Who is credited with creating a written record of health care practices and dispelling the mythical aspect of health care?
- A. Hammurabi
- B. Florence Nightingale
- C. Hippocrates
- D. Apollo
Correct Answer: C
Rationale: The correct answer is C: Hippocrates. Hippocrates is credited with creating a written record of health care practices and is known as the "Father of Medicine." He emphasized observational and logical approaches to medicine, moving away from superstition and myth. Hammurabi is known for his code of laws, not health care practices. Florence Nightingale is known for her contributions to nursing. Apollo is a Greek god associated with healing, but he is not a historical figure credited with creating a written record of health care practices.
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What is customer satisfaction primarily based on?
- A. Personal interactions with employees
- B. Access to modern, up-to-date facilities
- C. Availability of a wide menu selection
- D. Having to undergo fewer invasive procedures
Correct Answer: A
Rationale: Customer satisfaction is primarily based on personal interactions with employees because positive interactions create a sense of trust, empathy, and understanding. Customers value feeling valued and appreciated by staff, which directly impacts their overall experience. In contrast, access to modern facilities and wide menu selection may enhance satisfaction, but they are secondary factors. Having to undergo fewer invasive procedures is irrelevant in the context of customer satisfaction in most industries.
The healthcare provider responds to an alarm on a pulse oximeter and sees that the patient's oxygen saturation is reading 38%. The provider observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The healthcare provider concludes that the pulse oximeter is not reading accurately. Whose theory of healthcare is this provider demonstrating?
- A. Annie Goodrich
- B. Lillian D. Wald
- C. Florence Nightingale
- D. Linda Richards
Correct Answer: C
Rationale: The correct answer is C: Florence Nightingale. Florence Nightingale is known for her emphasis on evidence-based practice and data-driven decision-making in healthcare. In this scenario, the healthcare provider is using critical thinking skills to assess the patient's overall clinical presentation, which includes normal vital signs and signs of adequate oxygenation despite the pulse oximeter reading of 38%. This aligns with Nightingale's principles of prioritizing direct observation and clinical judgment over technology.
Incorrect answers:
A: Annie Goodrich - Goodrich was a nursing educator and leader in nursing education, but not specifically known for emphasizing clinical assessment over technology.
B: Lillian D. Wald - Wald was a public health nurse and social reformer, not specifically associated with direct patient care assessment.
D: Linda Richards - Richards was the first professionally trained American nurse, but not specifically known for her approach to clinical assessment in this context.
When considering factors like high risk for falls, infection protocols, and special communication needs to determine the mix and number of staff needed on a telemetry unit, what is being utilized?
- A. diagnostic related groups
- B. clinical pathways
- C. case management
- D. Patient classification system
Correct Answer: D
Rationale: The correct answer is D: Patient classification system. This system is used to determine the appropriate mix and number of staff needed on a telemetry unit based on factors such as high risk for falls, infection protocols, and special communication needs of patients. It categorizes patients according to their care requirements, allowing for efficient allocation of resources.
Incorrect choices:
A: Diagnostic related groups are used for billing purposes and grouping patients with similar diagnoses for reimbursement.
B: Clinical pathways are structured multidisciplinary care plans that outline the sequence of interventions for a particular diagnosis.
C: Case management involves coordinating care and resources for individual patients to ensure optimal outcomes.
In an underdeveloped country, the nurse observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from which items?
- A. Pathogens and genetics
- B. Evil spirits
- C. Tides and planets
- D. Plants and animals
Correct Answer: B
Rationale: The correct answer is B: Evil spirits. The natives believe in a spiritual or supernatural cause of illness, as evidenced by their rituals involving fires and drums to ward off or appease evil spirits. This belief aligns with cultural practices in many underdeveloped countries where illness is often attributed to spiritual factors rather than pathogens or genetics (choice A), tides and planets (choice C), or plants and animals (choice D). The rituals surrounding the sick person suggest a belief in the influence of evil spirits on health, making option B the most appropriate 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.
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