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Which of the following is a challenge the profession of nursing faced?
- A. Nursing contributing to the stigma of AIDS in the 1980s out of fear.
- B. Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment.
- C. Many nurses feeling frustrated with the lack of independent functioning after the Vietnam War.
- D. A decline in the number of hospice nurses due to ethical dilemmas.
Correct Answer: C
Rationale: The correct answer is C because many nurses felt frustrated with the lack of independent functioning after the Vietnam War. This is a significant challenge as nurses were accustomed to a high level of autonomy in field hospitals during wartime but faced restrictions in civilian healthcare settings. This led to dissatisfaction and a sense of limitation in their professional roles.
Explanation of why other choices are incorrect:
A: Nursing contributing to the stigma of AIDS in the 1980s out of fear is not a challenge that the profession faced but rather a societal issue related to lack of knowledge and fear of the disease.
B: Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment is not a challenge but a positive aspect of nursing history.
D: A decline in the number of hospice nurses due to ethical dilemmas is a specific problem related to hospice care and not a widespread challenge faced by the entire profession of nursing.
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A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?
- A. "I can concentrate best in the morning."
- B. "It is difficult to read the instructions because my glasses are at home."
- C. "I'm wondering why I need to learn this."
- D. "You will have to talk to my partner about this."
Correct Answer: D
Rationale: The correct answer is D because it shows the client is willing to involve their partner in the learning process, indicating readiness for education. Involving a partner can enhance support and understanding, leading to better adherence. A: Time preference does not directly relate to readiness to learn about insulin. B: Difficulty reading instructions due to glasses is a practical issue, not an indicator of readiness. C: Expressing doubt or questioning the necessity of learning indicates potential resistance or lack of motivation.
Which of the following is a skill emotionally intelligent leaders must develop?
- A. Encourage constructive criticism.
- B. Work to complete all assigned tasks on his or her own.
- C. Minimize one’s own emotions, instead of seeking to understand the emotions of others.
- D. Encourage others to work efficiently and independently.
Correct Answer: A
Rationale: The correct answer is A. Emotionally intelligent leaders must develop the skill of encouraging constructive criticism because it fosters open communication, builds trust, and promotes growth and learning within the team. By actively seeking feedback and input from others, leaders show humility, empathy, and a willingness to improve. This skill also helps in creating a positive work environment where team members feel valued and supported.
Choice B is incorrect because emotionally intelligent leaders understand the importance of collaboration and delegating tasks effectively rather than working solely on their own. Choice C is incorrect because minimizing one's own emotions hinders effective communication and empathy, which are crucial aspects of emotional intelligence. Choice D is incorrect because while encouraging others to work efficiently is important, it does not specifically address the need for constructive criticism in developing emotional intelligence.
Staff are sometimes injured when a patient or visitor becomes agitated. If a staff member reports an injury, the following actions should take place: (EXCEPT)
- A. Notify security.
- B. Complete an incident report.
- C. Notify the nursing supervisor.
- D. Ensure that staff has been examined.
Correct Answer: B
Rationale: The correct answer is B: Complete an incident report. This is because completing an incident report is crucial for documenting the details of the injury, initiating an investigation, and implementing preventive measures. Notifying security (A) is important for immediate assistance. Notifying the nursing supervisor (C) ensures appropriate follow-up care. Ensuring staff has been examined (D) is essential for assessing and treating injuries. Completing an incident report is a standard protocol in healthcare settings to ensure proper documentation and accountability.
The staff nurse is caring for the client with total accountability and is in continual communication with the client, the family, the physicians, and other members of the health care team. This type of nursing delivery system is known as:
- A. Total patient care
- B. Qualified nurse case managers
- C. Established critical pathways
- D. Quality management system
Correct Answer: A
Rationale: The correct answer is A: Total patient care. This system involves the nurse having full accountability for the client's care and maintaining constant communication with all involved parties. This ensures comprehensive and individualized care. Choice B, qualified nurse case managers, typically focus on care coordination rather than direct client care. Choice C, established critical pathways, refers to standardized care plans, not individualized care. Choice D, quality management system, involves monitoring and improving care quality, not the direct provision of care.
What is the primary goal of discharge planning?
- A. Reducing readmission rates
- B. Improving patient outcomes
- C. Ensuring continuity of care
- D. Ensuring medication adherence
Correct Answer: C
Rationale: The primary goal of discharge planning is to ensure continuity of care. This involves coordinating the transition of care from the hospital to the next level of care to prevent gaps in treatment and promote a smooth recovery process. Option A focuses solely on readmission rates, which is not the sole purpose of discharge planning. Option B is a broad goal that is encompassed within ensuring continuity of care. Option D, while important, is just one aspect of the overall goal of ensuring continuity of care. Thus, option C is the correct answer as it encompasses all aspects of discharge planning.