What historical event first led to the recognition of the contribution of blacks to nursing?

Correct Answer: C

Rationale: The correct answer is C: Mary Seacole's efforts to care for soldiers during the Crimean War. Mary Seacole was a Jamaican nurse who provided medical care to soldiers during the Crimean War. Her contributions highlighted the important role that black individuals played in nursing. This event marked the first significant recognition of the contributions of blacks to the nursing profession. Explanation of why other choices are incorrect: A: Florence Nightingale's acceptance of black nurses into the first nursing school - While Florence Nightingale is known as a pioneer of modern nursing, her acceptance of black nurses into nursing schools did not specifically lead to the recognition of the contribution of blacks to nursing. B: The contributions of black nurses at the Pennsylvania Hospital, the first hospital in America - While black nurses may have made contributions at Pennsylvania Hospital, this event did not lead to the initial recognition of the contribution of blacks to nursing. D: The work done by wives of wealthy black nobles who carried food and medicine from

Correct Answer: D

Rationale: The correct answer is D: practice-based competency. This teaching-learning style focuses on developing practical skills and competencies through hands-on experiences such as case studies and simulator practice. This approach is more effective in preparing nursing students for real-world scenarios and NCLEX® exams compared to just memorizing basic facts (choice A). Objective Structured Clinical Examinations (OSCE) (choice B) involve structured assessments of clinical skills and are not the primary focus of the teaching style described. Peer-to-peer learning (choice C) emphasizes collaborative learning among students, which may be a component of the teaching style but not the central focus. Practice-based competency (choice D) aligns best with the emphasis on practical application and skill development described in the scenario.

Correct Answer: A

Rationale: The correct answer is A: uterine contractions resulting in possible miscarriage. Feverfew is known to stimulate uterine contractions, which can potentially lead to miscarriage in pregnant women. This risk is especially concerning during the first trimester when the uterus is more sensitive to such stimulants. Uterine contractions can increase the risk of premature labor and miscarriage. Reduced fetal growth (choice B), insomnia (choice C), and tiredness the following day (choice D) are not directly associated with feverfew use during pregnancy. It is crucial for the nurse to educate the patient about the potential risk of uterine contractions and advise against the use of feverfew during pregnancy to ensure the safety of both the mother and the fetus.

Correct Answer: C

Rationale: Step-by-step rationale for choice C: 1. Licensure ensures RNs meet minimum standards to practice. 2. Protects the public from incompetent or unqualified nurses. 3. Ensures RNs adhere to ethical and legal standards. 4. Maintains accountability and promotes safe patient care. Summary: A: Incorrect, as licensure is not primarily about title protection. B: Incorrect, as while RNs demonstrate knowledge, licensure is broader. D: Incorrect, as enhancing recognition is not the primary goal of licensure.

Correct Answer: B

Rationale: The correct answer is B because the Metropolitan Medical Response System (MMRS) consists of responders who have received specialized training and equipment to handle mass casualty events efficiently. This specialized training and equipment enable them to respond effectively to disasters such as terrorist attacks, natural disasters, or pandemics. Choice A is incorrect because the MMRS is not solely funded by the federal government national disaster fund. Choice C is incorrect as the MMRS does not store medications and antidotes but focuses on response capabilities. Choice D is incorrect as the MMRS does not directly handle patient admissions to federal hospitals but rather focuses on emergency response coordination.

Correct Answer: C

Rationale: The correct answer is C because institutional review boards (IRBs) are responsible for ensuring that research studies involving human subjects do not cause harm. IRBs evaluate the potential risks and benefits of the study to protect participants' rights and well-being. Choice A is incorrect because publication is not within the primary scope of IRBs. Choice B is incorrect as adding to nursing knowledge is not the main focus of IRBs. Choice D is also incorrect as funding approval is typically handled by separate entities and is not the primary role of IRBs.

Correct Answer: B

Rationale: The correct answer is B because a "salvador" is typically a spiritual healer or medium in Hispanic culture who helps communicate with deceased family members. This aligns with the scenario of the patient seeking the services of a salvador to communicate with a family member who recently died. The other choices are incorrect because: A: Determining herbs for hot flashes is typically done by an herbalist or healthcare provider. C: Treating lower back pain usually involves medical professionals like doctors or physical therapists. D: Acupuncture for smoking cessation is typically provided by licensed acupuncturists or healthcare professionals, not a salvador.

Correct Answer: B

Rationale: The correct answer is B: variance. In this scenario, the patient's extended time on the ventilator deviates from the expected clinical pathway of extubation and discharge the day after surgery. Variances are deviations from established protocols or guidelines. This situation highlights a deviation from the standard practice and requires further evaluation to understand the reasons for the delay in extubation. The other choices are incorrect because: A: Patient outcome refers to the result of care received by the patient, not the deviation from the expected process. C: Goal represents the desired outcome or target to achieve, not the deviation from the pathway. D: Standard is the established protocol or guideline to follow, not the deviation from it.

Correct Answer: B

Rationale: The correct answer is B: cost shifting. Cost shifting refers to the practice of healthcare providers charging higher prices to patients who have insurance or can pay in order to make up for the costs incurred from providing care to uninsured or underinsured individuals. This helps offset the financial burden caused by uncompensated care. A: Charity is incorrect because it refers to voluntary giving of help, typically in the form of money or goods, to those in need. Cost shifting involves charging more to certain patients to cover costs, rather than voluntary donations. C: Price sharing is incorrect as it does not accurately reflect the concept of redistributing costs among different groups of patients based on their ability to pay. D: Governmental reimbursement is incorrect because it specifically refers to payments made by the government to healthcare providers for services rendered to patients covered by government insurance programs, not the practice of cost shifting.