Nursing Elites

1. When the nurse receives a shift report from the nurse going off shift and asks about a patient's state of mind and emotional needs, which aspect of Dr. Watson's theory is demonstrated?

• A. Intentionality
• B. Curiosity
• C. Caritas
• D. Holism

Correct answer: C

Rationale: The correct answer is C: Caritas. The act of inquiring about a patient's state of mind and emotional needs reflects the concept of Caritas in Dr. Watson's theory. Caritas involves showing deep concern, compassion, and love for the patient, going beyond just the physical aspects of care. Choice A, Intentionality, refers to the capacity for nurses to act deliberately with an ultimate goal in mind. Choice B, Curiosity, is not directly related to the specific action described in the question. Choice D, Holism, involves considering the patient as a whole being, including physical, emotional, social, and spiritual aspects, but it is not specifically demonstrated by inquiring about emotional needs and state of mind.

2. What is the difference between mediation and binding arbitration based on the statement provided?

• A. Mediation is sanctioned by the National Labor Relations Board (NLRB) to formally discuss concerns with management and labor
• B. Mediation uses a trained person to facilitate negotiations without making a final decision
• C. Binding arbitration is a formal process where an arbitrator's decision is final and must be adhered to by both parties
• D. Binding arbitration requires both labor and management to engage in discussions to find the least harmful resolution

Correct answer: C

Rationale: The key difference between mediation and binding arbitration lies in the finality of the decision. In binding arbitration, the arbitrator's decision is ultimate, and both parties are obligated to comply with it. This differs from mediation, where a neutral third party facilitates negotiations but does not make a final decision. Choice A is incorrect as mediation is not necessarily sanctioned by the NLRB; it can be conducted independently. Choice B is incorrect because mediation does not involve a final decision-maker but focuses on facilitating discussions. Choice D is incorrect as binding arbitration does not aim to find the least harmful resolution but rather a final and binding decision by the arbitrator.

3. 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.

4. 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.

5. For what purpose does the nursing student predominantly use knowledge about the history of nursing?

• A. To understand the professional choices open to the student
• B. To prevent medication errors in practice
• C. To determine the optimal geographical area for practice
• D. To reduce the cost of delivering quality health care

Correct answer: A

Rationale: Understanding the history of nursing is essential for nursing students as it enables them to comprehend the various professional paths available in the field. By learning about the evolution of nursing practice, students can gain insights into different specialties, roles, and career opportunities within the nursing profession. This historical knowledge helps students make informed decisions about their future career paths and understand the diversity and possibilities within the nursing profession. Choices B, C, and D are incorrect because the primary purpose of studying the history of nursing is not to prevent medication errors, determine practice locations, or reduce healthcare costs. While these are important aspects of nursing practice, they are not the main reasons for studying the history of nursing.

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