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.
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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.
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.
What is the difference between mediation and binding arbitration based on the statement provided?
- A. Mediation is sanctioned by the National Labor Relations Board (NLRB) to formally discuss concerns with management and labor
- B. Mediation uses a trained person to facilitate negotiations without making a final decision
- C. Binding arbitration is a formal process where an arbitrator's decision is final and must be adhered to by both parties
- D. Binding arbitration requires both labor and management to engage in discussions to find the least harmful resolution
Correct Answer: C
Rationale: The correct answer is C because binding arbitration involves a formal process where an arbitrator's decision is final and binding on both parties. This means that both labor and management must adhere to the arbitrator's decision, making it a legally enforceable resolution.
Choice A is incorrect because mediation is not necessarily sanctioned by the NLRB; it is a voluntary process where a neutral mediator helps parties reach a mutually acceptable agreement.
Choice B is incorrect because mediation does not involve a final decision-maker; it focuses on facilitating negotiations and helping parties communicate and reach a resolution on their own terms.
Choice D is incorrect because binding arbitration does not require both parties to engage in discussions to find a resolution; instead, it involves the arbitrator making a final decision that both parties must accept.
Nurses and community officials are working together to ensure that churches and schools have needed supplies to provide shelter for a large number of individuals in the event of a natural or man-made disaster. These activities represent which phase of a disaster continuum?
- A. Crisis Intervention
- B. Preparedness
- C. Recovery
- D. Relief Response
Correct Answer: B
Rationale: The correct answer is B: Preparedness. In this scenario, the nurses and community officials are taking proactive measures to ensure that necessary supplies are in place before a disaster occurs. Preparedness involves planning, training, and equipping individuals and communities to respond effectively to emergencies. Crisis Intervention (A) occurs during the immediate aftermath of a disaster to address immediate needs. Recovery (C) is the phase where communities rebuild and restore their infrastructure post-disaster. Relief Response (D) involves the initial emergency response to provide immediate assistance to those affected. Overall, the focus on ensuring supplies are in place for potential sheltering indicates preparedness for a disaster, making it the correct choice.
How does the high degree of professionalism among nurses impact their willingness to engage in organized strikes?
- A. Nurses often find union activities such as strikes in conflict with the need to serve and protect clients and their profession
- B. Nurses use evidence-based studies that reflect both management and labor views to support participation in unionization
- C. Nurses who strike can be legally punished for abandonment and negligence considered to be professional misconduct
- D. Nurses most often turn to collective bargaining strategies such as strikes to emphasize client's safety initiatives
Correct Answer: A
Rationale: The correct answer is A. Nurses prioritize patient care and professionalism, making them hesitant to engage in strikes that may disrupt patient care. This is because strikes can be perceived as conflicting with their duty to serve and protect clients.
Choice B is incorrect because nurses may not base their decision to strike solely on evidence-based studies; their decision is more likely influenced by ethical considerations and personal values.
Choice C is incorrect as nurses engaging in strikes are usually protected by labor laws and regulations, which allow them to participate in organized strikes without facing legal punishment for professional misconduct.
Choice D is incorrect because while nurses do prioritize patient safety, they do not primarily resort to strikes as a means to emphasize safety initiatives; instead, they typically focus on other strategies such as advocacy and communication to address safety concerns.