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.
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Which actions would result in a greater number of nurses entering and staying in practice, given today's state of nursing? (select all that apply)
- A. Determine why few black women enter graduate school.
- B. Provide incentives for minorities and men to enter nursing.
- C. Obtain grant funding to increase the number of faculty members and scholarship availability for students entering baccalaureate nursing programs.
- D. Survey nurses to determine why their job satisfaction is lower than that of other health care professions.
Correct Answer: B
Rationale: The correct answer is B: Provide incentives for minorities and men to enter nursing. This is because increasing diversity in the nursing profession can help address shortages and improve patient care. Incentives can attract underrepresented groups and address disparities.
A, determining why few black women enter graduate school, may address a specific subgroup but not the broader issue of nursing shortages.
C, obtaining grant funding for faculty and scholarships, may help improve education opportunities but may not directly address the retention and recruitment of nurses.
D, surveying nurses about job satisfaction, is important but may not directly address attracting more nurses into the profession or keeping them in practice.
A new trend in nursing education that is consistent with real-world practice is focused on:
- A. outcomes.
- B. objectives.
- C. goals.
- D. subjective appraisals.
Correct Answer: A
Rationale: The correct answer is A: outcomes. Nursing education focused on outcomes aligns with real-world practice by emphasizing measurable results and the impact of nursing interventions on patient care. Objectives (B) are specific steps to achieve outcomes, while goals (C) are broader aims. Subjective appraisals (D) lack the objective, evidence-based focus required in nursing education. Therefore, focusing on outcomes ensures that nursing students are prepared for the demands of real-world practice.
A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything okay?" The nurse says nothing and shrugs her shoulders. The nurse is demonstrating:
- A. open communication.
- B. filtration.
- C. blocking.
- D. false assurance.
Correct Answer: D
Rationale: The correct answer is D: false assurance. By not providing a verbal response to the patient's question and shrugging her shoulders, the nurse is not giving any indication of the patient's actual condition. This lack of communication can lead the patient to interpret the nurse's actions as reassurance that everything is fine, which is a form of false assurance. This behavior can be misleading and may prevent the patient from receiving important information about their health status.
Incorrect choices:
A: open communication - The nurse's lack of verbal response and shrugging shoulders does not demonstrate open communication.
B: filtration - Filtration is not relevant to the situation described.
C: blocking - While the nurse is not providing necessary information, the term "blocking" does not accurately describe the situation.
Which types of abuse are the nurse required to report or be subject to fines and imprisonment for not reporting? (select all that apply)
- A. Animal
- B. Child
- C. Alcohol
- D. Infant
Correct Answer: B
Rationale: The correct answer is B: Child abuse. Nurses are mandated reporters of child abuse, meaning they are legally required to report any suspected or witnessed cases to the appropriate authorities. Failure to report can result in fines and imprisonment. Child abuse is a serious issue that requires immediate intervention to protect the safety and well-being of the child.
Explanation for incorrect choices:
A: Animal abuse - While animal abuse is also a serious concern, nurses are not legally required to report it in the same way as child abuse.
C: Alcohol abuse - Nurses may provide assistance and support for individuals struggling with alcohol abuse, but it is not a mandatory reporting requirement.
D: Infant abuse - While abuse of infants falls under the category of child abuse, the specific term "infant abuse" is not a separate reporting requirement for nurses.
A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 55; CO , 55; HCO, 28 mEq/L, and O , 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to: The above question represents which level of Bloom's taxonomy?
- A. Knowledge
- B. Comprehension
- C. Application
- D. Analysis
Correct Answer: C
Rationale: The correct answer is C: Application. In this scenario, the nurse needs to apply knowledge of arterial blood gas results and assessment findings to determine appropriate actions. With the patient having abnormal ABG results and visible carotid artery pulsation, the nurse must recognize impending respiratory failure and act promptly, such as notifying the healthcare provider or respiratory therapist. This requires applying critical thinking skills to make decisions based on collected data.
Incorrect choices:
A: Knowledge - Choosing this option implies only recalling facts, which is not sufficient in this situation.
B: Comprehension - This choice suggests understanding the information given, but it does not involve applying that understanding to make decisions.
D: Analysis - While analysis involves breaking down information, the immediate action needed in this case is more about applying knowledge to prevent a potential crisis, rather than deeply analyzing the situation.