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Following a terrorist attack, victims are exhibiting posttraumatic stress syndrome, and care providers are exhibiting compassion fatigue. Which federal response system should be initiated?
- A. Strategic National Stockpile
- B. Metropolitan Medical Response System (MMRS)
- C. Commissioned Corps Readiness Force
- D. National Disaster Medical System
Correct Answer: D
Rationale: The correct answer is D: National Disaster Medical System (NDMS). This system is designed to provide medical care during disasters, including addressing mental health needs like posttraumatic stress syndrome in victims and compassion fatigue in care providers. NDMS coordinates federal medical response resources and personnel to support communities during disasters.
A: Strategic National Stockpile focuses on providing medicines, vaccines, and medical supplies, but does not directly address mental health needs or provide medical care.
B: Metropolitan Medical Response System (MMRS) focuses on local response capabilities for mass casualty incidents, but does not have the same scope as NDMS in providing comprehensive medical care.
C: Commissioned Corps Readiness Force is a team of healthcare professionals within the U.S. Public Health Service, but it is not specifically designated for disaster medical response like NDMS.
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A nurse interested in quality improvement tools performed a search for cause and effect diagrams using www.ishikawa.com. A page opened that provided images and templates for performing fishbone diagrams. Which type of search did the nurse conduct?
- A. Quick and dirty
- B. Advanced
- C. Brute force
- D. Link searching
Correct Answer: B
Rationale: The correct answer is B: Advanced. The nurse conducted an advanced search by specifically looking for cause and effect diagrams on a website dedicated to providing images and templates for fishbone diagrams. This demonstrates a targeted and refined search strategy, indicating a higher level of proficiency in using search tools. The other choices are incorrect because: A) Quick and dirty implies a hasty and superficial search, which was not the case here. C) Brute force suggests an exhaustive and unrefined search method, which was not demonstrated in this scenario. D) Link searching involves following hyperlinks to find information, which was not explicitly stated in the question.
A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. The nurse would include:
- A. waiting for oncoming shift to start walking rounds.
- B. failure to delegate tasks to the licensed practical nurse and unlicensed assistive personnel and instead, completing task herself.
- C. talking with a patient's family member who is also a personal friend.
- D. spending time thinking about the vacation to the beach.
Correct Answer: A
Rationale: The correct answer is A because waiting for the oncoming shift to start walking rounds is an external distractor that can affect time management. The nurse cannot control when the shift starts, leading to potential delays in task completion.
Incorrect choices:
B: Failure to delegate tasks is an internal issue, not an external distractor.
C: Talking with a patient's family member who is a personal friend is a boundary issue, not necessarily an external distractor.
D: Thinking about a vacation is also an internal distraction, not an external one.
In summary, the correct answer focuses on an external factor that the nurse cannot directly control, affecting time management, while the other choices are related to internal issues or personal boundaries.
The precise classification of clients according to the highest diagnosis-related group (DRG) has created a new role for nurses, known as a nurse.
- A. case management
- B. quality assurance
- C. utilization review
- D. cost-control
Correct Answer: A
Rationale: The correct answer is A: case management. Case management involves coordinating care for patients to ensure they receive appropriate services and resources. DRGs determine reimbursement based on patient diagnoses, making accurate classification crucial. Nurses in case management play a key role in ensuring patients are placed in the correct DRG category for optimal care and reimbursement.
Other choices are incorrect because:
B: Quality assurance focuses on monitoring and improving the quality of care, not specifically tied to DRG classification.
C: Utilization review involves assessing the appropriateness and necessity of healthcare services, not directly related to DRG classification.
D: Cost-control pertains to managing healthcare costs, but does not address the specific role of nurses in DRG classification and patient care coordination.
A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?
- A. Have the nurse work in payroll for a week.
- B. Enroll the staff in continuing education units (CEU) for personal finance.
- C. Ask the nurse to represent the unit on the budget planning committee.
- D. Make the nurse responsible for monitoring all disposable equipment and supplies.
Correct Answer: C
Rationale: Rationale: Choice C is correct because asking the nurse to represent the unit on the budget planning committee will directly expose them to the financial budget goals. This involvement will provide insight into the importance of accurate documentation and resource utilization. It offers a practical understanding of how decisions impact the unit's financial health.
Summary:
A: Working in payroll does not directly connect the nurse to the unit's financial goals.
B: Personal finance CEUs are not specific to the unit's budget goals.
D: Monitoring supplies is important but does not provide a comprehensive understanding of the unit's financial budget goals.
The nurse manager determines that four RNs, five LPN/LVNs, and two unlicensed assistive personnel (UAP) are required per shift to meet the needs of the patient population on the unit, according to acuity and census. The nurse manager is concerned with:
- A. assignments.
- B. staffing.
- C. output.
- D. productivity.
Correct Answer: B
Rationale: The correct answer is B: staffing. The nurse manager's concern is related to ensuring adequate numbers of RNs, LPN/LVNs, and UAPs per shift to meet patient needs. Staffing refers to the appropriate allocation of personnel to provide safe and effective care. Assignments (A) are specific tasks given to staff, output (C) is the end result of a process, and productivity (D) is efficiency in completing tasks - these are not the primary focus of the nurse manager's concern in this scenario. Staffing directly addresses the crucial aspect of having the right mix and number of staff members to deliver quality care.