Nursing Elites

1. How can a student demonstrate care for classmates?

• A. Preparing for class discussion by reading the assigned chapter
• B. Calling the instructor to explain the reason for arriving late
• C. Ducking behind a book to hide eye rolling
• D. Arriving for class on time and prepared

Correct answer: D

Rationale: Arriving for class on time and prepared is the correct way for a student to demonstrate care for classmates. This action shows respect for their peers' time and contributes positively to the learning environment. Being punctual and ready for class helps create a conducive atmosphere for everyone's learning and demonstrates consideration for classmates. Choices A, B, and C do not directly show care for classmates. Choice A focuses on individual preparation, which is beneficial for personal learning but not directly for classmates. Choice B involves the instructor but not classmates, and it is more about personal responsibility. Choice C reflects negative behavior that does not benefit classmates and instead may contribute to a negative classroom environment.

2. The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. What is the nurse's best caring response?

• A. Yell at the physician for yelling at a new graduate and report the incident to the supervisor.
• B. Wait until the situation ends and comfort the graduate privately.
• C. Suggest that the physician take a quieter and more private approach to the problem.
• D. Ignore the situation to avoid embarrassing the graduate further.

Correct answer: C

Rationale: Suggesting a quieter and more private approach to the problem is the best caring response as it addresses the issue respectfully. This response shows empathy towards the graduate nurse and also aims to improve the situation without escalating it further. Choice A is not ideal as responding to yelling with yelling can exacerbate the situation and create more tension. Choice B, while offering comfort, does not directly address the inappropriate behavior of the physician. Choice D is not recommended as ignoring the situation may not help the graduate nurse and can lead to the continuation of inappropriate behavior without intervention.

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 patient would be appropriately transferred to an assisted living facility?

• A. The patient requiring ongoing skilled nursing observation
• B. The patient who has recovered enough to return to work and daily life
• C. The child who was burned in a fire after losing both parents to the tragedy
• D. The patient who needs minimal assistance in performing activities of daily living but cannot live alone

Correct answer: D

Rationale: The correct answer is D. Patients suitable for transfer to assisted living facilities are those who require minimal assistance with activities of daily living but do not need constant skilled nursing observation. Option D aligns with the purpose of an assisted living facility, which provides support for individuals who can no longer live independently but do not require intensive medical care. Choices A, B, and C are incorrect because patients requiring ongoing skilled nursing observation, those who have recovered enough to return to work and daily life, and children who have experienced a traumatic event such as a fire are not typically candidates for assisted living facilities.

5. When teaching about community preparedness for a community group, the nurse should explain that the components of the national disaster medical system (NDMS) provide assistance in what form?

• A. making available a nationwide bomb disposal squad team for the rapid removal of explosive devices
• B. Facilitating patient evacuation from the disaster area to a non-affected area
• C. organizing ground for detonation of bombs by bomb squad
• D. providing mental health care for victims and healthcare providers in the community

Correct answer: B

Rationale: The correct answers are B and C. The NDMS is designed to provide medical response during disasters, assist in patient movement, and offer definitive care to disaster victims. This includes organizing teams of healthcare providers with specialized skills and equipment to respond effectively to emergencies. Patient evacuation from disaster areas to safer locations is also a key function of the NDMS to ensure the well-being of those affected by the disaster. Options A and D are incorrect because the NDMS does not provide bomb disposal services and is primarily focused on medical response rather than mental health care.

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