Nokea
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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A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:
- A. query the state nursing association to determine their stance on the role of LPNs.
- B. ask the LPNs on the unit to list what tasks they routinely performed.
- C. contact the state board of nursing to determine legal scope of practice for LPNs.
- D. refer to California's nurse practice act because the scope of LPNs/LVNs is consistent across the United States.
Correct Answer: C
Rationale: The correct answer is C: contact the state board of nursing to determine legal scope of practice for LPNs. This is the most appropriate action because the state board of nursing is the authoritative body that governs nursing practice within a specific state. By contacting the board, the RN can get accurate and up-to-date information on the legal scope of practice for LPNs in Arkansas. This ensures compliance with state regulations and avoids any potential legal issues.
A: Querying the state nursing association may provide some insight, but the state board of nursing is the official entity that regulates nursing practice.
B: Asking the LPNs about their tasks may not provide a comprehensive understanding of their legal scope of practice and could lead to misunderstandings.
D: Referring to California's nurse practice act is irrelevant as each state has its own regulations, and assuming consistency across states can lead to incorrect assumptions.
Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by:
- A. the federally coordinated National Disaster Medical System.
- B. local homeland communities where troops receive care.
- C. the Medical Reserve Corps, which organizes and utilizes public health, nursing, medical, and other volunteers.
- D. the National Incident Management System, which guides government, nongovernmental organizations, and the private sector to work seamlessly during disaster situations.
Correct Answer: A
Rationale: The correct answer is A: the federally coordinated National Disaster Medical System (NDMS). This system is specifically designed to provide medical care and support during disasters, including incidents involving mass casualties like the suicide bombing in the question. NDMS can rapidly deploy medical teams, equipment, and supplies to support local medical responses.
Choice B is incorrect because local homeland communities may not have the necessary resources and capabilities to handle a large-scale medical emergency like this. Choice C is incorrect because while the Medical Reserve Corps can provide additional support, it may not have the same level of coordination and resources as the NDMS. Choice D is incorrect as the National Incident Management System focuses on overall coordination of all emergency response efforts, not specifically medical care.
Which experience is best designed to support a nursing student's preparation for interprofessional team participation?
- A. Attending a seminar on interprofessional team cooperation
- B. Completing a preceptorship with an advanced practice nurse
- C. Carrying for three patients with varying medical diagnoses
- D. Presenting patient information at the daily care planning meeting on a mental health unit
Correct Answer: B
Rationale: The correct answer is B, completing a preceptorship with an advanced practice nurse. This experience allows the nursing student to directly work with and learn from a more experienced healthcare professional, gaining firsthand knowledge of interprofessional collaboration, communication, and teamwork. The preceptorship provides practical, real-world exposure to interprofessional team dynamics and allows for mentorship and guidance.
A: Attending a seminar may provide theoretical knowledge but lacks the practical application and direct experience of working within a team.
C: Caring for patients with varying medical diagnoses is important for developing clinical skills but may not specifically focus on interprofessional team participation.
D: Presenting patient information at a meeting involves communication skills but does not offer the same level of hands-on experience in interprofessional teamwork as a preceptorship.
When the client is unable to make medical decisions for himself or herself, authorization that allows another person to make these decisions is called:
- A. living will.
- B. durable power of attorney.
- C. informed consent.
- D. immunity.
Correct Answer: B
Rationale: The correct answer is B: durable power of attorney. This legal document grants authority to another person, known as the healthcare proxy or agent, to make medical decisions on behalf of the client when they are unable to do so themselves. This is essential for ensuring that the client's wishes are respected and that appropriate medical care is provided.
A: A living will is a document that outlines a person's preferences for medical treatment in case they become incapacitated, but it does not appoint someone to make decisions on their behalf.
C: Informed consent is the process of ensuring that a patient understands the risks and benefits of a medical treatment before giving consent, but it does not authorize someone to make decisions on their behalf.
D: Immunity refers to protection from legal liability and is not relevant to authorizing someone to make medical decisions for a client.
A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything okay?" The nurse says nothing and shrugs her shoulders. The nurse is demonstrating:
- A. open communication.
- B. filtration.
- C. blocking.
- D. false assurance.
Correct Answer: D
Rationale: The correct answer is D: false assurance. By not providing a verbal response to the patient's question and shrugging her shoulders, the nurse is not giving any indication of the patient's actual condition. This lack of communication can lead the patient to interpret the nurse's actions as reassurance that everything is fine, which is a form of false assurance. This behavior can be misleading and may prevent the patient from receiving important information about their health status.
Incorrect choices:
A: open communication - The nurse's lack of verbal response and shrugging shoulders does not demonstrate open communication.
B: filtration - Filtration is not relevant to the situation described.
C: blocking - While the nurse is not providing necessary information, the term "blocking" does not accurately describe the situation.