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The disaster medical assistance team works quickly to contain contaminants from a chemical plant explosion. Afterward, personnel undergo a special process to remove harmful chemicals from equipment and supplies. This removal process is known as:
- A. containment.
- B. decontamination.
- C. triage.
- D. scene assessment.
Correct Answer: B
Rationale: The correct answer is B: decontamination. Decontamination is the process of removing harmful chemicals from equipment and supplies to prevent further exposure and contamination. In this scenario, the disaster medical assistance team is working to contain contaminants first and then proceed with decontamination to ensure the safety of personnel. Containment (choice A) refers to preventing the spread of contaminants, not removing them. Triage (choice C) is the process of prioritizing patients based on the severity of their injuries, not removing chemicals. Scene assessment (choice D) involves evaluating the situation to determine the extent of the disaster, not the removal of harmful chemicals.
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Many nursing professionals have portfolios that include:
- A. family pictures.
- B. letters of commendation.
- C. articles that describe lack of quality in health care.
- D. high school achievements.
Correct Answer: B
Rationale: The correct answer is B: letters of commendation. Nursing professionals typically include letters of commendation in their portfolios to showcase their achievements, skills, and positive feedback from colleagues or supervisors. This demonstrates their competence and professionalism. Family pictures (A) and high school achievements (D) are not relevant to a nursing portfolio. Articles describing lack of quality in healthcare (C) could reflect negatively on the professional and are not typically included in a portfolio meant to highlight accomplishments.
A nurse entering the job market wants to be certain that the first position is rewarding and allows for growth as a registered nurse. According to the Hallmarks of the Professional Nursing Environment, the nurse should ask:
- A. about the philosophy related to clinical care to determine the role of RNs in deciding outcomes related quality outcomes.
- B. if professional development opportunities are supported through paid leave and tuition reimbursement.
- C. how compensation packages compare to others in the same area and nationally.
- D. what the projected need for RNs is in the next 5 years and current turnover rate.
Correct Answer: B
Rationale: The correct answer is B because professional development opportunities supported through paid leave and tuition reimbursement are crucial for a nurse's growth. This allows for continuous learning, skill enhancement, and career advancement. It indicates that the organization values its nurses and invests in their development. The other choices, A, C, and D, while important in their own right, do not directly address the nurse's growth and professional development. Choice A focuses on the philosophy of care, not personal growth. Choice C is mainly about compensation, not professional development. Choice D pertains to workforce planning, not individual career advancement.
A student nurse is preparing a presentation that requires identification of outcomes for the care of heart failure patients. Which is a correctly written outcome?
- A. Develop a teaching program to address physical activities that result in improved cardiac function.
- B. Discuss the clinical manifestations associated with Level 4 heart failure.
- C. List the most common pharmaceutical approaches to reduce preload in heart failure patients.
- D. Recognize the economic impact that recidivism has on the patient and health care facility.
Correct Answer: A
Rationale: The correct answer is A because it specifies a measurable and achievable goal related to improving cardiac function through physical activities. It follows the SMART criteria (Specific, Measurable, Achievable, Relevant, Time-bound). Option B does not provide a specific outcome, while Option C focuses on pharmaceutical approaches rather than outcomes. Option D is unrelated to the goal of improving outcomes for heart failure patients. Thus, option A is the most appropriate choice for a well-defined and relevant outcome for the care of heart failure patients.
Which statement accurately describes communication?
- A. The components of communication are mutually exclusive.
- B. Communication is linear.
- C. Communication involves only the sender and the receiver; everything else is superficial.
- D. When the receiver becomes the sender, the subcomponent of communication that is in use is feedback.
Correct Answer: D
Rationale: The correct answer is D because feedback is an essential component of the communication process. Feedback allows the receiver to respond to the sender, indicating understanding or seeking clarification. This two-way interaction is crucial for effective communication. In contrast, choice A is incorrect as communication components are interdependent, not mutually exclusive. Choice B is also incorrect as communication is often non-linear and involves feedback loops. Choice C is incorrect because communication involves various elements beyond just the sender and the receiver, such as context, message, and noise.
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.