Nokea
A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions?
- A. Implementing a disaster triage plan with a local medical facility
- B. Functioning as a manager at a temporary shelter
- C. Assisting with the identification of a biological agent
- D. Organizing a mass casualty drill for community members
Correct Answer: D
Rationale: The correct answer is D: Organizing a mass casualty drill for community members. This is the correct action for disaster preparedness as it helps in testing response procedures and identifying areas for improvement. Implementing a disaster triage plan (A) is important but doesn't involve community participation. Functioning as a manager at a temporary shelter (B) is a crucial role during a disaster but doesn't directly relate to preparedness efforts. Assisting with the identification of a biological agent (C) is more about response to an ongoing disaster rather than preparedness. Overall, organizing a mass casualty drill involves proactive planning and community involvement, making it the most suitable choice for disaster preparedness efforts.
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A nurse is teaching a group of school-age children about healthy snack options. Which of the following snacks should the nurse include?
- A. Cheesecake
- B. Air-popped popcorn
- C. Milkshake made with whole milk
- D. Baked potato chips
Correct Answer: B
Rationale: The correct answer is B: Air-popped popcorn. Popcorn is a whole grain snack that is high in fiber and low in calories, making it a healthy option for school-age children. It provides sustained energy and promotes satiety. It is also a good source of vitamins and minerals. Cheesecake (A) is high in sugar and saturated fat, not a healthy choice. Milkshake made with whole milk (C) is high in sugar and saturated fat, lacking nutritional value. Baked potato chips (D) are still high in fat and calories compared to air-popped popcorn. Overall, air-popped popcorn is the best choice among the options provided for a healthy snack for school-age children.
Which of the following statements should the nurse include in teaching about meningococcal meningitis?
- A. Toothbrush should be placed beside the child's bed
- B. Household contacts will receive prophylactic antibiotics
- C. Transmission will be prevented because of herd immunity
- D. The child is most contagious after the rash develops
Correct Answer: B
Rationale: The correct answer is B: Household contacts will receive prophylactic antibiotics. This statement should be included in teaching about meningococcal meningitis because prophylactic antibiotics are recommended for close contacts to prevent the spread of the infection. This is crucial in preventing outbreaks and protecting others who may have been exposed.
A: Placing a toothbrush beside the child's bed is not relevant to preventing the spread of meningococcal meningitis.
C: Transmission prevention through herd immunity is not a reliable method for controlling the spread of meningococcal meningitis.
D: The child is most contagious before the rash develops, not after, making this statement incorrect.
In summary, teaching about prophylactic antibiotics for household contacts is essential in managing meningococcal meningitis, while the other options do not directly address prevention measures.
A nurse case manager is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home?
- A. Consultant
- B. Systems allocator
- C. Coordinator
- D. Advocate
Correct Answer: C
Rationale: The correct answer is C: Coordinator. In this scenario, the nurse is functioning as a coordinator by arranging for the delivery of medical equipment to the client's home. As a coordinator, the nurse is organizing and facilitating the necessary resources and services to meet the client's needs. This role involves collaborating with various healthcare providers and agencies to ensure a smooth transition for the client post-discharge.
The other choices are incorrect because:
A: Consultant - This role involves providing expert advice or recommendations based on specialized knowledge. The nurse in the scenario is not simply providing advice but actively coordinating services.
B: Systems allocator - This role involves allocating resources within a healthcare system. While the nurse is arranging for resources, the focus is on the specific client's needs rather than broader system allocation.
D: Advocate - This role involves speaking up for the client's rights and needs. While advocacy may be a part of the nurse's role, in this scenario, the primary focus is on coordination of services.
A nurse is preparing an educational program about breastfeeding for a group of new parents. The nurse should use which of the following instructional strategies to promote psychomotor learning?
- A. Review flashcards that identify holding technique with the group
- B. Show the group a video on breastfeeding techniques
- C. Facilitate a discussion group about the benefits of breastfeeding
- D. Provide dolls for the group to demonstrate proper positioning
Correct Answer: D
Rationale: The correct answer is D because providing dolls for the group to demonstrate proper positioning promotes psychomotor learning by engaging them in hands-on practice. This allows participants to physically practice and internalize the correct techniques, enhancing muscle memory and skill acquisition. The other choices lack the hands-on component required for psychomotor learning. A: Flashcards are visual aids that may help with cognitive learning but do not involve physical practice. B: Watching a video is passive learning and does not actively engage participants in practicing skills. C: Facilitating a discussion focuses on cognitive understanding rather than physical practice.
A client states, 'My life has no meaning right now.' What is the nurse's best response?
- A. Have you been thinking about harming yourself?
- B. How long have you been feeling this way?
- C. Tell me what is going on with you right now.
- D. Do you really think your life has no purpose?
Correct Answer: A
Rationale: The correct answer is A. By asking the client if they have been thinking about harming themselves, the nurse is directly addressing the potential risk of suicide, which is crucial when a client expresses feelings of hopelessness. This question helps assess the client's safety and determine the need for immediate intervention. Choices B, C, and D are not as direct in addressing the potential risk of self-harm and may not provide the necessary urgency in ensuring the client's safety. Asking about self-harm is critical in assessing the severity of the client's distress and ensuring appropriate interventions are implemented promptly.