Which historical figure is honored for working to improve care for the mentally ill?
- A. Clara Barton
- B. Florence Nightingale
- C. Dorothea Dix
- D. Lillian D. Wald
Correct Answer: C
Rationale: Dorothea Dix is the correct answer. She is recognized for her significant contributions in advocating for the improvement of care for the mentally ill. Dorothea Dix played a crucial role in transforming the way individuals with mental illnesses were treated, advocating for better living conditions and appropriate care. Her efforts led to improved standards and treatment practices for the mentally ill. The other choices, Clara Barton, Florence Nightingale, and Lillian D. Wald, while notable historical figures in the field of healthcare, are not specifically honored for their work in improving care for the mentally ill.
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When transitioning from a long-term care facility to an acute care facility, what does the nurse need to do?
- A. Adapt motivational approaches
- B. Increase working hours per week
- C. Pursue additional formal education
- D. Maintain the same time spent caring for patients
Correct Answer: A
Rationale: When transitioning from a long-term care facility to an acute care facility, the nurse needs to adapt motivational approaches. The environment and patient needs change significantly between these settings. Adapting motivational approaches is crucial to effectively meet the demands of the new job and provide optimal care in the acute care setting. This adjustment allows the nurse to cater to the different needs and pace of care required in an acute care facility compared to a long-term care facility. Choices B, C, and D are incorrect as they do not address the specific need for adapting motivational approaches when transitioning between these types of healthcare facilities.
What does valuing respect for the individual as defining high-quality patient care describe about the nurse's approach to patient care?
- A. Critical thinking
- B. Caritas
- C. Paradigm
- D. Hierarchy of needs
Correct Answer: C
Rationale: Valuing respect for the individual as defining high-quality patient care describes the nurse's paradigm, which is the overall way of thinking and approaching patient care that guides their actions and decisions. It reflects their fundamental beliefs and values regarding patient interactions and care delivery. Critical thinking involves analyzing information objectively and evaluating situations to make informed decisions. Caritas refers to acts of loving kindness and compassionate care in nursing practice. The hierarchy of needs is a theory that describes the hierarchical nature of human needs, such as physiological needs, safety needs, and social needs.
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.
The nurse is caring for a patient who has just received a cancer diagnosis. The patient is crying. The nurse recognizes this patient is operating on what level of Maslow's hierarchy of needs?
- A. Self-esteem
- B. Love and belonging
- C. Safety
- D. Self-actualization
Correct Answer: C
Rationale: In Maslow's hierarchy of needs, safety needs come after physiological needs. When a patient is crying after receiving a cancer diagnosis, they may be feeling a lack of security and safety. This indicates that the patient is operating on the level of safety needs in Maslow's hierarchy. Choice A, self-esteem, focuses on confidence and respect, which is not the immediate concern when receiving a cancer diagnosis. Choice B, love and belonging, pertains to relationships and social connections, which are important but not the primary focus in this situation. Choice D, self-actualization, involves personal growth and fulfilling one's potential, which is a higher-level need compared to safety needs, making it less likely for a patient to be operating at this level when distressed by a cancer diagnosis.
When demonstrating therapeutic use of self, which nursing intervention is the nurse performing?
- A. Sitting with a dying patient
- B. Attending class
- C. Studying for a test
- D. Learning the nursing code of ethics
Correct Answer: A
Rationale: The correct answer is A: Sitting with a dying patient. Therapeutic use of self in nursing involves the nurse's ability to establish a caring and compassionate relationship with patients. Sitting with a dying patient allows the nurse to provide emotional support, physical presence, and comfort, demonstrating the use of self in a therapeutic manner. Choices B, C, and D are incorrect as they do not directly involve the nurse's interaction with a patient in a therapeutic manner.