Nursing Elites

1. What does valuing respect for the individual as defining high-quality patient care describe about the nurse's approach to patient care?

• A. Critical thinking
• B. Caritas
• C. Paradigm
• D. Hierarchy of needs

Correct answer: C

Rationale: Valuing respect for the individual as defining high-quality patient care describes the nurse's paradigm, which is the overall way of thinking and approaching patient care that guides their actions and decisions. It reflects their fundamental beliefs and values regarding patient interactions and care delivery. Critical thinking involves analyzing information objectively and evaluating situations to make informed decisions. Caritas refers to acts of loving kindness and compassionate care in nursing practice. The hierarchy of needs is a theory that describes the hierarchical nature of human needs, such as physiological needs, safety needs, and social needs.

2. 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?

• A. total patient care
• B. team nursing
• C. functional nursing
• D. partnership nursing

Correct answer: A

Rationale: The correct answer is A, total patient care. Total patient care refers to a nursing delivery system where one nurse is responsible for providing all aspects of care to the patient. In this system, the nurse assumes full responsibility for the patient's care, including personal hygiene, medication administration, patient education, and emotional support, ensuring comprehensive and individualized care. Choice B, team nursing, involves a team of healthcare providers working together to provide care to a group of patients. Choice C, functional nursing, divides tasks among different team members based on their skills and expertise. Choice D, partnership nursing, does not represent a recognized nursing delivery system, making it an incorrect option.

3. A group of workers wish to seek union representation that would protect all workers in the agency, including unlicensed assistive personnel and non-nursing employees such as a nutritionist and dietary workers. The type of union being sought is the strongest collective group and is known by what term?

• A. A right-to-work bargaining organization
• B. An occupational union
• C. Industrial unionism
• D. Union shop

Correct answer: C

Rationale: Industrial unionism refers to a union that represents all workers in a particular industry, regardless of their specific job roles. In this scenario, the workers are looking for a union that covers a wide range of employees in the agency, making industrial unionism the most suitable option. Choice A, 'A right-to-work bargaining organization,' is incorrect as right-to-work laws pertain to union security agreements and do not define the type of union being sought. Choice B, 'An occupational union,' is incorrect as it typically represents workers within a specific occupation, not across various roles as described in the scenario. Choice D, 'Union shop,' is incorrect as it refers to a workplace where employees are required to join or pay union dues as a condition of employment, which is different from the scenario described.

4. During preoperative teaching for a client scheduled for a total knee arthroplasty who speaks a different language than the nurse, which interprofessional team member should the nurse include in the discussion?

• A. Interpreter
• B. Social worker
• C. Occupational therapist
• D. Spiritual advisor

Correct answer: A

Rationale: In this scenario, the nurse should include an interpreter in the discussion to facilitate clear and accurate communication between the nurse and the client who speaks a different language. The interpreter plays a crucial role in ensuring that the client fully understands the preoperative teaching and can express any concerns or questions effectively. Choice B, a social worker, is not the most appropriate option in this context as the primary need is language interpretation rather than social support. Choice C, an occupational therapist, is also not the best option as their role does not directly address the language barrier issue. Choice D, a spiritual advisor, is not relevant to the situation at hand and would not assist in overcoming the language barrier.

5. In a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel implement specific tasks like medication administration or personal hygiene for the entire nursing unit, what term describes this type of delivery system?

• A. Primary nursing
• B. Team nursing
• C. Functional nursing
• D. Total patient care

Correct answer: C

Rationale: Functional nursing is a care delivery model where tasks are divided among team members based on their respective roles. In this system, RNs, LPNs, and unlicensed assistive personnel are assigned specific tasks to carry out for the entire nursing unit, such as medication administration or personal hygiene duties. The other choices are incorrect: A) Primary nursing involves one nurse being responsible for all aspects of care for a group of patients, B) Team nursing involves a team of healthcare providers working together to provide care for a group of patients, and D) Total patient care refers to one nurse being responsible for all aspects of care for one patient.

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