Nursing Elites

1. What is a major source of stress on the current U.S. healthcare system?

• A. Rising cost of providing healthcare to all citizens
• B. Lack of adequate education for healthcare professionals
• C. Inadequate number of hospital beds across the country
• D. Increasing cost of malpractice insurance

Correct answer: A

Rationale: The increasing cost of providing healthcare to all citizens is a major source of stress on the current U.S. healthcare system. This rise in costs impacts various aspects of the system, including accessibility, quality of care, and financial sustainability. It affects healthcare providers, patients, insurance companies, and the government, making it a critical issue that needs to be addressed to ensure a more efficient and effective healthcare system. Choices B, C, and D are incorrect because although lack of education for healthcare professionals, inadequate number of hospital beds, and increasing malpractice insurance costs can be challenges within the healthcare system, they are not the primary source of stress that affects the system as a whole.

2. Where do many people get medical insurance from?

• A. The primary care physician
• B. The local clinic
• C. Social security office
• D. The employer

Correct answer: D

Rationale: Many people obtain medical insurance through their employer. This is a common practice where employers offer health insurance benefits to their employees as part of their employment package. Choice A, primary care physician, is incorrect as they provide medical care, not insurance. Choice B, the local clinic, is incorrect as clinics offer medical services, not insurance. Choice C, social security office, is incorrect as it is not a typical source for obtaining medical insurance.

3. The educator is teaching a group about paradigm thinking and defines it as what?

• A. One's mathematical knowledge and ability to solve math problems
• B. The ability to see 20 feet away without wearing glasses
• C. An individual's perception or frame of reference about the world
• D. A healthcare provider's ability to solve patient-care problems

Correct answer: C

Rationale: Paradigm thinking refers to an individual's perception or frame of reference about the world. It involves understanding how one sees and interprets the world around them, which can influence their beliefs, decisions, and actions. Choices A, B, and D are incorrect as they do not accurately describe paradigm thinking. Paradigm thinking is not solely related to mathematical knowledge, eyesight, or healthcare problem-solving skills.

4. How does the nurse apply Maslow's hierarchy of needs in care?

• A. Judging the patient's behavior
• B. Improving the skillfulness of care
• C. Understanding the patient's behavior
• D. Improving communication skills

Correct answer: C

Rationale: Maslow's hierarchy of needs is a framework that helps nurses understand the different levels of human needs and prioritize care accordingly. By applying this framework, nurses can better understand the patient's behavior in the context of their unmet needs. This understanding allows nurses to provide holistic and patient-centered care that addresses not just the physical but also the emotional, social, and psychological needs of the patient. Choice A is incorrect because applying Maslow's hierarchy is about understanding, not judging, the patient's behavior. Choice B is incorrect as it does not directly relate to the application of Maslow's hierarchy. Choice D is also incorrect as improving communication skills, although important, is not the primary focus when applying Maslow's hierarchy of needs in care.

5. 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.

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