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The nurse is preparing a plan of care for an black patient who has had a change of bowel habits from being constipated and having only two firm stools weekly to having three or more loose stools daily. Which comment is related to cultural variation for health information?
- A. The individual states, "I will need to discuss health care options with my grandmother."
- B. The eldest male member of the family will make all health care decisions.
- C. The patient has high respect for the nurse and nods approvingly, although she has no intention of complying with instructions or plan of care.
- D. The individual speaks very quietly and gently reaches to hold the nurse's hand for support.
Correct Answer: A
Rationale: The correct answer is A because it reflects the patient's cultural variation in seeking health information from family members, specifically the grandmother. This shows respect for family opinions and involvement in decision-making.
Option B is incorrect as it generalizes that the eldest male makes all health decisions, which may not be true for every cultural group. Option C is incorrect as nodding approvingly and not complying with instructions does not necessarily indicate cultural variations. Option D is incorrect as speaking quietly and reaching for the nurse's hand may simply indicate a patient's communication style rather than cultural variation in seeking health information.
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A community in the New Madrid fault zone experiences an earthquake resulting in injuries from propelled objects and abrasions for many victims. The local supply of antibiotics is quickly exhausted. Local authorities would contact the:
- A. Commissioned Corps Readiness Force.
- B. Strategic National Stockpile.
- C. Department of Homeland Security.
- D. local Young Men's Christian Association (YMCA).
Correct Answer: B
Rationale: The correct answer is B: Strategic National Stockpile. This is because the Strategic National Stockpile is a federal repository of antibiotics, medical supplies, and equipment to respond to public health emergencies. In this scenario, the local supply of antibiotics is exhausted, so contacting the Strategic National Stockpile would provide the necessary antibiotics to treat the injured victims.
Explanation for why other choices are incorrect:
A: The Commissioned Corps Readiness Force is a team of health professionals who can be deployed during public health emergencies, but they do not specifically store or distribute medical supplies like antibiotics.
C: The Department of Homeland Security focuses on national security and disaster response, but they do not directly handle the distribution of medical supplies like antibiotics.
D: The local Young Men's Christian Association (YMCA) is a community organization that is not equipped to provide medical supplies for emergency response situations like this earthquake scenario.
A nurse is interested in understanding the meaning of the human experience of surviving polio. Subject recruitment targets persons who have been diagnosed with the disease. The researcher reflects on the data and identifies common themes in order to understand the "lived experience." These characteristics are consistent with the qualitative research method known as:
- A. grounded theory.
- B. ethnography.
- C. phenomenology.
- D. case study.
Correct Answer: C
Rationale: The correct answer is C: phenomenology. Phenomenology focuses on exploring and understanding individuals' lived experiences to uncover the essence of a phenomenon. In this case, the nurse is interested in understanding the meaning of surviving polio from the perspective of those diagnosed with the disease. By reflecting on the data and identifying common themes, the researcher aims to capture the essence of the human experience of surviving polio.
Grounded theory (A) is a method used to develop theories from data, not necessarily focusing on the lived experience. Ethnography (B) involves studying cultures and societies, which is not directly aligned with understanding individual experiences. Case study (D) typically focuses on in-depth analysis of a specific individual or group, rather than exploring common themes across individuals' experiences.
When reading about nursing as a career, a student is interested in learning about violence in the profession. Which statement accurately reflects violence in health care and the profession of nursing?
- A. Nursing is the most trusted profession and therefore violence is rare.
- B. All nurses should be advocates for violence prevention programs.
- C. Physical violence between peers constitutes lateral violence; however, verbal assault is not recognized as violence.
- D. Professional organizations have recognized a need to evaluate all nurses for the risk of committing acts of violence.
Correct Answer: B
Rationale: The correct answer is B because nurses play a crucial role in advocating for violence prevention programs to create a safe work environment. Nurses can raise awareness, implement policies, and support victims.
Incorrect answers:
A: Trust in nursing doesn't prevent violence. Violence can still occur due to various factors.
C: Verbal assault is recognized as a form of violence in the nursing profession.
D: Evaluating all nurses for the risk of committing violence may not be feasible or effective in preventing violence.
A patient is admitted with pneumoniThe 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-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:
- A. patient classification system.
- B. clinical pathway.
- C. patient-centered plan of care.
- D. diagnosis-related group (DRG).
Correct Answer: B
Rationale: The correct answer is B: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and treatments based on assessment findings to guide patient care in a structured manner. In this case, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics.
A. Patient classification system: This refers to categorizing patients based on certain criteria for resource allocation and staffing levels, not specific care plans.
C. Patient-centered plan of care: While patient-centered care focuses on individual preferences and needs, it does not necessarily include the structured timeline and interventions outlined in a clinical pathway.
D. Diagnosis-related group (DRG): DRGs are used for billing and payment purposes based on specific diagnoses, not for detailed care plans like the one described in the question.
The number of IV site infections has more than doubled on a nursing unit. The staff determine common causes include the site is cleaned using inconsistent methods, dressing frequently becomes wet when patient showers, IV tubing is not changed every 48 hours per protocol, and inadequate hand washing of RN prior to insertion. A bar graph demonstrates the frequency in descending order, with 80% of infections being attributed to inadequate hand washing. The quality tool used is a:
- A. cause-and-effect diagram.
- B. run chart.
- C. Pareto chart.
- D. flowchart.
Correct Answer: C
Rationale: The correct answer is C: Pareto chart. A Pareto chart is a quality tool used to prioritize issues by identifying the most significant factors contributing to a problem. In this case, the Pareto chart is appropriate because it helps visually show that inadequate hand washing is the primary cause of IV site infections, as it accounts for 80% of all infections. The chart allows the staff to focus their efforts on addressing this key issue first, which is crucial for effectively reducing the overall infection rate.
Incorrect choices:
A: Cause-and-effect diagram - This tool is used to identify and analyze potential causes of a problem, but it does not prioritize them in the same way a Pareto chart does.
B: Run chart - A run chart is used to track data over time to identify trends and patterns, but it does not prioritize the causes of a problem like a Pareto chart.
D: Flowchart - Flowcharts are used to map out a process or workflow, but they do not prioritize issues