In a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel implement specific tasks like medication administration or personal hygiene for the entire nursing unit, what term describes this type of delivery system?

Correct Answer: C

Rationale: The correct answer is C: Functional nursing. In functional nursing, tasks are divided among different levels of nursing staff based on their specific functions, such as medication administration or personal hygiene, for the entire unit. This system focuses on efficiency and specialization of tasks, allowing each staff member to focus on their assigned duties. A: Primary nursing is a system where one nurse is responsible for coordinating the care of a group of patients. B: Team nursing involves a team of healthcare professionals working together to provide care to a group of patients. D: Total patient care, also known as case method nursing, involves one nurse providing all aspects of care for a patient. Functional nursing best describes the scenario where tasks are divided among different staff members based on their roles and functions.

Correct Answer: B

Rationale: The correct answer is B: It represents LPNs/LVNs only. The National Federation of Licensed Practical Nurses (NFLPN) is an organization specifically dedicated to advocating for and supporting licensed practical nurses (LPNs) and licensed vocational nurses (LVNs). This answer is correct because the NFLPN's primary focus is on LPNs/LVNs and their professional development. Choice A is incorrect because the NFLPN does not represent registered nurses (RNs), only LPNs/LVNs. Choice C is incorrect because the organization is not open to anyone interested in nursing, but specifically caters to LPNs/LVNs. Choice D is incorrect because the NFLPN is not open to anyone in the healthcare field, but rather focuses solely on LPNs/LVNs.

Correct Answer: D

Rationale: Many people obtain medical insurance through their employer. This is a common practice where employers offer health insurance benefits to their employees as part of their employment package. Choice A, primary care physician, is incorrect as they provide medical care, not insurance. Choice B, the local clinic, is incorrect as clinics offer medical services, not insurance. Choice C, social security office, is incorrect as it is not a typical source for obtaining medical insurance.

Correct Answer: A

Rationale: The correct answer is A: National Association for Practical Nurse Education and Services (NAPNES). NAPNES was the first organization to focus specifically on licensed practical nurses (LPNs) when it was established in 1941. This organization was founded with the primary goal of promoting and supporting practical nursing education and services. The other choices are incorrect because: B (NFLPN) primarily focuses on advocating for LPNs but was not the first organization; C (NLN) focuses on nursing education in general, not specifically on LPNs; and D (ANA) is a broader organization representing all nurses, not solely LPNs. Therefore, based on the historical context and focus of the organization, A is the correct answer.

Correct Answer: C

Rationale: The correct answer is C: Point-of-care technology. Point-of-care technology is used at the bedside to access information quickly for immediate patient care, such as procedures like accessing a port-a-cath. In this scenario, the healthcare provider is using a personal digital assistant to follow steps for accessing the port-a-cath, which is a point-of-care technology. A: Data management software focuses on organizing and storing data, not specifically on accessing information at the bedside. B: Electronic health records (EHR) are used for documenting patient information and medical history, not for accessing procedural steps in real-time at the bedside. D: Telehealth involves using technology for remote healthcare services, not for accessing procedural information at the bedside. In summary, the other choices are incorrect because they do not directly relate to accessing information at the bedside for immediate patient care, unlike point-of-care technology.

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: 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: 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.

Correct Answer: B

Rationale: The correct answer is B: Mediation. Mediation is a voluntary process where a neutral third party helps facilitate communication and negotiation between conflicting parties to reach a mutually acceptable agreement. In this scenario, the trend member listened to both parties and made non-legally binding recommendations, which aligns with the definition of mediation. Collective bargaining (A) involves negotiations between labor unions and management to reach a legally binding collective agreement. Grievance (C) is a formal complaint resolution process within the organization. Binding arbitration (D) is a process where a neutral third party makes a final and binding decision to resolve a dispute. In this case, the involvement of a trend member making non-legally binding recommendations indicates the use of mediation as the type of settlement.