Nursing Elites

1. What is the main purpose of a nursing code of ethics?

• A. To protect the rights and dignity of patients
• B. To ensure compliance with healthcare laws
• C. To set standards for clinical practice
• D. To provide a framework for ethical decision-making in nursing practice

Correct answer: D

Rationale: The main purpose of a nursing code of ethics is to provide a framework for ethical decision-making in nursing practice. While choice A is important, the primary focus of a nursing code of ethics is not solely to protect the rights and dignity of patients but to guide nurses in making ethical decisions. Choice B is more related to legal requirements, not the ethical aspects covered by a code of ethics. Choice C, setting standards for clinical practice, is important but distinct from the primary purpose of a code of ethics, which is centered on ethical decision-making.

2. What is the primary focus of strategic planning in healthcare organizations?

• A. Financial performance
• B. Staff satisfaction
• C. Patient care quality
• D. Regulatory compliance

Correct answer: C

Rationale: In healthcare organizations, the primary focus of strategic planning is to enhance patient care quality. While financial performance, staff satisfaction, and regulatory compliance are essential aspects in healthcare management, they are secondary to the overarching goal of providing high-quality care to patients. Financial performance ensures sustainability, staff satisfaction impacts productivity and retention, and regulatory compliance maintains legal standards. However, without a core focus on improving patient care quality, the strategic planning efforts may not align with the primary mission of healthcare organizations.

3. A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?

• A. "I can concentrate best in the morning."
• B. "It is difficult to read the instructions because my glasses are at home."
• C. "I'm wondering why I need to learn this."
• D. "You will have to talk to my partner about this."

Correct answer: D

Rationale: The correct answer is D, "You will have to talk to my partner about this." This response indicates that the client is willing to involve their partner in the learning process, showing readiness to take responsibility and engage in the education. Choices A, B, and C demonstrate potential barriers to learning: A indicates a preference for learning time but does not show active involvement, B focuses on external factors hindering learning, and C reflects a lack of understanding or motivation for the learning.

4. During a discussion about the nursing profession at a middle school, which of the following statements is true?

• A. Nurses need to graduate from nursing school to earn a degree.
• B. Nursing is a profession that values continuous education.
• C. Nurses function autonomously within their scope of practice.
• D. Nurses must adhere to professional behaviors in all aspects of their lives.

Correct answer: C

Rationale: The correct answer is C. Nurses are healthcare professionals who can independently make decisions within their defined scope of practice, providing care to patients. This autonomy allows nurses to assess, diagnose, plan, intervene, and evaluate patient care without direct supervision from physicians. Choice A is incorrect because nurses need to graduate from nursing school to earn a degree, not necessarily to obtain a license. Choice B is incorrect because while continuous education is important in nursing, it is not a defining characteristic of the profession. Choice D is incorrect because while nurses are expected to adhere to professional behaviors, it is not limited to their professional lives but extends to their personal lives as well.

5. When a client with a terminal diagnosis asks about advance directives, what should the nurse do?

• A. Engage the client and ask why they want to discuss this without their partner present.
• B. Provide information on advance directives and offer brochures.
• C. Advise the client to schedule a discussion with their provider.
• D. Focus on the client's current feelings and postpone planning for a later time.

Correct answer: A

Rationale: Choice A is the correct response as it demonstrates active listening and empathy by engaging the client in a discussion about their concerns regarding advance directives. It also recognizes the importance of involving the client's partner in such discussions, promoting shared decision-making and support. Choices B and C lack the personalized approach needed in this situation and do not address the client's immediate request for information. Choice D is incorrect as it disregards the client's expressed need to discuss advance directives and focuses solely on their current feelings, delaying a crucial conversation.

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