Nursing Elites

1. 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.

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. How can the nurse best advocate for a patient who will be discharged from acute care to home?

• A. Arranging for Meals on Wheels to provide in-home meals
• B. Administering pain medication prior to discharge
• C. Teaching the patient how to take medications at home
• D. Taking the patient by wheelchair to the car

Correct answer: A

Rationale: Arranging for in-home support services like Meals on Wheels is crucial for ensuring the patient receives proper nutrition and support after discharge. This goes beyond simply administering medications or providing transportation. By arranging for in-home meals, the nurse addresses the patient's nutritional needs, promotes their overall well-being, and supports their ongoing care requirements. Administering pain medication or teaching medication management, while important, do not directly address the patient's need for nutritional support. Taking the patient by wheelchair to the car is focused on physical transportation and does not encompass the holistic care approach needed for a successful transition to home care.

4. 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.

5. 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.

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