Nokea
Nurses caring for the victims of a mass casualty incident:
- A. determine the common terminology to be used by hospitals and participating agencies.
- B. take charge of communicating with the news media.
- C. determine whether there is a credible threat of a terrorist attack.
- D. give priority for care to those with the greatest chance of survival rather than those most critically ill.
Correct Answer: D
Rationale: The correct answer is D because prioritizing care based on the greatest chance of survival maximizes the number of lives saved in a mass casualty incident. This approach follows the principle of triage, which aims to allocate resources efficiently. Choice A is incorrect as it pertains to coordination rather than immediate patient care. Choice B is incorrect as it is not the primary role of nurses during a mass casualty incident. Choice C is incorrect as determining a credible threat is the responsibility of security and law enforcement, not nurses.
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When an RN is asked to accept an assignment that he or she may not be qualified to perform, the nurse should:
- A. accept the assignment as appropriate if assigned by a legitimate power.
- B. be primarily concerned with the number of patients being assigned.
- C. ask how other nurses have handled the assignment in the past.
- D. determine whether he or she is familiar with the types of patients being assigned.
Correct Answer: D
Rationale: Step-by-step rationale for why Answer D is correct:
1. Ensures patient safety: RN should only accept assignments they are qualified for to provide safe care.
2. Upholds professional standards: Accepting only familiar assignments aligns with nursing scope of practice.
3. Legal and ethical responsibility: RN must prioritize patient well-being over external pressures.
4. Promotes personal growth: RN can seek additional training for unfamiliar assignments.
Summary:
- A: Incorrect. Accepting based on power dynamics disregards patient safety and professional ethics.
- B: Incorrect. Patient safety should be the primary concern over workload.
- C: Incorrect. Past handling may not guarantee appropriateness. Focus should be on personal qualification.
A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide. The most efficient and effective means of conducting an Internet search to gather information for this publication is to use:
- A. a search engine such as Google or Yahoo.
- B. a consumer health website.
- C. a decision support system.
- D. MEDLINE database.
Correct Answer: D
Rationale: The correct answer is D: MEDLINE database. MEDLINE is a reputable database that provides access to a vast array of peer-reviewed medical literature, making it an excellent resource for scholarly publications. Here's the rationale:
1. Credibility: MEDLINE contains high-quality, peer-reviewed articles from reputable medical journals, ensuring the information obtained is reliable and accurate.
2. Specificity: The database is focused on medical research, including studies on hepatitis A, providing targeted and relevant information for the nurse's publication.
3. Efficiency: Search results in MEDLINE are organized and easily accessible, allowing the nurse to efficiently gather information without sifting through irrelevant sources.
4. Up-to-date: MEDLINE is regularly updated with the latest research findings, ensuring the nurse has access to the most current information on hepatitis A.
In summary, using MEDLINE is the best choice for the nurse as it offers credible, specific, efficient, and up-to-date information compared to the other options.
A nurse is completing the degree requirements for an advanced practice role as a nurse practitioner and is concerned about certification requirements. Which statement concerning certification for advanced practice is true?
- A. All states require certification for all specialty roles that are identified as advanced practice.
- B. Nurse anesthetists and nurse-midwives are the only advanced practice role that require certification in the state nurse practice acts.
- C. Scope of practice remains unclear in state nurse practice acts due to the increasing number of new advanced practice roles.
- D. Certification is automatic when the nurse applies for an advanced practice license.
Correct Answer: A
Rationale: The correct answer is A because most states require certification for all specialty roles identified as advanced practice. This is crucial for ensuring that nurse practitioners have met specific educational and clinical practice requirements to provide safe and competent care.
Explanation for why other choices are incorrect:
B: Nurse anesthetists and nurse-midwives are not the only advanced practice roles that require certification in most states. Other roles such as nurse practitioners and clinical nurse specialists also require certification.
C: The increasing number of new advanced practice roles does not necessarily mean that the scope of practice remains unclear in state nurse practice acts. Certification requirements help define the scope of practice for each role.
D: Certification is not automatic when applying for an advanced practice license. Nurses must complete specific educational programs and pass certification exams to obtain certification for their chosen specialty role.
A patient is upset because her health insurance plan refused to pay for a mammogram and services by a women's health specialist because the primary care physician did not order the referral or the mammogram. Which type of insurance plan adheres to this type of payment system?
- A. Fee for Service
- B. Health Maintenance Organization (HMO)
- C. Preferred Provider Organization (PPO)
- D. Point of Service (POS)
Correct Answer: B
Rationale: The correct answer is B: Health Maintenance Organization (HMO). In an HMO, services are typically provided by a primary care physician who acts as a gatekeeper for all medical services, including referrals to specialists and diagnostic tests like mammograms. The primary care physician must authorize and order these services for them to be covered by the insurance plan. This system helps control costs and ensures coordinated care.
A: Fee for Service does not require a primary care physician to authorize referrals or services.
C: PPO allows patients to see out-of-network providers without referrals.
D: POS plans offer more flexibility in choosing healthcare providers without requiring a primary care physician's referral.
It is important to realize that nurses may seek unionization if: (select all that apply)
- A. physicians rotate on-call coverage among group members for complicated long-term clients.
- B. scheduling is presented that provides adequate staffing on holidays by rotation of time off for holidays among nurses.
- C. incident report trends indicate medication errors are caused by shift reports being taped and heard after nurses from the prior shift have left the unit.
- D. physicians, nurses, nutritionists, and physical therapists visit concurrently with clients to plan care.
Correct Answer: C
Rationale: Rationale:
Choice C is correct because it highlights a significant issue related to patient safety - medication errors caused by delayed shift reports. This creates a legitimate concern for nurses regarding the effectiveness of communication and ultimately patient care. Seeking unionization could be a way for nurses to address this issue collectively.
Summary:
- Choice A is incorrect as it focuses on physician coverage rather than nurse concerns.
- Choice B is incorrect as it addresses staffing and scheduling but does not directly relate to nurses seeking unionization.
- Choice D is incorrect as it describes a collaborative care approach, which does not necessarily indicate a need for unionization among nurses.