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A nurse learns of a mass casualty disaster following a known terrorist attack. On arriving at the scene, the nurse knows that:
- A. the response of local hospitals will be dictated by the federal government.
- B. the same ground rules practiced in other settings and during smaller crises will be applicable.
- C. the least experienced nurses will be assigned to triage low-risk victims and victims who have no chance of survival.
- D. multiple incident commanders ensure a quick, effective response.
Correct Answer: B
Rationale: The correct answer is B because in a mass casualty disaster following a terrorist attack, the same ground rules practiced in other settings and during smaller crises will be applicable. This is because the scale and complexity of the disaster require established protocols and procedures to manage the situation effectively.
Choice A is incorrect because the response of local hospitals may not necessarily be dictated by the federal government in such situations. Choice C is incorrect because assigning the least experienced nurses to triage patients based on their perceived risk or chances of survival is not ethical or effective. Choice D is incorrect because having multiple incident commanders can lead to confusion and delays in decision-making during a crisis.
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A group of graduates were just notified that they had successfully passed the licensure examination. During the orientation process at the hospital, one asks, "I am looking at my license, but I don't really know the duties performed by the board of nursing." The staff development nurse explains that the board of nursing: (select all that apply)
- A. grants nursing licensure.
- B. constructs the licensure examination.
- C. assigns disciplinary action when the nurse acts in a manner that results in harm to a patient.
- D. members are appointed.
Correct Answer: A
Rationale: The correct answer is A: grants nursing licensure. The board of nursing is responsible for overseeing the licensure process for nurses, ensuring that they meet the necessary qualifications to practice. They review applications, conduct background checks, and issue licenses to qualified individuals. This is a fundamental duty of the board of nursing, as it regulates the nursing profession and ensures public safety.
Explanation for why other choices are incorrect:
B: Constructs the licensure examination - While the board of nursing may have input in the development of the licensure examination, their primary role is not the construction of the exam itself.
C: Assigns disciplinary action when the nurse acts in a manner that results in harm to a patient - While the board of nursing does have the authority to investigate and take disciplinary action against nurses who violate the nursing practice act, this is not their primary function.
D: Members are appointed - This choice is irrelevant to the duties performed by the board of nursing and does not directly relate to their responsibilities in granting
A nurse is responsible for determining the incidence rates of hospital-acquired diarrhea on a pediatric ward after receiving reports that five children admitted with uncontrolled asthma had developed diarrhea while hospitalized. The nurse is working in the role of:
- A. quality management.
- B. infection control.
- C. occupational health.
- D. forensics.
Correct Answer: B
Rationale: The correct answer is B: infection control. In this scenario, the nurse is focusing on preventing and controlling the spread of hospital-acquired diarrhea among pediatric patients. By investigating the incidence rates and implementing measures to reduce the risk of infection transmission, the nurse is fulfilling the role of infection control. Quality management (A) focuses on improving processes and outcomes, not specifically on infection prevention. Occupational health (C) involves ensuring workplace safety for employees, not patient infection control. Forensics (D) involves investigating and analyzing evidence related to crimes or legal matters, not infection control in a healthcare setting.
A current trend is for students to be evaluated to determine whether they demonstrate competence in the actual client care environment or with a standardized patient. This process occurs in addition to or instead of traditional pencil-and-paper evaluations. This type of evaluation is referred to as:
- A. core practice competencies.
- B. continuing competence.
- C. distance learning.
- D. performance-based assessment.
Correct Answer: D
Rationale: The correct answer is D: performance-based assessment. This type of evaluation focuses on assessing students' ability to perform tasks and demonstrate competence in real-world scenarios, such as client care environments or with standardized patients. It is a more practical and hands-on approach compared to traditional pencil-and-paper evaluations. Core practice competencies (A) refer to essential skills and knowledge required for a specific profession. Continuing competence (B) involves ongoing professional development to maintain skills and knowledge. Distance learning (C) is a method of education that does not require physical presence in a traditional classroom setting. Performance-based assessment best aligns with the description provided in the question, making it the correct choice.
A nurse is interviewing for a job and recently read the American Nurses Association's (ANA) recommendation for questions to ask regarding before accepting employment. Which questions should the nurse ask?
- A. Do you have flexible scheduling?
- B. What are the expectations for advancement?
- C. How long do staff nurses stay before resigning?
- D. What is the mission of the parent organization?
Correct Answer: D
Rationale: The correct answer is D because understanding the mission of the parent organization is crucial for aligning personal values with the organizational goals. This knowledge can help the nurse assess if their values and beliefs are in line with the organization's mission, leading to better job satisfaction and performance.
A: Flexible scheduling is important but not specified in ANA's recommendations.
B: Advancement expectations are important, but not a priority in ANA's recommendations.
C: Staff retention is relevant, but not emphasized in ANA's recommendations.
A nurse asks, "What is meant by 'internal' customers?" The correct response is: (select all that apply)
- A. insurance companies
- B. accreditors such as The Joint Commission
- C. X-ray technicians
- D. clinical pharmacist
Correct Answer: C
Rationale: The correct answer is C: X-ray technicians. Internal customers refer to individuals or departments within the same organization who rely on each other's services to fulfill their roles effectively. X-ray technicians work within the healthcare facility and depend on other staff like nurses for patient care coordination. Insurance companies (A) and accreditors (B) are external entities. Clinical pharmacists (D) are also internal, but X-ray technicians have a direct service-dependency relationship with nurses in healthcare settings, making them the most relevant internal customers in this context.