Nokea
Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by:
- A. the federally coordinated National Disaster Medical System.
- B. local homeland communities where troops receive care.
- C. the Medical Reserve Corps, which organizes and utilizes public health, nursing, medical, and other volunteers.
- D. the National Incident Management System, which guides government, nongovernmental organizations, and the private sector to work seamlessly during disaster situations.
Correct Answer: A
Rationale: The correct answer is A: the federally coordinated National Disaster Medical System (NDMS). This system is specifically designed to provide medical care and support during disasters, including incidents involving mass casualties like the suicide bombing in the question. NDMS can rapidly deploy medical teams, equipment, and supplies to support local medical responses.
Choice B is incorrect because local homeland communities may not have the necessary resources and capabilities to handle a large-scale medical emergency like this. Choice C is incorrect because while the Medical Reserve Corps can provide additional support, it may not have the same level of coordination and resources as the NDMS. Choice D is incorrect as the National Incident Management System focuses on overall coordination of all emergency response efforts, not specifically medical care.
You may also like to solve these questions
A client is hypertensive, and the doctor prescribes weight reduction. The client is excited about beginning the diet, but on arriving home the spouse states, "You have always been fat, and I am not going to starve because you can't control yourself." The client becomes anxious and is unable to participate in the diet plan, resulting in a weight gain of 5 pounds in 2 weeks. Which theorist could best be referred to for guidance regarding interventions in this situation?
- A. Martha E. Rogers
- B. Hildegard E. Peplau
- C. Florence Nightingale
- D. Myra Estrin Levine
Correct Answer: B
Rationale: The correct answer is B: Hildegard E. Peplau. Peplau's nursing theory focuses on interpersonal relations, emphasizing the nurse-client relationship. In this situation, the client's anxiety and inability to participate in the diet plan are directly related to the negative interaction with the spouse. Peplau's theory suggests that the nurse can intervene by providing emotional support, facilitating communication, and helping the client manage anxiety. Rogers' theory focuses on the science of unitary human beings, which is not directly applicable here. Nightingale's theory emphasizes environmental factors, not interpersonal relationships. Levine's theory focuses on conservation principles, which are not directly relevant to addressing the client's anxiety and relational issues. Therefore, Peplau's theory best guides interventions in this situation.
On the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination, when the candidate is asked to set goals in collaboration with other members of the health care team, the nurse is being tested in the area of:
- A. assessment.
- B. planning.
- C. analysis.
- D. implementation.
Correct Answer: B
Rationale: The correct answer is B: planning. Setting goals in collaboration with other healthcare team members falls under the planning phase of the nursing process. During this phase, nurses work with the healthcare team to establish specific, measurable, achievable, relevant, and time-bound (SMART) goals for patient care. This involves identifying priorities, outlining interventions, and determining the expected outcomes. Collaboration with the healthcare team ensures that goals are comprehensive and align with the overall care plan.
Incorrect Choices:
A: Assessment - Assessment involves collecting and analyzing data to identify the patient's needs and problems. Setting goals is not part of the assessment phase.
C: Analysis - Analysis involves interpreting data and identifying patterns or relationships. Setting goals is more focused on planning and identifying interventions.
D: Implementation - Implementation involves carrying out the planned interventions to achieve the established goals. Setting goals precedes the implementation phase.
A physician has installed a computer-based patient records system. An outside care provider who requests medical information must obtain the patient's signed consent and then is assigned a password to gain access to the medical information. A monthly audit is conducted to determine for whom and for what purpose patient records have been accessed. This protection is referred to as:
- A. privacy.
- B. confidentiality.
- C. security.
- D. data capture.
Correct Answer: C
Rationale: The correct answer is C: security. The scenario describes measures to protect the patient records system from unauthorized access, such as requiring consent, assigning passwords, and conducting audits. Security specifically refers to safeguarding information from unauthorized access, ensuring data integrity and availability. Privacy (A) is about controlling access to personal information, while confidentiality (B) is about keeping information private. Data capture (D) refers to the process of collecting data, not protecting it from unauthorized access. In this case, the focus is on security measures implemented to protect patient records, making it the most appropriate choice.
To determine basic competency, the interview for a nursing position may include a test in:
- A. pathophysiology.
- B. correctly writing nursing diagnoses.
- C. pharmacology.
- D. computer skills.
Correct Answer: A
Rationale: The correct answer is A: pathophysiology. This is because understanding pathophysiology is fundamental for a nurse to comprehend how diseases affect the body. It helps nurses provide appropriate care and make critical decisions. Incorrect choices: B focuses on documentation, C on medication knowledge, and D on technical skills, which are important but not as essential as understanding the physiological mechanisms of diseases.
A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses. At the committee meeting, the nurse learns that:
- A. older nurses are being encouraged to retire so that younger, more efficient nurses can practice.
- B. Magnet hospitals are able to attract nurses with sign-on bonuses and flexible work hours but fail to retain nurses because insufficient autonomy over professional practice is provided.
- C. multitasking is seldom desired by the younger generation of nurses.
- D. many younger workers are less concerned with longevity and are willing to change institutions to achieve professional advancement and flexible work hours.
Correct Answer: D
Rationale: Step 1: Many younger workers prioritize professional advancement and flexible work hours over longevity.
Step 2: This mindset leads them to change institutions to achieve their career goals.
Step 3: The nurse learns about this behavior during the committee meeting.
Step 4: Therefore, the correct answer is D as it aligns with the behavior and motivations of younger nurses.
Summary:
A: Encouraging older nurses to retire is age discrimination and does not address retention issues.
B: Magnet hospitals attract nurses with benefits, but lack of autonomy is not the primary reason for retention issues.
C: Multitasking preferences do not directly relate to recruitment and retention challenges.