Nokea
How does the high degree of professionalism among nurses impact their willingness to engage in organized strikes?
- A. Nurses often find union activities such as strikes in conflict with the need to serve and protect clients and their profession
- B. Nurses use evidence-based studies that reflect both management and labor views to support participation in unionization
- C. Nurses who strike can be legally punished for abandonment and negligence considered to be professional misconduct
- D. Nurses most often turn to collective bargaining strategies such as strikes to emphasize client's safety initiatives
Correct Answer: A
Rationale: The correct answer is A. Nurses prioritize patient care and professionalism, making them hesitant to engage in strikes that may disrupt patient care. This is because strikes can be perceived as conflicting with their duty to serve and protect clients.
Choice B is incorrect because nurses may not base their decision to strike solely on evidence-based studies; their decision is more likely influenced by ethical considerations and personal values.
Choice C is incorrect as nurses engaging in strikes are usually protected by labor laws and regulations, which allow them to participate in organized strikes without facing legal punishment for professional misconduct.
Choice D is incorrect because while nurses do prioritize patient safety, they do not primarily resort to strikes as a means to emphasize safety initiatives; instead, they typically focus on other strategies such as advocacy and communication to address safety concerns.
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A patient is admitted with pneumonia. My case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive pressure ventilation with bronchodilators should be changed to self-administer inhalers, and antibiotics should be changed from intravenous to oral treatment, based on assessment findings. This plan of care is referred to by what term?
- A. patient classification system
- B. patient-centered plan of care
- C. diagnosis-related group
- D. clinical pathway
Correct Answer: D
Rationale: The correct answer is D: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and timelines based on assessment findings. In this scenario, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics. This structured approach ensures consistent and efficient care delivery.
A: Patient classification system categorizes patients based on their clinical needs, not specific care plans.
B: Patient-centered plan of care focuses on individual preferences and goals, not necessarily specific interventions and timelines.
C: Diagnosis-related group is a classification system for reimbursement based on diagnoses, not specific care plans.
In summary, the other choices are incorrect because they do not accurately describe a detailed plan of care with specific interventions and timelines like a clinical pathway does.
What term is used to identify a situation where a specific target and method of attack are identified by a reliable source, such as a bomb in the possession of a known terrorist group targeting a government building in a local community?
- A. Credible threat
- B. Biological event
- C. National disaster
- D. All-hazards approach
Correct Answer: A
Rationale: The correct answer is A: Credible threat. A credible threat refers to a specific target and method of attack identified by a reliable source. In this scenario, the bomb in the possession of a known terrorist group targeting a government building fits the definition of a credible threat.
Choice B: Biological event is incorrect because it does not align with the given scenario of a known terrorist group targeting a government building with a bomb.
Choice C: National disaster is incorrect as it does not accurately describe the specific situation of a targeted attack by a terrorist group.
Choice D: All-hazards approach is incorrect because it is a comprehensive strategy for addressing various types of emergencies, not specifically focused on a credible threat like the one described in the question.
A healthcare provider is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads 'Infuse over one hour by port-a-cath.' When the healthcare provider assesses the personal digital assistant that lists the steps to access a port-a-cath, which type of computer software is being used?
- A. Data management
- B. Electronic health records
- C. Point-of-care technology
- D. Telehealth
Correct Answer: C
Rationale: The correct answer is C: Point-of-care technology. Point-of-care technology is used at the bedside to access information quickly for immediate patient care, such as procedures like accessing a port-a-cath. In this scenario, the healthcare provider is using a personal digital assistant to follow steps for accessing the port-a-cath, which is a point-of-care technology.
A: Data management software focuses on organizing and storing data, not specifically on accessing information at the bedside.
B: Electronic health records (EHR) are used for documenting patient information and medical history, not for accessing procedural steps in real-time at the bedside.
D: Telehealth involves using technology for remote healthcare services, not for accessing procedural information at the bedside.
In summary, the other choices are incorrect because they do not directly relate to accessing information at the bedside for immediate patient care, unlike point-of-care technology.
A group of local volunteers has completed an emergency response course and is able to assist with the triage of injured citizens. They also participate in local health fairs to teach residents how to react during tornadoes. The responders are members of what organization?
- A. Metropolitan Medical Response System (MMRS)
- B. Medical Reserve Corps (MRC)
- C. National Disaster Medical System (NDMS)
- D. Commissioned Corps Readiness Force (CCRF)
Correct Answer: B
Rationale: The correct answer is B: Medical Reserve Corps (MRC). The MRC is a community-based organization that consists of local volunteers trained to assist during emergencies. In this scenario, the volunteers completed an emergency response course and are involved in community education, which aligns with the mission of the MRC. The MRC focuses on public health preparedness, response, and recovery efforts at the local level.
Incorrect choices:
A: Metropolitan Medical Response System (MMRS) - MMRS focuses on enhancing local response capabilities to mass casualty incidents involving hazardous materials. The scenario does not mention hazardous materials or mass casualty incidents.
C: National Disaster Medical System (NDMS) - NDMS is a federally coordinated system that provides medical care during disasters. The scenario describes local volunteer responders, not a federal system.
D: Commissioned Corps Readiness Force (CCRF) - CCRF is a unit within the U.S. Public Health Service Commissioned Corps focused on readiness for public health emergencies. The
In a unionized hospital, nurses receive compensatory pay for working holidays based on the hours worked with no extra compensation. Despite management refusing to consider changes to the compensatory pay system suggested by nurses during the annual employee satisfaction survey, a trend member listened to both parties and made non-legally binding recommendations. What is this type of settlement known as?
- A. Collective bargaining
- B. Mediation
- C. Grievance
- D. Binding arbitration
Correct Answer: B
Rationale: The correct answer is B: Mediation. Mediation is a voluntary process where a neutral third party helps facilitate communication and negotiation between conflicting parties to reach a mutually acceptable agreement. In this scenario, the trend member listened to both parties and made non-legally binding recommendations, which aligns with the definition of mediation. Collective bargaining (A) involves negotiations between labor unions and management to reach a legally binding collective agreement. Grievance (C) is a formal complaint resolution process within the organization. Binding arbitration (D) is a process where a neutral third party makes a final and binding decision to resolve a dispute. In this case, the involvement of a trend member making non-legally binding recommendations indicates the use of mediation as the type of settlement.