Nokea
A nurse realizes that a health care concern related to globalization was:
- A. the emergence of epidemic hepatitis A.
- B. the pandemic of H1N1 "swine flu."
- C. reemergence of polio.
- D. an increase in chronic illnesses.
Correct Answer: B
Rationale: The correct answer is B: the pandemic of H1N1 "swine flu." This is because the H1N1 flu pandemic was a global health concern directly linked to globalization due to the rapid spread of the virus across borders. The emergence of epidemic hepatitis A (choice A) is not directly tied to globalization. The reemergence of polio (choice C) is more associated with gaps in vaccination coverage rather than globalization. An increase in chronic illnesses (choice D) can be influenced by various factors, but it is not specifically a result of globalization in the context of this question.
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Complementary alternative medicine (CAM) is gaining popularity in Western society because: (select all that apply)
- A. consumers want knowledgeable, trained physicians to control their care.
- B. CAM consumers want personalized health care.
- C. quantity, rather than quality, of life is most important in Western society.
- D. consumers have access to evidence that support CAMs.
Correct Answer: B
Rationale: The correct answer is B: CAM consumers want personalized health care. This is because CAM focuses on holistic and individualized approaches to health, addressing not just symptoms but underlying causes. Consumers seek CAM for tailored treatments and a more patient-centered approach.
Choice A is incorrect because CAM often involves practitioners who may not be traditional physicians. Choice C is incorrect as quality of life, rather than just quantity, is increasingly valued in Western society. Choice D is incorrect because although there is some evidence supporting CAM, it is not always readily accessible or universally accepted.
The emergency response team responded to a terrorist attack where hundreds of people died following symptoms of chest tightness, palpations, seizures, and finally paralysis. A colorless odorless liquid known as Sarin (GB) was the agent, which is primarily inhaled with limited exposure through the skin. The concentration of Sarin has not been measured. What level is the minimum level of personal protection and safety equipment (PPE) that would be needed?
- A. Level A
- B. Level B
- C. Level C
- D. Level D
Correct Answer: B
Rationale: The correct answer is B: Level B. In a scenario involving Sarin, a highly toxic nerve agent primarily inhaled, Level B protective equipment is required. Level B PPE includes a chemical-resistant suit, chemical-resistant gloves, chemical-resistant boots, and a full-face respirator with appropriate filter cartridges. The choice of Level B is based on the fact that Sarin is primarily inhaled, indicating the need for respiratory protection. Level A is typically used for the highest level of protection, including protection against highly toxic chemicals in both the air and on the skin, which is not necessary in this scenario. Level C and D do not provide adequate protection against a highly toxic chemical like Sarin.
A group of nurses is presenting the importance of high-quality care during a system- wide meeting of medical-surgical nurses. They point out a finding of the Quality Chasm that:
- A. being insured has little effect on a person's longevity and the quality of care received.
- B. lobbyists for the drug companies are able to gain permission for the use of new drugs within 1 year of their discovery.
- C. although a greater number of lawsuits stem from medication errors, more people actually die from human immunodeficiency virus (HIV) and acquired immunodeficiency disease syndrome (AIDS).
- D. medication-related errors place a tremendous financial burden on the U.S. health care system.
Correct Answer: D
Rationale: The correct answer is D: medication-related errors place a tremendous financial burden on the U.S. health care system. This answer is correct because medication errors contribute significantly to healthcare costs due to increased hospitalizations, prolonged treatments, and legal expenses. The Quality Chasm report highlights the economic impact of medication errors on the healthcare system, emphasizing the need for improved medication safety practices.
Option A is incorrect because being insured does have a positive impact on a person's access to healthcare services and quality of care. Option B is incorrect as it does not relate to the Quality Chasm findings. Option C is incorrect as it focuses on the comparison of lawsuits and mortality rates related to medication errors and HIV/AIDS, which is not the primary focus of the Quality Chasm report.
The crisis communication officer may first inform the public or health care facility of a disaster or an act of terrorism. This representative has the responsibility to:
- A. contain the facts to within the administration group.
- B. incite the public to quickly take cover and obtain emergency supplies.
- C. provide understandable and straightforward facts about the event within the facility and possibly to the news media.
- D. inform the public that no information can be released until it has been confirmed by state and federal agencies.
Correct Answer: C
Rationale: The correct answer is C because the crisis communication officer's primary responsibility is to provide clear and factual information about the event within the facility and potentially to the news media. This helps to ensure transparency, maintain credibility, and prevent misinformation. Choice A is incorrect as containing facts within the administration group limits transparency. Choice B is incorrect as inciting panic is counterproductive. Choice D is incorrect as withholding information until confirmed by state and federal agencies may lead to unnecessary delays in communication.
A community health nurse has been visiting a postpartum client who suffered domestic violence throughout the pregnancy, and now the infant may be at risk. The nurse assisted the client in finding shelter and legal protection. The nurse's role and the conceptual framework involved are:
- A. change agent, according to Roy's adaptation model.
- B. translator, according to Leininger's theory of cultural care diversity and universality.
- C. case manager, according to Peplau's interpersonal relations model.
- D. caregiver, according to Rogers' science of unitary human beings.
Correct Answer: C
Rationale: The correct answer is C: case manager, according to Peplau's interpersonal relations model. In this scenario, the nurse is coordinating resources and services for the client, which aligns with the role of a case manager. Peplau's model emphasizes the therapeutic relationship between the nurse and client, focusing on understanding the client's needs and providing support. The nurse in this situation is not just providing direct care (caregiver), advocating for change (change agent), or focusing solely on cultural aspects (translator). The nurse's role as a case manager involves addressing the client's complex needs, coordinating care, and advocating for the client's well-being, making it the most appropriate choice in this context.