Nursing Elites

1. Which action demonstrates a coparticipative manner in the nursing model of care?

• A. Working with the patient and family to achieve the best outcome.
• B. Encouraging the shy student to participate in class discussions, demonstrating transpersonal caring.
• C. Finding a way for a patient to see a dog, understanding the patient's needs.
• D. Accepting individuals for who they are, maintaining a nonjudgmental attitude.

Correct answer: A

Rationale: A coparticipative manner in the nursing model of care involves collaborating with the patient and family to achieve the best outcome. This approach emphasizes working together as a team to address healthcare needs and make decisions. While encouraging a shy student, understanding a patient's needs, and maintaining a nonjudgmental attitude are all important aspects of nursing care, the coparticipative manner specifically focuses on partnership and shared decision-making in the care process.

2. The increasing use of licensed practical nurses (LPNs) in management positions, especially in long-term care facilities, is an example of what?

• A. Assertive management
• B. A shifting paradigm
• C. Critical thinking
• D. Smarter LPN graduates

Correct answer: B

Rationale: The correct answer is B: A shifting paradigm. The increasing use of LPNs in management positions, particularly in long-term care facilities, represents a changing paradigm in healthcare management. This shift indicates a move towards assigning leadership responsibilities to LPNs, signaling a departure from traditional industry roles. Choices A, C, and D are incorrect because the situation described does not primarily demonstrate assertive management, critical thinking, or the intelligence of LPN graduates. The focus is on the evolving role of LPNs in management, suggesting a broader change in healthcare practices.

3. What is the most caring response the student can make in this situation?

• A. Tell the other students that they are being mean and then leave the table.
• B. Shame the students for being so uncaring and cruel.
• C. Ask the other students why they think the instructor is so picky.
• D. Laugh and tell a story of a personal reprimand received from the instructor.

Correct answer: C

Rationale: Choosing to ask the other students why they think the instructor is so picky is a caring response as it opens up a constructive conversation. This approach can help shift the focus from making fun of the instructor to understanding the reasons behind their behavior, fostering empathy, and potentially promoting a more respectful environment. Option A may address the behavior but does not promote understanding. Option B focuses on shaming, which may escalate the situation. Option D diverts attention from the issue and may perpetuate a negative atmosphere.

4. What motivates a nurse to perform tasks, whether at work or off duty?

• A. Personal motivation
• B. Facility policies
• C. Fear of reprisals
• D. Parental expectations

Correct answer: A

Rationale: Personal motivation is the driving force behind a nurse's actions, influencing their decisions and behaviors both during work hours and while off duty. It is an internal drive that compels them to act in a certain way, regardless of external factors such as facility policies, fear of reprisals, or parental expectations. While facility policies may guide their actions within the workplace, they do not address motivation. Fear of reprisals and parental expectations are external factors and are less likely to be the primary motivators for a nurse's actions.

5. The nursing assistant asks the nurse to explain the meaning of advocacy. The nurse explains that the fundamental principle of patient advocacy is what?

• A. Independence
• B. Caring
• C. Competence
• D. Protection

Correct answer: D

Rationale: The correct answer is D: Protection. Protection is the fundamental principle of patient advocacy, ensuring that patients' rights and interests are safeguarded. Advocacy involves actively speaking up for the patient, ensuring they receive proper care, their wishes are respected, and they are protected from harm or exploitation. It goes beyond independence, caring, and competence, focusing on safeguarding the patient's well-being and ensuring their rights are upheld. While independence, caring, and competence are important aspects of patient care, they do not encompass the core principle of advocacy, which is to protect the patient's rights and well-being.

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