Nursing Elites

1. A healthcare provider is planning the discharge of a newborn who requires apnea monitoring at home. To which of the following community agencies should the healthcare provider anticipate referring the guardian of the newborn?

• A. Child Protective Services
• B. Public Health
• C. Home Health
• D. Women, Infants, and Children (WIC)

Correct answer: C

Rationale: Home health agencies specialize in providing at-home care and monitoring services, making them the appropriate referral for a newborn requiring apnea monitoring. These agencies can offer skilled nursing care, education, and support to ensure the well-being of the newborn in a home setting. Child Protective Services (Choice A) is not relevant in this scenario as it deals with child welfare and protection from abuse or neglect. Public Health (Choice B) focuses on community health initiatives but may not provide the specialized care needed for apnea monitoring. Women, Infants, and Children (WIC) program (Choice D) offers nutritional support and education for low-income pregnant women, new mothers, and young children, which is not directly related to providing monitoring services for a newborn with apnea.

2. When demonstrating therapeutic use of self, which nursing intervention is the nurse performing?

• A. Sitting with a dying patient
• B. Attending class
• C. Studying for a test
• D. Learning the nursing code of ethics

Correct answer: A

Rationale: The correct answer is A: Sitting with a dying patient. Therapeutic use of self in nursing involves the nurse's ability to establish a caring and compassionate relationship with patients. Sitting with a dying patient allows the nurse to provide emotional support, physical presence, and comfort, demonstrating the use of self in a therapeutic manner. Choices B, C, and D are incorrect as they do not directly involve the nurse's interaction with a patient in a therapeutic manner.

3. 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.

4. 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.

5. For what purpose does the nursing student predominantly use knowledge about the history of nursing?

• A. To understand the professional choices open to the student
• B. To prevent medication errors in practice
• C. To determine the optimal geographical area for practice
• D. To reduce the cost of delivering quality health care

Correct answer: A

Rationale: Understanding the history of nursing is essential for nursing students as it enables them to comprehend the various professional paths available in the field. By learning about the evolution of nursing practice, students can gain insights into different specialties, roles, and career opportunities within the nursing profession. This historical knowledge helps students make informed decisions about their future career paths and understand the diversity and possibilities within the nursing profession. Choices B, C, and D are incorrect because the primary purpose of studying the history of nursing is not to prevent medication errors, determine practice locations, or reduce healthcare costs. While these are important aspects of nursing practice, they are not the main reasons for studying the history of nursing.

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