Nursing Elites

1. The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient's behavior but can avoid being judgmental by understanding what?

• A. Motivation
• B. State laws
• C. The patient's social history
• D. Code of ethics

Correct answer: A

Rationale: In this scenario, the nurse is experiencing negative emotions towards the patient's behavior. By understanding the patient's motivation, the nurse can gain insight into the underlying factors that led to the behavior, helping to avoid being judgmental. This approach allows the nurse to provide care and support without letting personal feelings interfere. Understanding motivation can also aid in developing a therapeutic relationship and providing appropriate care tailored to the patient's needs. Choices B, C, and D are incorrect as while state laws, the patient's social history, and the code of ethics are important aspects to consider in healthcare, they do not directly address the nurse's feelings of disgust and the need to avoid being judgmental towards the patient's behavior.

2. A healthcare provider is planning the discharge of a newborn who requires apnea monitoring at home. To which of the following community agencies should the healthcare provider anticipate referring the guardian of the newborn?

• A. Child Protective Services
• B. Public Health
• C. Home Health
• D. Women, Infants, and Children (WIC)

Correct answer: C

Rationale: Home health agencies specialize in providing at-home care and monitoring services, making them the appropriate referral for a newborn requiring apnea monitoring. These agencies can offer skilled nursing care, education, and support to ensure the well-being of the newborn in a home setting. Child Protective Services (Choice A) is not relevant in this scenario as it deals with child welfare and protection from abuse or neglect. Public Health (Choice B) focuses on community health initiatives but may not provide the specialized care needed for apnea monitoring. Women, Infants, and Children (WIC) program (Choice D) offers nutritional support and education for low-income pregnant women, new mothers, and young children, which is not directly related to providing monitoring services for a newborn with apnea.

3. Medicaid, which is financed by what part of the government, is jointly funded by which two entities?

• A. State
• B. Federal
• C. County
• D. State and federal

Correct answer: D

Rationale: Medicaid is a healthcare program jointly funded by the state and federal governments. States have flexibility in administering Medicaid while adhering to federal guidelines, and both entities contribute funding to support the program. Choice A (State) is incorrect as Medicaid is not solely funded by the state government. Choice B (Federal) is not the only funding source for Medicaid. Choice C (County) is not a primary entity involved in financing Medicaid, making it incorrect. The correct answer is D, as Medicaid receives funding from both the state and federal governments.

4. Which professional organization was the first to focus on licensed practical nurses (LPNs)?

• A. National Association for Practical Nurse Education and Services (NAPNES)
• B. National Federation of Licensed Practical Nurses (NFLPN)
• C. National League for Nursing (NLN)
• D. American Nurses Association (ANA)

Correct answer: A

Rationale: The National Association for Practical Nurse Education and Services (NAPNES) was the first professional organization to focus on LPNs. NAPNES remains active today, providing continuing education opportunities and publications specifically tailored for LPNs, making it the correct answer. The other options, the National Federation of Licensed Practical Nurses (NFLPN), National League for Nursing (NLN), and American Nurses Association (ANA), do not primarily focus on licensed practical nurses, making them incorrect choices.

5. A healthcare provider is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads 'Infuse over one hour by port-a-cath.' When the healthcare provider assesses the personal digital assistant that lists the steps to access a port-a-cath, which type of computer software is being used?

• A. Data management
• B. Electronic health records
• C. Point-of-care technology
• D. Telehealth

Correct answer: C

Rationale: Point-of-care technology refers to the use of devices like personal digital assistants that allow healthcare providers to access and input data directly at the patient's bedside. It aids in providing timely and accurate information for patient care management. In this scenario, the healthcare provider is using the personal digital assistant for immediate access to information on accessing a port-a-cath, demonstrating the use of point-of-care technology. Choices A, B, and D are incorrect because data management typically involves organizing and storing data, electronic health records focus on patient health information management, and telehealth involves providing healthcare services remotely, none of which directly apply to the situation described.

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