Nursing Elites

1. 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.

2. The healthcare provider is caring for an adolescent who will be hospitalized for several weeks while in traction. The patient frequently has a room full of friends, and they can be heard laughing. The healthcare provider recognizes this patient is meeting which of Maslow's hierarchy of needs?

• A. Self-esteem
• B. Love and belonging
• C. Safety
• D. Self-actualization

Correct answer: B

Rationale: Love and belonging needs, as per Maslow's hierarchy, refer to the sense of belonging, being accepted, and forming meaningful relationships. In this scenario, the patient having friends around and engaging in social interactions indicates fulfillment of the love and belonging need. Choice A, self-esteem, focuses on self-respect and confidence, which are not directly related to the patient's interaction with friends. Choice C, safety, involves physical and psychological safety, which may be important but not the primary need being met in this situation. Choice D, self-actualization, relates to realizing personal potential, creativity, and achieving goals, which are at a higher level in the hierarchy compared to the need for love and belonging.

3. A healthcare professional is interested in locating reliable information concerning non-invasive blood glucose monitoring. Information is found, and the author is a scientist who conducted studies within the last year on the effectiveness of a non-invasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company excite.com. The healthcare professional is concerned about what component associated with this information?

• A. Accuracy
• B. Currency
• C. Authority
• D. Objectivity

Correct answer: D

Rationale: Objectivity is questioned when there is a potential conflict of interest, such as funding from a pharmaceutical company. In this scenario, the scientist's ties to the pharmaceutical company through funding may introduce bias, affecting the objectivity of the information provided. The author's connection to the pharmaceutical company may influence the objectivity of the research findings, making it essential for the healthcare professional to consider this aspect when evaluating the reliability of the information.

4. When transitioning from a long-term care facility to an acute care facility, what does the nurse need to do?

• A. Adapt motivational approaches
• B. Increase working hours per week
• C. Pursue additional formal education
• D. Maintain the same patient care time

Correct answer: A

Rationale: When transitioning from a long-term care facility to an acute care facility, the nurse needs to adapt motivational approaches. The environment and patient needs change significantly between these settings. Adapting motivational approaches is crucial to effectively meet the demands of the new job and provide optimal care in the acute care setting. This adjustment allows the nurse to cater to the different needs and pace of care required in an acute care facility compared to a long-term care facility. Choices B, C, and D are incorrect as they do not address the specific need for adapting motivational approaches when transitioning between these types of healthcare facilities.

5. What is a crucial issue a healthcare worker in the late industrialization era would need to address to promote health?

• A. Reducing the spread of infection
• B. Promoting physical activity
• C. Educating on medication administration
• D. Promoting child safety in transportation

Correct answer: A

Rationale: During the late industrialization era, communicable diseases were rampant due to poor sanitation and lack of infection control measures. Healthcare workers, including nurses, played a critical role in reducing the spread of infections to prevent disease transmission and improve public health. This focus on infection control was crucial to address the prevalent health issues of the time. Choices B, C, and D, while important in healthcare, were not as pressing during the late industrialization era compared to the urgent need to control the spread of infections.

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