Nursing Elites

1. An RN comes upon a serious motor vehicle accident that has just occurred and no first responders are on the scene. One car has been flipped upside down, and she can see the driver still in the car. The RN decides to stop and help. She knows she is protected from civil liability as long as she does which of the following?

• A. Acts in an ordinary, reasonable, and prudent professional manner
• B. Assures that information obtained is not communicated to anyone else
• C. Does not make any verbal comments that could lead to economic harm
• D. Fails to meet the established standards of practice

Correct answer: A

Rationale: The correct answer is A: 'Acts in an ordinary, reasonable, and prudent professional manner.' In emergency situations, healthcare professionals are protected from civil liability as long as they act in a manner that any other reasonable and prudent professional would under similar circumstances. Choice B is incorrect because communication of relevant information is essential for patient care and handover to other healthcare providers. Choice C is incorrect as it pertains to a different issue of preventing economic harm rather than addressing the immediate medical needs of the injured driver. Choice D is incorrect because failing to meet established standards of practice can lead to liability, especially in emergencies where immediate action is required to save lives.

2. A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?

• A. The transfer of your family member is being done because the provider knows what's best.
• B. Would you like us to discuss the transfer with your family member?
• C. Why are you so concerned about this transfer?
• D. I know how you feel. My parent had to be transferred to a long-term care facility.

Correct answer: A

Rationale: The correct response is A because it provides a professional and reassuring explanation for the transfer, focusing on the expertise of the healthcare provider. Choice B offers to include the family member in the discussion, which may not address their concerns directly. Choice C appears defensive and does not address the family's inquiry. Choice D shifts the focus to the nurse's personal experience, which may not be relevant or helpful to the family seeking information about their own situation.

3. When planning to run for the local school board, which of the following sources of power would a nurse find important?

• A. Connection
• B. Reward
• C. Charisma
• D. Expertise

Correct answer: A

Rationale: When a nurse is planning to run for the local school board, the important source of power would be 'Connection.' In politics, building relationships and forming connections are crucial for gaining support, forming coalitions, and accessing valuable information. Being charismatic is not a necessary attribute for utilizing power effectively in this context. While expertise is valuable, especially in education-related matters, it is not specified as a primary source of power for a political candidate. Rewards are not typically within the purview of a candidate running for a position such as the local school board.

4. What is the primary focus of a patient safety program?

• A. To reduce healthcare costs
• B. To improve clinical outcomes
• C. To enhance patient satisfaction
• D. To comply with regulatory standards

Correct answer: C

Rationale: The primary focus of a patient safety program is to enhance patient satisfaction by ensuring safe practices. While reducing healthcare costs and improving clinical outcomes are important aspects influenced by patient safety programs, the main goal is to prioritize patient well-being and satisfaction. Complying with regulatory standards is essential but not the primary focus; it is a means to achieve safe practices for the benefit of patients.

5. Which of the following best describes the concept of holistic nursing?

• A. An approach that integrates the mind, body, and spirit in patient care
• B. A method that focuses solely on physical health
• C. A practice that considers only the patient's physical condition
• D. A framework for improving hospital administration

Correct answer: A

Rationale: The correct answer is A: 'An approach that integrates the mind, body, and spirit in patient care.' Holistic nursing is a comprehensive approach that considers the whole person, including their physical, emotional, social, and spiritual well-being. Choice B is incorrect because holistic nursing goes beyond just physical health. Choice C is incorrect because holistic nursing considers various aspects of the patient, not just the physical condition. Choice D is incorrect because holistic nursing is focused on patient care and well-being, not hospital administration.

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