Nursing Elites

1. What is the most caring response the student can make in this situation?

• A. Tell the other students that they are being mean and then leave the table.
• B. Shame the students for being so uncaring and cruel.
• C. Ask the other students why they think the instructor is so picky.
• D. Laugh and tell a story of a personal reprimand received from the instructor.

Correct answer: C

Rationale: Choosing to ask the other students why they think the instructor is so picky is a caring response as it opens up a constructive conversation. This approach can help shift the focus from making fun of the instructor to understanding the reasons behind their behavior, fostering empathy, and potentially promoting a more respectful environment. Option A may address the behavior but does not promote understanding. Option B focuses on shaming, which may escalate the situation. Option D diverts attention from the issue and may perpetuate a negative atmosphere.

2. When the new graduate nurse shares a journal article about caring with peers, a more experienced nurse says, 'You’d be a lot better off studying pathophysiology instead of wasting time on caring.' How does the graduate interpret the experienced nurse’s comment?

• A. The experienced nurse is just mean and doesn’t like new graduates.
• B. The experienced nurse is most likely overworked and cranky.
• C. The experienced nurse was educated in the medical model.
• D. The experienced nurse is uncaring and dislikes new graduates.

Correct answer: C

Rationale: The experienced nurse's comment likely reflects their education in the medical model, which emphasizes technical skills over caring. This suggests a difference in educational background rather than personal animosity towards new graduates. Choice A is incorrect as it assumes personal dislike without considering educational differences. Choice B is incorrect as it attributes the behavior to being overworked and cranky, which is not supported by the information given. Choice D is incorrect as it makes a broad assumption about the experienced nurse's character without considering the context of their comment.

3. 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.

4. Who is credited with creating a written record of health care practices and dispelling the mythical aspect of health care?

• A. Hammurabi
• B. Florence Nightingale
• C. Hippocrates
• D. Apollo

Correct answer: C

Rationale: Hippocrates is credited with creating the first medical textbook, where he documented contemporary health care practices and separated them from the mythical belief that Apollo was responsible for health. Hippocrates' work laid the foundation for evidence-based medicine and emphasized the importance of observation and clinical experience in healthcare practices. Choice A, Hammurabi, is known for his code of laws rather than medical advancements. Florence Nightingale is recognized for her contributions to nursing and healthcare reform, not for creating a written record of health care practices. Apollo, a Greek god associated with healing, is part of the mythical aspect of health care that Hippocrates aimed to dispel.

5. What is essential for student nurses to perform at their physical and emotional best?

• A. Engaging in adequate exercise.
• B. Eating plenty of carbohydrates the day before.
• C. Drinking caffeinated beverages before clinical.
• D. Studying late into the night to be prepared.

Correct answer: A

Rationale: To perform at their physical and emotional best, it is essential for student nurses to engage in adequate exercise. Regular physical activity not only helps maintain physical health but also contributes to emotional well-being, which is crucial for optimal clinical performance. Exercise can help reduce stress, improve mood, increase energy levels, and enhance overall cognitive function, all of which are essential for students to perform effectively in clinical settings. Choices B, C, and D are incorrect. Eating plenty of carbohydrates the day before, drinking caffeinated beverages before clinical, and studying late into the night may not necessarily lead to optimal physical and emotional performance. While nutrition is important, a balanced diet is more effective than simply focusing on carbohydrates. Caffeinated beverages can lead to dehydration and interfere with sleep patterns, and studying late into the night can impair cognitive function and increase stress levels, which are counterproductive to performing at one's best.

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