Nursing Elites

1. A healthcare professional is reviewing a client's clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist in evaluating the cost-effectiveness of the care?

• A. the age of the client
• B. the availability of community support groups
• C. the length of the client's stay
• D. the type of insurance the client carries

Correct answer: C

Rationale: The correct answer is C: 'the length of the client's stay.' The length of the client's stay is a critical factor in determining the cost-effectiveness of care after hip arthroplasty. Shorter stays typically result in lower costs as they reduce resource utilization and associated expenses. Choices A, B, and D are not directly related to evaluating cost-effectiveness in this scenario. The age of the client, availability of community support groups, and the type of insurance carried may impact other aspects of care but do not directly assess the cost-effectiveness of the care provided.

2. Which role is not appropriate for the LPN to participate in?

• A. Administering medications
• B. Dressing changes
• C. Designing a research study
• D. Reporting patient changes

Correct answer: C

Rationale: The correct answer is C. Designing a research study is not typically within the scope of practice for a Licensed Practical Nurse (LPN). LPNs are primarily involved in providing direct patient care, such as administering medications, performing dressing changes, and reporting patient changes. Designing research studies usually requires advanced education and training beyond what an LPN receives, making it an inappropriate role for an LPN to participate in.

3. 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. Florence Nightingale's theory of nursing emphasized promoting good health and treating those who are ill in a holistic manner. She believed in providing comprehensive care that addresses not only the physical but also the emotional and social needs of patients. Choices A, C, and D are incorrect because they do not directly align with Nightingale's focus on holistic care and promoting good health.

4. 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. Deaconesses from local convents were the first public health nurses who provided care for the sick and the poor. They exemplified care guided by the Christian belief in compassion and helping others. The other choices (A, B, C) are incorrect because the Presbyterian Church, Salerno, and Jewish scholars were not specifically mentioned as the pioneers of public health nursing. The extract highlights the significant role of convent deaconesses in laying the foundation for modern public health nursing.

5. What theme of critical thinking is demonstrated when an individual decides to return to school to obtain a bachelor of science degree in nursing?

• A. Critical thinking involves both productive and positive activities.
• B. Critical thinking is a process, not an outcome.
• C. Manifestations of critical thinking vary based on the context in which they occur.
• D. Critical thinking is triggered by both positive and negative events.

Correct answer: D

Rationale: The decision to return to school to obtain a bachelor of science degree in nursing can be triggered by various factors, both positive (like a desire for career advancement) and negative (like feeling limited without the degree). This decision reflects critical thinking as it involves a thoughtful evaluation of personal and professional goals, weighing potential benefits and consequences. Therefore, the theme of critical thinking demonstrated in this scenario is that critical thinking is triggered by both positive and negative events. Choices A, B, and C are incorrect because they do not specifically address the concept of critical thinking being influenced by positive and negative events as demonstrated in the scenario.

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