healthcare to all citizens
- B. Lack of adequate education for healthcare professionals
- C. Inadequate number of hospital beds across the country
- D. Increasing cost of malpractice insurance
Correct Answer: A
Rationale: The increasing cost of providing healthcare to all citizens is a major source of stress on the current U.S. healthcare system. This rise in costs impacts various aspects of the system, including accessibility, quality of care, and financial sustainability. It affects healthcare providers, patients, insurance companies, and the government, making it a critical issue that needs to be addressed to ensure a more efficient and effective healthcare system. Choices B, C, and D are incorrect because although lack of education for healthcare professionals, inadequate number of hospital beds, and increasing malpractice insurance costs can be challenges within the healthcare system, they are not the primary source of stress that affects the system as a whole.
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.
Medicaid, which is financed by what part of the government, is jointly funded by which two entities?
- A. State
- B. Federal
- C. County
- D. State and federal
Correct Answer: D
Rationale: The correct answer is D: State and federal. Medicaid is jointly funded by both state and federal governments. States administer the program but receive matching funds from the federal government. This dual funding structure allows for flexibility in program design and implementation while ensuring a baseline level of coverage across states. County funding (choice C) is not a primary source of Medicaid financing. While both state (choice A) and federal (choice B) governments contribute to funding Medicaid, the correct answer is D because it specifies the two entities that jointly fund the program.
Which intervention demonstrates Florence Nightingale's theory of nursing?
- A. Respecting the patient's culture and incorporating cultural needs
- B. Promoting good health and treating those who are ill in a holistic manner
- C. Understanding how to motivate people to practice a healthy lifestyle and reduce risks
- D. Teaching other nurses how to deliver the highest quality of care
Correct Answer: B
Rationale: The correct answer is B because promoting good health and treating those who are ill in a holistic manner aligns with Florence Nightingale's theory of nursing. Nightingale emphasized the importance of considering the physical, emotional, and social aspects of patients' well-being. This approach focuses on addressing the whole person rather than just the illness.
Respecting the patient's culture and incorporating cultural needs (A) is important in providing patient-centered care, but it does not directly align with Nightingale's theory. Understanding how to motivate people to practice a healthy lifestyle and reduce risks (C) is relevant to health promotion but does not fully capture the holistic approach of Nightingale. Teaching other nurses how to deliver the highest quality of care (D) is essential for professional development but does not specifically reflect Nightingale's holistic nursing philosophy.