Nursing Elites

1. Why is it important for healthcare professionals to have an understanding of healthcare issues in the United States?

• A. To ensure proper documentation of patient insurance information.
• B. Reimbursement policies often dictate the services that can be offered to the public.
• C. The quality of care provided is influenced by the patient's insurance coverage.
• D. Proficiency in healthcare issues is essential for graduating as a practical nurse.

Correct answer: B

Rationale: Understanding healthcare issues in the United States is crucial for healthcare professionals because reimbursement policies play a significant role in determining the services that can be provided to patients. By comprehending these issues, healthcare professionals can navigate the complexities of healthcare delivery, ensure appropriate services are offered, and optimize patient care outcomes. Choice A is incorrect because understanding healthcare issues goes beyond just documentation of patient insurance information. Choice C is incorrect as the quality of care should not be solely dependent on a patient's insurance coverage. Choice D is incorrect because while proficiency in healthcare issues is important for practical nurses, it is not a requirement solely for graduating.

2. What theme of critical thinking is demonstrated by the belief that continuous learning contributes to the ongoing process?

• A. Critical thinking is a productive and positive activity.
• B. Critical thinking is a process, not an outcome.
• C. Manifestations of critical thinking vary, depending on the context in which they occur.
• D. Critical thinking is triggered by both positive and negative events.

Correct answer: B

Rationale: The belief that continuous learning contributes to the ongoing process aligns with the theme that critical thinking is a process, not an outcome. This suggests that critical thinking involves a continuous, dynamic process of evaluating information, making connections, and adapting one's thinking over time, rather than being a fixed end result. Therefore, choice B is the correct answer. Choices A, C, and D do not directly address the continuous nature of critical thinking or its ongoing development, making them incorrect.

3. 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.

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. 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.

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