Nursing Elites

1. What does valuing respect for the individual as defining high-quality patient care describe about the nurse's approach to patient care?

• A. Critical thinking
• B. Caritas
• C. Paradigm
• D. Hierarchy of needs

Correct answer: C

Rationale: Valuing respect for the individual as defining high-quality patient care describes the nurse's paradigm, which is the overall way of thinking and approaching patient care that guides their actions and decisions. It reflects their fundamental beliefs and values regarding patient interactions and care delivery. Critical thinking involves analyzing information objectively and evaluating situations to make informed decisions. Caritas refers to acts of loving kindness and compassionate care in nursing practice. The hierarchy of needs is a theory that describes the hierarchical nature of human needs, such as physiological needs, safety needs, and social needs.

2. 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.

3. 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.

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. Which role is not appropriate for the LPN to participate in?

• A. Administering medications
• B. Dressing changes
• C. Designing a research study
• D. Reporting patient changes

Correct answer: C

Rationale: The correct answer is C. Designing a research study is not typically within the scope of practice for a Licensed Practical Nurse (LPN). LPNs are primarily involved in providing direct patient care, such as administering medications, performing dressing changes, and reporting patient changes. Designing research studies usually requires advanced education and training beyond what an LPN receives, making it an inappropriate role for an LPN to participate in.

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