Nokea
Nurses and community officials are working together to ensure that churches and schools have needed supplies to provide shelter for a large number of individuals in the event of a natural or man-made disaster. These activities represent which phase of a disaster continuum?
- A. Crisis Intervention
- B. Preparedness
- C. Recovery
- D. Relief Response
Correct Answer: B
Rationale: The correct answer is B: Preparedness. In this scenario, the nurses and community officials are taking proactive measures to ensure that necessary supplies are in place before a disaster occurs. Preparedness involves planning, training, and equipping individuals and communities to respond effectively to emergencies. Crisis Intervention (A) occurs during the immediate aftermath of a disaster to address immediate needs. Recovery (C) is the phase where communities rebuild and restore their infrastructure post-disaster. Relief Response (D) involves the initial emergency response to provide immediate assistance to those affected. Overall, the focus on ensuring supplies are in place for potential sheltering indicates preparedness for a disaster, making it the correct choice.
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When teaching about community preparedness for a community group, the nurse should explain that the components of the national disaster medical system (NDMS) provide assistance in what form?
- A. making available a nationwide bomb disposal squad team for the rapid removal of explosive devices
- B. Facilitating patient evacuation from the disaster area to a non-affected area
- C. organizing ground for detonation of bombs by bomb squad
- D. providing mental health care for victims and healthcare providers in the community
Correct Answer: B
Rationale: The correct answers are B and C. The NDMS is designed to provide medical response during disasters, assist in patient movement, and offer definitive care to disaster victims. This includes organizing teams of healthcare providers with specialized skills and equipment to respond effectively to emergencies. Patient evacuation from disaster areas to safer locations is also a key function of the NDMS to ensure the well-being of those affected by the disaster. Options A and D are incorrect because the NDMS does not provide bomb disposal services and is primarily focused on medical response rather than mental health care.
Which intervention demonstrates Florence Nightingale's theory of nursing?
- A. Respecting the patient's culture and incorporating cultural needs
- B. Promoting good health and treating those who are ill in a holistic manner
- C. Understanding how to motivate people to practice a healthy lifestyle and reduce risks
- D. Teaching other nurses how to deliver the highest quality of care
Correct Answer: B
Rationale: The correct answer is B because promoting good health and treating those who are ill in a holistic manner aligns with Florence Nightingale's theory of nursing. Nightingale emphasized the importance of considering the physical, emotional, and social aspects of patients' well-being. This approach focuses on addressing the whole person rather than just the illness.
Respecting the patient's culture and incorporating cultural needs (A) is important in providing patient-centered care, but it does not directly align with Nightingale's theory. Understanding how to motivate people to practice a healthy lifestyle and reduce risks (C) is relevant to health promotion but does not fully capture the holistic approach of Nightingale. Teaching other nurses how to deliver the highest quality of care (D) is essential for professional development but does not specifically reflect Nightingale's holistic nursing philosophy.
A healthcare professional walks into the nurse's station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. Which of the following actions should the healthcare professional take first?
- A. remind the staff members that this is a breach of confidentiality
- B. discuss the issue with the unit manager
- C. request that an administrative restriction be placed on the client's medical access
- D. prepare a report for the facility ethics committee
Correct Answer: A
Rationale: The correct action is A: remind the staff members that this is a breach of confidentiality. This is the first step because addressing the immediate breach is crucial to prevent further unauthorized access to the client's information. It directly addresses the unethical behavior and educates staff on the importance of patient confidentiality.
Choice B (discussing with the unit manager) is not the first step as it may delay addressing the breach directly. Choice C (requesting an administrative restriction) is not immediate and may not prevent the current unauthorized access. Choice D (preparing a report for the ethics committee) is not the first step as it involves a formal process and may not address the immediate breach.
When the domain .edu is noted during the search for the term informatics, what should the individual determine about the site's affiliation?
- A. It's an internet service provider
- B. It's a commercial site
- C. It's a government agency
- D. It's an educational institution
Correct Answer: D
Rationale: Step 1: ".edu" domains are reserved for educational institutions.
Step 2: Informatics is a field related to information and computer science.
Step 3: Therefore, an educational institution would likely provide accurate and in-depth information on informatics.
Step 4: The individual can trust the credibility and reliability of the information provided.
Summary:
- Option A is incorrect because an internet service provider would not be affiliated with an educational topic like informatics.
- Option B is incorrect as commercial sites aim for profit, not education.
- Option C is incorrect as government agencies typically have different domain extensions.
How can the nurse best advocate for a patient who will be discharged from acute care to home?
- A. Arranging for Meals on Wheels to provide in-home meals
- B. Administering pain medication prior to discharge
- C. Teaching the patient how to take medications at home
- D. Taking the patient by wheelchair to the car
Correct Answer: A
Rationale: Arranging for in-home support services like Meals on Wheels is crucial for ensuring the patient receives proper nutrition and support after discharge. This goes beyond simply administering medications or providing transportation. By arranging for in-home meals, the nurse addresses the patient's nutritional needs, promotes their overall well-being, and supports their ongoing care requirements. Administering pain medication or teaching medication management, while important, do not directly address the patient's need for nutritional support. Taking the patient by wheelchair to the car is focused on physical transportation and does not encompass the holistic care approach needed for a successful transition to home care.