Nokea
During the relief response phase of a disaster resulting from a "dirty bomb":
- A. treatment for burns and poisoning is provided for victims.
- B. emergency plans are coordinated between agencies.
- C. reconstruction of destroyed facilities and homes begins.
- D. food stores are collected for potential victims.
Correct Answer: A
Rationale: The correct answer is A because during the relief response phase of a "dirty bomb" disaster, victims are likely to suffer from burns and poisoning due to radiation exposure. Providing treatment for burns and poisoning is crucial to saving lives and preventing further health complications.
Choice B is incorrect because emergency plans coordination typically occurs during the preparedness phase, not the relief response phase. Choice C is incorrect as reconstruction usually takes place in the recovery phase, which follows the relief response phase. Choice D is incorrect as collecting food stores is more related to preparedness or immediate response, not specifically during the relief response phase.
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Nurses in a nonprofit hospital have expressed an interest in forming a union to secure fair wages and ensure client safety. To form a core support group of nurses, the union organizer can conduct meetings to gather initial information:
- A. away from the worksite with a group of managers to learn both sides of the situation.
- B. at the worksite with staff nurses who are respected leaders.
- C. in homes or local businesses with staff nurses.
- D. after photographing management meeting to discuss their strategies to decrease interest in unionization.
Correct Answer: B
Rationale: The correct answer is B because conducting meetings at the worksite with respected staff nurses allows for direct engagement with potential union supporters. This approach fosters a sense of unity and trust among the nurses, making it easier to form a core support group. Additionally, meeting at the worksite enables easy access for all nurses and ensures a safe and neutral environment for discussions.
Choices A, C, and D are incorrect because:
A: Meeting away from the worksite with managers may create a conflict of interest and could lead to a biased understanding of the situation.
C: Meeting in homes or local businesses may not provide a professional setting for discussions and may not be convenient for all nurses to attend.
D: Photographing management meetings and discussing their strategies is unethical and could potentially harm the relationship between nurses and management.
A teenage patient is using earphones to listen to hard rock music and is making gestures in rhythm to the music. The nurse assesses the amount of urine output in the Foley catheter and leaves the room. What communication technique is demonstrated in both of these situations?
- A. Blocking
- B. Filtration
- C. Empathy
- D. False assurance
Correct Answer: A
Rationale: The correct answer is A: Blocking. In both situations, the patient's actions are ignored or dismissed, indicating a lack of active listening. Blocking involves avoiding communication by not acknowledging the patient's gestures or needs. The nurse fails to engage with the patient and address their non-verbal cues.
Summary:
B: Filtration is not relevant as it involves selectively presenting information.
C: Empathy is not demonstrated as the nurse is not responding to the patient's non-verbal cues.
D: False assurance is not applicable as it involves giving misleading reassurance, which is not present in the scenario.
A novice nurse is assigned a patient who has an order to draw blood for culture and sensitivity from a central line before antibiotic therapy is started. The novice reads and rereads the procedure manual. An hour later he stands at the bedside of the patient and stares at the central line, without knowing how to proceed. This phase of reality shock is termed:
- A. honeymoon.
- B. shock or rejection.
- C. recovery.
- D. resolution.
Correct Answer: B
Rationale: The correct answer is B: shock or rejection. This phase of reality shock is characterized by feelings of being overwhelmed, confused, and unsure of how to proceed despite having knowledge. The novice nurse is experiencing a sense of rejection towards the situation due to the gap between theoretical knowledge and practical application. This phase is common among new healthcare professionals as they transition from academic learning to real-world clinical practice.
A: Honeymoon phase refers to the initial period of excitement and enthusiasm in a new role.
C: Recovery phase is when the individual starts to adapt and become more comfortable with the new role.
D: Resolution phase is the final stage where the individual fully integrates into the role and becomes confident and competent.
In this scenario, the novice nurse is clearly struggling and feeling overwhelmed, indicating that they are in the shock or rejection phase, making choice B the correct answer.
A patient has fallen at home and complains that joints are very painful when trying to climb stairs. The patient desires to use an alternative complementary medicine rather than pain medication. The practitioner begins treatment with touch consisting of rocking, rhythmical motions to loosen tense, sore muscles and joints. The patient is receiving which type of treatment?
- A. Swedish massage
- B. Rolfing
- C. Trager approach
- D. Reflexology
Correct Answer: C
Rationale: The correct answer is C: Trager approach. This treatment involves gentle rocking and rhythmic motions to release tension in muscles and joints. The goal is to improve mobility and reduce pain. The other choices are incorrect because:
A: Swedish massage focuses on kneading and rubbing muscles, not specifically on rhythmic motions to release tension.
B: Rolfing is a deep tissue manipulation technique aimed at realigning the body's structure, not specifically utilizing rocking and rhythmic motions.
D: Reflexology involves applying pressure to specific points on the hands, feet, or ears to promote healing, not utilizing rocking and rhythmic motions.
An RN is counseled by the nurse manager regarding inappropriate delegation when the:
- A. RN instructs the nursing assistant to greet ambulatory surgery patients and show them to their rooms.
- B. nursing assistant informs the RN that she has not been trained to collect a sputum specimen and the RN states, "I will show you this time and you can show me the next time."
- C. RN assigns the float LPN/LVN the task of completing a plan of care for a stable patient who was admitted for routine replacement of a feeding tube.
- D. LPN/LVN who has demonstrated competence is asked to perform a dressing change for a patient before she is discharged home.
Correct Answer: C
Rationale: The correct answer is C because delegating the task of completing a plan of care to a float LPN/LVN for a stable patient is inappropriate. LPNs/LVNs have a different scope of practice compared to RNs and should not be assigned tasks related to developing care plans. This task requires critical thinking skills and assessment that are within the RN's scope of practice.
A: A is incorrect because delegating the task of greeting and showing ambulatory surgery patients to their rooms is appropriate for a nursing assistant.
B: B is incorrect because delegating the task of collecting a sputum specimen, once trained, is appropriate for a nursing assistant under the supervision of an RN.
D: D is incorrect because delegating the task of performing a dressing change to a competent LPN/LVN is appropriate, as long as it falls within their scope of practice.