the nurse is caring for a patient who has just received a cancer diagnosis the patient is crying the nurse recognizes this patient is operating on wha
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Nursing Elites

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ATI Leadership Proctored Exam 2019

1. The nurse is caring for a patient who has just received a cancer diagnosis. The patient is crying. The nurse recognizes this patient is operating on what level of Maslow's hierarchy of needs?

Correct answer: C

Rationale: In Maslow's hierarchy of needs, safety needs come after physiological needs. When a patient is crying after receiving a cancer diagnosis, they may be feeling a lack of security and safety. This indicates that the patient is operating on the level of safety needs in Maslow's hierarchy. Choice A, self-esteem, focuses on confidence and respect, which is not the immediate concern when receiving a cancer diagnosis. Choice B, love and belonging, pertains to relationships and social connections, which are important but not the primary focus in this situation. Choice D, self-actualization, involves personal growth and fulfilling one's potential, which is a higher-level need compared to safety needs, making it less likely for a patient to be operating at this level when distressed by a cancer diagnosis.

2. Who were the first public health nurses who provided care for the sick and the poor?

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.

3. Which statement about the U.S. healthcare system made by the nurse is untrue and inaccurate?

Correct answer: B

Rationale: The correct answer is B. Access to healthcare is not universally available to all persons in the U.S.; it is often influenced by the ability to pay. Choice A is accurate as there is no single central agency governing the entire U.S. healthcare system. Choice C is a valid consideration as legal risks are important in healthcare provision. Choice D highlights a common issue in the U.S. healthcare system where high-tech equipment is available, but the payment for its use can be problematic.

4. When transitioning from a long-term care facility to an acute care facility, what does the nurse need to do?

Correct answer: A

Rationale: When transitioning from a long-term care facility to an acute care facility, the nurse needs to adapt motivational approaches. The environment and patient needs change significantly between these settings. Adapting motivational approaches is crucial to effectively meet the demands of the new job and provide optimal care in the acute care setting. This adjustment allows the nurse to cater to the different needs and pace of care required in an acute care facility compared to a long-term care facility. Choices B, C, and D are incorrect as they do not address the specific need for adapting motivational approaches when transitioning between these types of healthcare facilities.

5. A healthcare professional walks into the nurse's station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. Which of the following actions should the healthcare professional take first?

Correct answer: A

Rationale: The correct action for the healthcare professional to take first is to remind the staff members that accessing the electronic medical record of a celebrity client from another unit is a breach of confidentiality. This immediate action addresses the ethical and legal issue at hand, emphasizing the importance of patient confidentiality and privacy. Discussing the issue with the unit manager, requesting administrative restrictions, or preparing a report for the facility ethics committee can be considered after addressing the initial breach and reminding staff members of their obligations.

Similar Questions

What may the patient's statement, 'I cannot read until I get my glasses,' indicate?
What is a crucial issue a healthcare worker in the late industrialization era would need to address to promote health?
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?
Nurses on a unit provide personal hygiene, administer medications, educate patients, and provide emotional support. The nurses are providing patient care based on which nursing delivery system?
When demonstrating therapeutic use of self, which nursing intervention is the nurse performing?

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