Nursing Elites

1. When caring for a patient who just received a terminal diagnosis and is tearful and frightened, what is the best action to demonstrate caring?

• A. Call the patient's spiritual leader to talk to the patient.
• B. Call the patient's family and ask them to come sit with the patient.
• C. Cry with the patient while sympathizing with their situation.
• D. Sit with the patient and listen to their fears.

Correct answer: D

Rationale: In situations where a patient receives a terminal diagnosis and is emotionally distressed, it is essential to provide empathy and support. Sitting with the patient and actively listening to their fears allows the patient to express their emotions and concerns. This action demonstrates genuine care and compassion, showing the patient that their feelings are acknowledged and valued. It creates a therapeutic environment that fosters trust and emotional well-being, helping the patient cope with the distressing news. Calling the patient's spiritual leader (Choice A) may not address the immediate emotional needs of the patient. Calling the patient's family (Choice B) can be comforting but might not directly address the patient's fears. Crying with the patient (Choice C) can blur professional boundaries and may not be as beneficial as actively listening and providing support.

2. On what basis does the U.S. healthcare system operate?

• A. Healthcare is a basic right provided to all equally.
• B. Ability to pay determines access to care.
• C. Only the rich are entitled to healthcare.
• D. Health insurance is required to obtain care.

Correct answer: B

Rationale: The correct answer is B. In the U.S., the healthcare system operates on a model where access to healthcare services is largely determined by an individual's ability to pay for care. This means that those with more financial resources have greater access to a wider range of healthcare services, while those with limited financial means may face barriers to accessing necessary care. Choices A, C, and D are incorrect because healthcare in the U.S. is not universally provided as a basic right to all equally, it is not exclusively for the rich, and while health insurance is common, it is not the sole determinant of access to care.

3. A group of local volunteers has completed an emergency response course and is able to assist with the triage of injured citizens. They also participate in local health fairs to teach residents how to react during tornadoes. The responders are members of what organization?

• A. Metropolitan Medical Response System (MMRS)
• B. Medical Reserve Corps (MRC)
• C. National Disaster Medical System (NDMS)
• D. Commissioned Corps Readiness Force (CCRF)

Correct answer: B

Rationale: The Medical Reserve Corps (MRC) is the correct answer. This group consists of local volunteers who have completed emergency response training and are able to assist in the triage of injured citizens. Additionally, they participate in local health fairs to educate residents on tornado response procedures. The other choices are incorrect: MMRS (Metropolitan Medical Response System) focuses on coordinating resources for mass casualty incidents, NDMS (National Disaster Medical System) is a federally coordinated system for medical response during disasters, and CCRF (Commissioned Corps Readiness Force) is part of a specific governmental service branch.

4. What skills are required for an LPN to successfully manage care?

• A. The ability to organize and prioritize tasks
• B. The ability to work weekends and off shifts
• C. The ability to develop a comprehensive care plan
• D. Close relationship with the supervising RN

Correct answer: A

Rationale: To successfully manage care as an LPN, one must possess the ability to organize and prioritize tasks. This skill is crucial in ensuring efficient and effective care delivery, as it helps in planning, coordinating, and addressing patient needs in a timely manner. While the other choices may also be important in certain contexts, the key skill required for care management is the ability to organize and prioritize tasks. Working weekends and off shifts (Choice B) may be part of the job requirement but is not a skill. Developing a comprehensive care plan (Choice C) is important but falls more under the domain of care planning rather than day-to-day care management. Having a close relationship with the supervising RN (Choice D) is beneficial for collaboration but is not a standalone skill required for managing care.

5. Which historical figure is honored for working to improve care for the mentally ill?

• A. Clara Barton
• B. Florence Nightingale
• C. Dorothea Dix
• D. Lillian D. Wald

Correct answer: C

Rationale: Dorothea Dix is the correct answer. She is recognized for her significant contributions in advocating for the improvement of care for the mentally ill. Dorothea Dix played a crucial role in transforming the way individuals with mental illnesses were treated, advocating for better living conditions and appropriate care. Her efforts led to improved standards and treatment practices for the mentally ill. Clara Barton is known for her role in founding the American Red Cross, Florence Nightingale is renowned as a pioneer in modern nursing, and Lillian D. Wald is recognized for her work in public health and social reform, but they are not specifically honored for their work in improving care for the mentally ill.

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