During preoperative teaching for a client scheduled for a total knee arthroplasty who speaks a different language than the nurse, which interprofessional team member should the nurse include in the discussion?

Correct Answer: A

Rationale: The correct answer is A: Interpreter. The nurse should include an interpreter in the discussion to ensure effective communication with the client. Clear communication is crucial for informed consent and understanding preoperative instructions. Social worker (B) may provide emotional support, not language translation. Occupational therapist (C) focuses on rehabilitation post-surgery. Spiritual advisor (D) addresses religious or spiritual needs, not language translation.

Correct Answer: A

Rationale: The increasing cost of providing healthcare to all citizens is a major source of stress on the current U.S. healthcare system. This rise in costs impacts various aspects of the system, including accessibility, quality of care, and financial sustainability. It affects healthcare providers, patients, insurance companies, and the government, making it a critical issue that needs to be addressed to ensure a more efficient and effective healthcare system. Choices B, C, and D are incorrect because although lack of education for healthcare professionals, inadequate number of hospital beds, and increasing malpractice insurance costs can be challenges within the healthcare system, they are not the primary source of stress that affects the system as a whole.

Correct Answer: D

Rationale: The correct answer is D: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and timelines based on assessment findings. In this scenario, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics. This structured approach ensures consistent and efficient care delivery. A: Patient classification system categorizes patients based on their clinical needs, not specific care plans. B: Patient-centered plan of care focuses on individual preferences and goals, not necessarily specific interventions and timelines. C: Diagnosis-related group is a classification system for reimbursement based on diagnoses, not specific care plans. In summary, the other choices are incorrect because they do not accurately describe a detailed plan of care with specific interventions and timelines like a clinical pathway does.

Correct Answer: A

Rationale: The correct answer is A: total patient care. In this nursing delivery system, nurses are responsible for providing comprehensive care to assigned patients, including personal hygiene, medication administration, education, and emotional support. They have full autonomy and accountability for the patient's care throughout their stay. This system ensures continuity, individualized care, and a strong nurse-patient relationship. Summary of other choices: B: Team nursing involves a team of healthcare professionals working collaboratively to provide care. It does not assign individual nurses to specific patients for comprehensive care. C: Functional nursing divides tasks among different nursing staff based on their expertise. It focuses on efficiency but lacks continuity and individualized care for each patient. D: Partnership nursing involves collaboration between nurses and patients in decision-making and care planning. It emphasizes shared responsibility but does not assign individual nurses to provide total care to specific patients.

Correct Answer: C

Rationale: The correct answer is C: Florence Nightingale. Florence Nightingale is known for her emphasis on evidence-based practice and data-driven decision-making in healthcare. In this scenario, the healthcare provider is using critical thinking skills to assess the patient's overall clinical presentation, which includes normal vital signs and signs of adequate oxygenation despite the pulse oximeter reading of 38%. This aligns with Nightingale's principles of prioritizing direct observation and clinical judgment over technology. Incorrect answers: A: Annie Goodrich - Goodrich was a nursing educator and leader in nursing education, but not specifically known for emphasizing clinical assessment over technology. B: Lillian D. Wald - Wald was a public health nurse and social reformer, not specifically associated with direct patient care assessment. D: Linda Richards - Richards was the first professionally trained American nurse, but not specifically known for her approach to clinical assessment in this context.

Correct Answer: C

Rationale: The correct answer is C because it aligns with the definition of caring provided in the question stem. By including the patient in planning care, the nurse demonstrates a genuine concern for the patient's needs and preferences, which is a key aspect of caring. This approach acknowledges the patient as a unique individual and respects their autonomy. Choice A is incorrect because while finding a way for the patient to see the dog may be a kind gesture, it does not directly relate to the core concept of caring as described in the question. Choice B is incorrect as it mentions the importance of a nonjudgmental attitude, which is indeed a part of transpersonal caring but does not directly address the specific aspect of including the patient in planning care. Choice D is incorrect as it introduces a different concept of curative nursing care, which is not relevant to the definition of caring provided in the question.

Correct Answer: A

Rationale: The correct answer is A because photocopying a client's diagnostic test results without proper authorization violates the client's privacy and confidentiality. It is a breach of HIPAA regulations. - Choice B is correct as assistive personnel can document vital signs on the client's record under supervision. - Choice C is acceptable as long as the unit secretary is authorized to fax the client's results. - Choice D is appropriate as it involves educating the client about her vital signs, promoting client understanding and autonomy.

Correct Answer: B

Rationale: The correct answer is B because reimbursement policies in the US healthcare system heavily influence the services that can be provided to the public. Healthcare professionals need to understand these policies to ensure they are delivering appropriate care within the constraints of reimbursement guidelines. This understanding allows for better decision-making in treatment options and resource allocation. Choice A is incorrect as understanding healthcare issues goes beyond just documenting patient insurance information. Choice C is incorrect because while insurance coverage can impact care quality, it is not the main reason why healthcare professionals need to understand healthcare issues. Choice D is incorrect as proficiency in healthcare issues is important for all healthcare professionals, not just practical nurses.

Correct Answer: A

Rationale: The correct answer is A: To understand the professional choices open to the student. Understanding the history of nursing helps students learn about the evolution of the profession, key figures, and important milestones. This knowledge provides insight into various career paths, specialties, and opportunities within nursing. It also helps students appreciate the values, ethics, and core principles that shape modern nursing practice. Choices B, C, and D are incorrect because the history of nursing is not primarily used for preventing medication errors, determining geographical areas for practice, or reducing healthcare costs.