Contemporary Issues in Nursing

Contemporary Issues in Nursing Related

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A community in the New Madrid fault zone experiences an earthquake resulting in injuries from propelled objects and abrasions for many victims. The local supply of antibiotics is quickly exhausted. Local authorities would contact the:

  • A. Commissioned Corps Readiness Force.
  • B. Strategic National Stockpile.
  • C. Department of Homeland Security.
  • D. local Young Men's Christian Association (YMCA).
Correct Answer: B

Rationale: The correct answer is B: Strategic National Stockpile. This is because the Strategic National Stockpile is a federal repository of antibiotics, medical supplies, and equipment to respond to public health emergencies. In this scenario, the local supply of antibiotics is exhausted, so contacting the Strategic National Stockpile would provide the necessary antibiotics to treat the injured victims.

Explanation for why other choices are incorrect:
A: The Commissioned Corps Readiness Force is a team of health professionals who can be deployed during public health emergencies, but they do not specifically store or distribute medical supplies like antibiotics.
C: The Department of Homeland Security focuses on national security and disaster response, but they do not directly handle the distribution of medical supplies like antibiotics.
D: The local Young Men's Christian Association (YMCA) is a community organization that is not equipped to provide medical supplies for emergency response situations like this earthquake scenario.

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An older adult client was admitted to the hospital with the condition classified as "pneumonia." Reimbursement was based on a predetermined fixed price. This classification system is referred to as:

  • A. diagnosis-related groups (DRGs).
  • B. subjective symptom management.
  • C. acuity classification system.
  • D. organized managed care.
Correct Answer: A

Rationale: The correct answer is A: diagnosis-related groups (DRGs). This classification system assigns a fixed price to specific diagnoses or procedures, such as pneumonia, for reimbursement purposes. DRGs aim to standardize payment based on patient diagnosis and treatment, promoting efficiency and cost containment in healthcare.

B: Subjective symptom management is not a classification system for reimbursement but rather a method of addressing patient symptoms.

C: Acuity classification system refers to determining the level of care a patient needs based on severity, not reimbursement.

D: Organized managed care involves coordination of healthcare services and providers, not specific classification for reimbursement.

Organizations measure the effectiveness of their budgets by examining actual revenues and expenditures versus:

  • A. planned variances.
  • B. incremental budgets.
  • C. productivity metrics.
  • D. expected performance.
Correct Answer: A

Rationale: The correct answer is A: planned variances. Organizations compare actual revenues and expenditures to planned variances to measure budget effectiveness. Planned variances show the differences between the budgeted amounts and the actual results, highlighting areas of over or underperformance. This analysis helps organizations identify reasons for deviations and adjust future budgets accordingly.

Explanation for other choices:
B: Incremental budgets focus on adjusting previous budgets by a fixed amount, not on comparing actual versus planned amounts.
C: Productivity metrics measure the efficiency of resources used, not specifically related to budget effectiveness.
D: Expected performance is a vague term that does not directly address comparing actual versus planned financial data.

A nurse researcher who is seeking funding for a study should identify _ of funding agencies.

  • A. board members
  • B. priorities
  • C. budgets
  • D. accreditation
Correct Answer: B

Rationale: The correct answer is B: priorities. When seeking funding for a study, identifying the priorities of funding agencies is crucial as it helps align the research proposal with the agency's focus areas, increasing the chances of securing funding. Board members (A) are individuals overseeing the agency, not directly related to funding decisions. Budgets (C) refer to financial resources, which are important but secondary to understanding the agency's priorities. Accreditation (D) is about meeting certain standards and is not directly related to identifying funding agencies. Therefore, it is essential to focus on understanding the priorities of funding agencies when seeking funding for a study.

A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of an inexperienced delegatee?

  • A. Actually observe the delegatee perform the assigned task.
  • B. Ask the delegatee how many times he/she has performed the task.
  • C. Ask the patient if the care provided was satisfactory.
  • D. Ask other nurses if they feel the delegatee is competent.
Correct Answer: A

Rationale: The correct answer is A. By actually observing the delegatee perform the assigned task, the nurse can directly assess the competency of the delegatee in real-time. This allows the nurse to evaluate the delegatee's skills, knowledge, and adherence to protocols. Asking the delegatee how many times they have performed the task (B) may not accurately reflect their competency level. Asking the patient if the care provided was satisfactory (C) may not provide an objective assessment of the delegatee's competency. Asking other nurses if they feel the delegatee is competent (D) introduces bias and may not reflect the delegatee's actual abilities.

A nurse is interested in working in a large trauma center that is unionized but does not want to join the union or pay fees. She accepts the position but is not required to join or pay fees to the union based on which law?

  • A. National Labor Relations Act
  • B. Right-to-work law
  • C. National Labor Relations Act
  • D. Taft-Hartley Act
Correct Answer: B

Rationale: The correct answer is B: Right-to-work law. This law prohibits requiring union membership or payment of union fees as a condition of employment. The nurse can work in the unionized trauma center without being obligated to join or pay fees due to the provisions of the Right-to-work law.

A: National Labor Relations Act - This act protects the rights of employees to join or form unions but does not specifically address the issue of mandatory union membership or fees.
C: National Labor Relations Act - This is a duplicate choice.
D: Taft-Hartley Act - This act regulates labor unions but does not specifically address the issue of mandatory union membership or fees.

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