Nokea
A nurse is working with the hospital disaster plan with the emergency operations committee. The nurse is aware that nursing is involved in which components of the disaster plan? SELECT ALL THAT APPLY
- A. Identification of resources to meet anticipated needs
- B. Participation in comprehensive annual drills
- C. Internal and external communications
- D. Performing duties outside the typical job description
- E. Development of a decontamination plan
Correct Answer: A,B,C,E
Rationale: The correct choices are A, B, C, and E. A: Nurses identify resources needed during a disaster to meet patient needs. B: Nurses participate in drills to practice response protocols. C: Nurses play a role in both internal communication within the healthcare facility and external communication with outside agencies. E: Nurses are involved in the development of decontamination plans to ensure safety. D: While nurses may perform duties outside their normal scope during a disaster, it is not a specific component of the disaster plan. Therefore, it is incorrect.
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A nurse is providing care to a client with Myasthenia gravis who has lost 6 kg of weight over the past 2 months. What should the nurse suggest to improve this client's nutritional status?
- A. Restrict drinking fluids before and during meals
- B. Plan medication doses to occur before meals
- C. Increase the amount of fat and carbohydrates in meals
- D. Eat three large meals per day
Correct Answer: B
Rationale: The correct answer is B: Plan medication doses to occur before meals. This is because Myasthenia gravis can cause difficulty swallowing, leading to weight loss. Taking medication before meals can enhance the client's ability to eat by improving muscle strength for swallowing and chewing. Restricting fluids (A) may exacerbate swallowing difficulties. Increasing fat and carbohydrates (C) can lead to weight gain but may not address the swallowing issue. Eating three large meals (D) may be challenging for someone with swallowing difficulties.
A nurse is working with a community at risk for flooding. The nurse is aware that identification of at-risk populations, education of the residents about evacuation routes, and emergency shelters is an example of what level of the National Response Framework?
- A. Security phase
- B. Mitigation phase
- C. Response phase
- D. Practice phase
Correct Answer: B
Rationale: The correct answer is B: Mitigation phase. In the National Response Framework, the mitigation phase focuses on actions taken to prevent or minimize the impact of a disaster. By identifying at-risk populations, educating residents about evacuation routes, and providing information on emergency shelters, the nurse is proactively working to reduce the potential negative effects of flooding. This aligns with the goals of the mitigation phase, which aims to reduce vulnerability and enhance resilience. The other choices are incorrect because they do not specifically address the proactive measures taken to prevent or minimize the impact of a disaster, as seen in the mitigation phase.
A nurse is caring for a client who questions the need for cardiac rehabilitation, stating, 'My heart is permanently damaged from the heart attack, so what's the point of cardiac rehabilitation?' Which response should the nurse prioritize?
- A. It's not unusual to feel that way at first, but once you learn the routine, you'll enjoy it
- B. Diet and exercise are good for you and good for your heart
- C. Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely
- D. Your doctor is the expert here, and I'm sure they would only recommend what is best for you
Correct Answer: C
Rationale: The correct answer is C: Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely. This response prioritizes providing the client with accurate information and managing expectations. It acknowledges the client's concern about the permanent damage to the heart but also emphasizes the benefits of cardiac rehabilitation in improving overall function and quality of life. It is essential for the nurse to address the client's misconceptions and provide education on the purpose and benefits of cardiac rehabilitation.
Choice A is incorrect as it focuses more on the client's emotional response rather than providing factual information. Choice B is too general and does not directly address the client's specific concerns. Choice D shifts the responsibility to the doctor without addressing the client's question directly.
A nurse is educating nursing students on the importance of client-centered community-based care. The nurse understands that which of the following principles is most essential to client-centered, community-based care in nursing?
- A. Encouraging clients to make decisions without considering their cultural or social background
- B. Ensuring that care plans are tailored to the individual needs and preferences of clients within their community
- C. Focusing primarily on the medical treatment of diseases within a hospital setting
- D. Prioritizing the efficiency of healthcare delivery over patient satisfaction and outcomes
Correct Answer: B
Rationale: Correct Answer: B - Ensuring that care plans are tailored to the individual needs and preferences of clients within their community.
Rationale:
1. Client-centered care emphasizes individuality: By tailoring care plans to individual needs and preferences, nurses show respect for each client's unique circumstances.
2. Community-based care focuses on local resources: By considering the community context, nurses can incorporate resources and support systems specific to the client's environment.
3. Personalized care enhances outcomes: Addressing individual needs leads to better engagement, adherence, and overall health outcomes for clients.
4. Promotes empowerment and autonomy: Involving clients in care planning based on their preferences fosters autonomy and empowers them to actively participate in their own health management.
Summary:
- Choice A neglects the importance of cultural and social backgrounds in decision-making, which are key factors in providing client-centered care.
- Choice C focuses on a hospital setting, not community-based care.
- Choice D prioritizes efficiency over patient satisfaction,
The public health nurse is assigned to the population of clients in an inner-city community. The nurse identifies which of the following as a priority intervention?
- A. Develop a survey on teen pregnancies
- B. Hold a focus group to discuss immunizations
- C. Perform a windshield survey
- D. Interview the elderly at the senior's center
Correct Answer: C
Rationale: The correct answer is C: Perform a windshield survey. This is the priority intervention because it involves assessing the community's overall health needs and resources by physically observing the environment. It helps in identifying key health issues, resources, and potential areas for intervention. Developing a survey on teen pregnancies (A) may be important but not a priority without assessing the community first. Holding a focus group on immunizations (B) is valuable but may not address the broader health needs of the community. Interviewing the elderly at the senior's center (D) is specific and may not represent the entire community.