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An older adult is unable to reach the telephone and is found dead at home several hours later. The son of the deceased person arrives at the hospital and asks, "Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?
- A. "You are just too late for that. Where were you when he needed you?"
- B. "Did you ever consider purchasing a cell phone for your dad to prevent this from happening?"
- C. "I'll close the door so you can spend time with your dad. I will check back in a few minutes."
- D. "I lost my dad last year. He died alone. He was a policeman. I am just like you. Let me stay here and console you."
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy by acknowledging the son's request and providing support. By closing the door to allow privacy and promising to check back, the nurse shows understanding and compassion for the son's emotional needs.
Choice A is incorrect as it is insensitive and blames the son. Choice B is inappropriate as it shifts the focus to purchasing a cell phone rather than addressing the son's emotional state. Choice D is also incorrect as it redirects the attention to the nurse's personal experience, failing to address the son's specific request.
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The disaster medical assistance team works quickly to contain contaminants from a chemical plant explosion. Afterward, personnel undergo a special process to remove harmful chemicals from equipment and supplies. This removal process is known as:
- A. containment.
- B. decontamination.
- C. triage.
- D. scene assessment.
Correct Answer: B
Rationale: The correct answer is B: decontamination. Decontamination is the process of removing harmful chemicals from equipment and supplies to prevent further exposure and contamination. In this scenario, the disaster medical assistance team is working to contain contaminants first and then proceed with decontamination to ensure the safety of personnel. Containment (choice A) refers to preventing the spread of contaminants, not removing them. Triage (choice C) is the process of prioritizing patients based on the severity of their injuries, not removing chemicals. Scene assessment (choice D) involves evaluating the situation to determine the extent of the disaster, not the removal of harmful chemicals.
A team of experienced nurses work together to develop algorithms that are converted into checklists to ensure standardization of commonly performed procedures. The focus of this team is primarily on which Institute of Medicine (IOM) competency?
- A. Safety
- B. Timely
- C. Equitable
- D. Patient-centered care
Correct Answer: A
Rationale: The correct answer is A: Safety. The team of nurses developing algorithms and checklists aims to ensure standardization of procedures, which directly relates to patient safety. Safety is a fundamental competency in healthcare, as it involves minimizing harm to patients. Standardization through checklists helps reduce errors and promote consistency in care delivery. Timely care (B) focuses on providing care promptly, equitable care (C) emphasizes fairness and eliminating disparities, and patient-centered care (D) prioritizes individual preferences and needs. While these competencies are important in healthcare, in this scenario, the team's primary focus on standardization aligns with the safety competency.
A student nurse wants to meet other nursing students from different countries and to learn of employment possibilities. The student nurse should:
- A. participate in the clinical facility's employee satisfaction task force.
- B. join the Student Nurses Association.
- C. take part in self-mentoring.
- D. postpone taking the licensure examination so he or she can take a tour of foreign countries.
Correct Answer: B
Rationale: The correct answer is B: join the Student Nurses Association. This option allows the student nurse to meet other nursing students from different countries and learn about employment possibilities. By joining the association, the student can network with peers, attend conferences, and engage in international exchange programs. Option A is incorrect because the employee satisfaction task force is focused on internal staff issues, not networking with other nursing students. Option C is irrelevant to the student nurse's goal of meeting peers from different countries. Option D is impractical and unnecessary as it suggests delaying the licensure examination for travel, which is not a direct way to achieve the student's objectives.
A patient experiences migraine headaches that are not relieved by traditional Western medical practices. The family physician suggests acupuncture, which: (select all that apply)
- A. is based on the belief that meridians are vital for life, and when they are out of balance, pain occurs.
- B. uses strategically placed, slender needles for pain relief.
- C. uses breathing exercises and meditation to relieve pain.
- D. corrects metabolic imbalance through purification regimens.
Correct Answer: A
Rationale: The correct answer is A because acupuncture is indeed based on the belief that meridians, energy pathways in the body, are vital for life and when they are out of balance, pain occurs. Acupuncture aims to restore the balance of these meridians to alleviate pain.
Explanation:
1. Acupuncture theory is rooted in Traditional Chinese Medicine, which emphasizes the flow of energy (Qi) along meridians.
2. By inserting needles at specific points along the meridians, acupuncturists aim to restore the balance of Qi and alleviate pain.
3. Meridian theory is fundamental to the practice of acupuncture and differentiates it from other pain relief modalities.
4. Choices B, C, and D are incorrect as they do not accurately represent the core principles of acupuncture and how it works.
Summary:
Option A is correct because it aligns with the foundational principles of acupuncture, focusing on meridians and energy balance. Options B, C, and D are
When deciding whether and when a task should be completed, a nurse must:
- A. complete all tasks as they are thought of to prevent having to take time to consider which is most important.
- B. procrastinate and hope that someone will volunteer to do it.
- C. ask, "What will happen if I don't complete the task now?"
- D. view large projects holistically and not as many small pieces.
Correct Answer: C
Rationale: The correct answer is C: ask, "What will happen if I don't complete the task now?" This is the best approach as it helps prioritize tasks based on their urgency and importance. By considering the consequences of not completing a task immediately, the nurse can focus on critical tasks first to ensure patient safety and efficient workflow.
Choice A is incorrect because completing all tasks as they are thought of without prioritizing can lead to neglecting important tasks and compromising patient care. Choice B is incorrect as procrastination is not a professional or effective way to manage tasks in a healthcare setting. Choice D is incorrect as viewing large projects holistically is important, but it doesn't address the immediate need to prioritize individual tasks.