Nursing Elites

1. The patient tells the nurse that his insurance company requires him to pick a primary provider and asks what that means. The nurse explains that a primary provider means choosing what?

• A. A doctor
• B. A staff nurse
• C. One insurance provider
• D. A hospital

Correct answer: A

Rationale: A primary provider is typically a doctor, nurse practitioner, or physician's assistant who is responsible for overseeing and coordinating the patient's comprehensive healthcare needs. This healthcare professional serves as the main point of contact for the patient, managing preventive care, treatments, referrals to specialists, and overall health management. Choice B, a staff nurse, is incorrect as a primary provider is usually a more advanced healthcare professional managing comprehensive care. Choice C, one insurance provider, is incorrect as a primary provider refers to a healthcare professional, not an insurance company. Choice D, a hospital, is incorrect as the primary provider is an individual healthcare professional responsible for coordinating the patient's care, not a healthcare facility.

2. Which historical figure is honored for working to improve care of the mentally ill in mental health nursing?

• 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. Dix played a crucial role in establishing mental health institutions and reforming the care provided to individuals with mental health conditions. Clara Barton is known for founding the American Red Cross, Florence Nightingale is renowned as the founder of modern nursing, and Lillian D. Wald is recognized for her work in public health nursing. However, none of them are specifically honored for their work in improving care for the mentally ill in mental health nursing, unlike Dorothea Dix.

3. 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.

4. The nurse is providing pre-operative teaching to the anxious patient, who doesn't seem to be learning. What need must the nurse help this patient meet before continuing to teach?

• A. Self-esteem
• B. Love and belonging
• C. Safety
• D. Self-actualization

Correct answer: C

Rationale: The correct answer is C: Safety. Before effective learning can occur, the patient's safety needs must be addressed. When patients feel safe and secure, they are better able to focus on receiving and processing information. Ensuring the patient's safety is a fundamental step in providing care and support, especially in a pre-operative setting where anxiety and concerns about the procedure may be high. Choices A, B, and D are incorrect because while self-esteem, love and belonging, and self-actualization are important needs, the immediate priority in this scenario is addressing the patient's safety concerns to create a conducive environment for learning.

5. In a unionized hospital, nurses receive compensatory pay for working holidays based on the hours worked with no extra compensation. Despite management refusing to consider changes to the compensatory pay system suggested by nurses during the annual employee satisfaction survey, a trend member listened to both parties and made non-legally binding recommendations. What is this type of settlement known as?

• A. Collective bargaining
• B. Mediation
• C. Grievance
• D. Binding arbitration

Correct answer: B

Rationale: Mediation involves a neutral third party who assists in resolving disputes by providing non-legally binding recommendations. In this scenario, the trend member acted as a mediator by listening to both nurses and management and offering suggestions without the authority to enforce them as a legally binding decision. Collective bargaining refers to negotiations between labor unions and employers to determine terms of employment. Grievance is a formal complaint by an employee against an employer. Binding arbitration involves a neutral third party making a final and legally binding decision to resolve a dispute.

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