Nursing Elites

1. How do accrediting agencies such as the Joint Commission ensure quality care?

• A. Imposing maximum staffing levels
• B. Stipulating nurse-patient ratios
• C. Confirming delivery of satisfactory care
• D. Requiring a specific staff mix

Correct answer: C

Rationale: Accrediting agencies such as the Joint Commission primarily focus on confirming the delivery of satisfactory care rather than imposing specific staffing levels, nurse-patient ratios, or staff mix. They do not dictate the exact staffing levels or ratios but rather evaluate if the care provided meets established quality standards. While adequate staffing levels and appropriate nurse-patient ratios are essential for quality care, accrediting agencies like the Joint Commission assess the outcomes and overall quality of care delivered by healthcare facilities.

2. What is a crucial issue a healthcare worker in the late industrialization era would need to address to promote health?

• A. Reducing the spread of infection
• B. Promoting physical activity
• C. Educating on medication administration
• D. Promoting child safety in transportation

Correct answer: A

Rationale: During the late industrialization era, communicable diseases were rampant due to poor sanitation and lack of infection control measures. Healthcare workers, including nurses, played a critical role in reducing the spread of infections to prevent disease transmission and improve public health. This focus on infection control was crucial to address the prevalent health issues of the time. Choices B, C, and D, while important in healthcare, were not as pressing during the late industrialization era compared to the urgent need to control the spread of infections.

3. While supervising the care of several clients, which action requires intervention by the charge nurse?

• A. A nurse photocopies a client's diagnostic test results.
• B. An assistive personnel documents the client's vital signs on the client's paper-based graphic record.
• C. The unit secretary faxes a client's laboratory results to the provider.
• D. An RN stays with a client to discuss her understanding of her vital signs that were requested.

Correct answer: A

Rationale: The charge nurse should intervene when a nurse photocopies a client's diagnostic test results as it violates patient confidentiality and privacy. This action breaches HIPAA regulations, and sensitive patient information should not be photocopied without proper authorization. The other actions are within the scope of practice and do not raise concerns regarding patient privacy or confidentiality.

4. What approach does the caring LPN manager avoid when dealing with staff?

• A. Delegating
• B. Understanding
• C. Judging
• D. Evaluating

Correct answer: C

Rationale: The correct answer is C: Judging. The caring LPN manager avoids judging when dealing with staff to create a supportive and positive work environment. Judging can lead to demotivation and hinder effective communication. Understanding is important to empathize with staff, while evaluating is necessary for providing constructive feedback. Delegating is a crucial aspect of management to distribute tasks effectively.

5. While working in the clinical facility, the student nurse learns that a family member has been admitted to the same facility. What statement is true about the student's access to the family member's medical record?

• A. The student may access the family member's medical record as a nurse in the facility.
• B. The student nurse should not access the family member's record until obtaining instructor approval.
• C. The student may access the family member's medical record because of the family relationship.
• D. The student nurse should not view the record unless they are providing care for the family member.

Correct answer: D

Rationale: The student nurse should not view the family member's record unless they are directly involved in providing care to maintain confidentiality. Accessing the record without a legitimate reason breaches patient confidentiality and violates ethical principles. Choice A is incorrect because being a nurse in the facility does not automatically grant access to a family member's record. Choice B is incorrect as it does not address the primary concern of direct involvement in care. Choice C is incorrect as family relationship alone does not justify accessing the medical record.

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