Nursing Elites

1. Which statement about the U.S. healthcare system made by the nurse is untrue and inaccurate?

• A. There is no central agency governing the healthcare system.
• B. Access to healthcare is available to all persons regardless of ability to pay.
• C. Legal risk must be considered when providing healthcare.
• D. High-tech equipment is available but payment for its use is troublesome to the system.

Correct answer: B

Rationale: The correct answer is B. Access to healthcare is not universally available to all persons in the U.S.; it is often influenced by the ability to pay. Choice A is accurate as there is no single central agency governing the entire U.S. healthcare system. Choice C is a valid consideration as legal risks are important in healthcare provision. Choice D highlights a common issue in the U.S. healthcare system where high-tech equipment is available, but the payment for its use can be problematic.

2. 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.

3. How do accrediting agencies such as the Joint Commission ensure quality care?

• A. Imposing maximum staffing levels
• B. Stipulating nurse-patient ratios
• C. Confirming delivery of satisfactory care
• D. Requiring a specific staff mix

Correct answer: C

Rationale: Accrediting agencies such as the Joint Commission primarily focus on confirming the delivery of satisfactory care rather than imposing specific staffing levels, nurse-patient ratios, or staff mix. They do not dictate the exact staffing levels or ratios but rather evaluate if the care provided meets established quality standards. While adequate staffing levels and appropriate nurse-patient ratios are essential for quality care, accrediting agencies like the Joint Commission assess the outcomes and overall quality of care delivered by healthcare facilities.

4. Medicaid, which is financed by what part of the government, is jointly funded by which two entities?

• A. State
• B. Federal
• C. County
• D. State and federal

Correct answer: D

Rationale: Medicaid is a healthcare program jointly funded by the state and federal governments. States have flexibility in administering Medicaid while adhering to federal guidelines, and both entities contribute funding to support the program. Choice A (State) is incorrect as Medicaid is not solely funded by the state government. Choice B (Federal) is not the only funding source for Medicaid. Choice C (County) is not a primary entity involved in financing Medicaid, making it incorrect. The correct answer is D, as Medicaid receives funding from both the state and federal governments.

5. How does a student primarily gain personal knowing?

• A. Arriving at every class on time
• B. Never missing a clinical experience
• C. Taking religious classes
• D. Self-evaluation and conscious examination

Correct answer: D

Rationale: Personal knowing in any field, especially in nursing, is primarily acquired through self-evaluation and conscious examination. This process involves reflecting on personal values, beliefs, experiences, and emotions to gain insight into oneself. By engaging in self-evaluation and conscious examination, students can enhance their self-awareness and develop a deeper understanding of themselves. This self-awareness is crucial for nurses as it enables them to provide holistic and patient-centered care. Choices A, B, and C do not directly contribute to personal knowing in the context of nursing. Being punctual, attending all classes, or participating in clinical experiences are important for professional development but do not necessarily lead to the deep self-reflection required for personal knowing.

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