Nursing Elites

1. 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.

2. A healthcare professional is reviewing a client's clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist in evaluating the cost-effectiveness of the care?

• A. the age of the client
• B. the availability of community support groups
• C. the length of the client's stay
• D. the type of insurance the client carries

Correct answer: C

Rationale: The correct answer is C: 'the length of the client's stay.' The length of the client's stay is a critical factor in determining the cost-effectiveness of care after hip arthroplasty. Shorter stays typically result in lower costs as they reduce resource utilization and associated expenses. Choices A, B, and D are not directly related to evaluating cost-effectiveness in this scenario. The age of the client, availability of community support groups, and the type of insurance carried may impact other aspects of care but do not directly assess the cost-effectiveness of the care provided.

3. The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient's behavior but can avoid being judgmental by understanding what?

• A. Motivation
• B. State laws
• C. The patient's social history
• D. Code of ethics

Correct answer: A

Rationale: In this scenario, the nurse is experiencing negative emotions towards the patient's behavior. By understanding the patient's motivation, the nurse can gain insight into the underlying factors that led to the behavior, helping to avoid being judgmental. This approach allows the nurse to provide care and support without letting personal feelings interfere. Understanding motivation can also aid in developing a therapeutic relationship and providing appropriate care tailored to the patient's needs. Choices B, C, and D are incorrect as while state laws, the patient's social history, and the code of ethics are important aspects to consider in healthcare, they do not directly address the nurse's feelings of disgust and the need to avoid being judgmental towards the patient's behavior.

4. Which statement accurately describes the NFLPN?

• A. It represents both registered nurses (RNs) and LPNs.
• B. It represents LPNs/LVNs only.
• C. It is open to anyone interested in nursing.
• D. It is open to anyone in the healthcare field.

Correct answer: B

Rationale: The correct answer is B. The National Federation of Licensed Practical Nurses (NFLPN) is the official membership organization specifically for licensed practical nurses/licensed vocational nurses (LPNs/LVNs). It is not inclusive of registered nurses (RNs) or other healthcare professionals; therefore, only LPNs/LVNs can join this organization. Choice A is incorrect because the NFLPN does not represent registered nurses (RNs). Choices C and D are also incorrect as the NFLPN is a specialized organization for LPNs/LVNs, not open to anyone interested in nursing or anyone in the healthcare field.

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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