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Which one of the following is an example of the 'advocate' role of the CHN?
- A. Organizing home care support for a newly discharged older adult client
- B. Acting as a member of a community action group for provision of accessible transit choices
- C. Doing prenatal assessments
- D. Facilitating a self-help group for smoking cessation
Correct Answer: B
Rationale: Advocating for transit access (B) exemplifies the CHN's advocate role, addressing community needs, per nursing roles. Home care (A), assessments (C), and groups (D) are service-oriented.
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The most appropriate method of treating shock in an emergency is to:
- A. Keep the patient standing
- B. Elevate the patient's legs to improve blood flow
- C. Apply ice to the patient's extremities
- D. Give the patient food and water immediately
Correct Answer: B
Rationale: Rationale A: Incorrect, standing worsens shock. Rationale B: Correct, elevating legs improves circulation unless contraindicated. Rationale C: Incorrect, ice is not standard for shock. Rationale D: Incorrect, food/water can harm in shock.
What are the agencies that require all health care facilities to have detailed all-hazard preparedness plans? Select one that does not apply
- A. Patient Protection and Affordable Care Act
- B. Health Insurance Portability and Accountability Act
- C. The Joint Commission
- D. Centers for Medicare & Medicaid Services (CMS)
Correct Answer: A
Rationale: Rationale A: PPACA focuses on insurance, not preparedness mandates.
Hospital leadership should consider which of the following ethical dilemmas prior to experiencing an actual disaster?Select one that does not apply
- A. Which clinical leader will make the decision about distribution of scarce resources
- B. Criteria to determine which patients receive aggressive treatment and which will receive palliative care
- C. Which nursing staff will be the first to report to the hospital in the event of a disaster
- D. How prophylactic pharmaceuticals will be distributed to protect staff and their families
Correct Answer: C
Rationale: Rationale A: Correct, leadership decision-making is an ethical issue. Rationale B: Correct, treatment criteria pose ethical dilemmas. Rationale C: Incorrect, staff reporting is logistical, not ethical. Rationale D: Correct, drug distribution raises fairness issues. Rationale E: Communication is operational, not ethical.
Of the following interventions for infectious diseases, which one best represents primary prevention?
- A. Giving a tetanus booster every 10 years.
- B. Giving a tetanus booster to a client after she steps on a nail.
- C. Giving tetanus immunoglobulin to a client after he steps on a nail.
- D. Giving antibiotics to a client who has tetanus and placing the client on seizure precautions.
Correct Answer: A
Rationale: A tetanus booster every 10 years (A) is primary prevention, preventing disease before exposure, per public health. Post-exposure booster (B) and immunoglobulin (C) are secondary, and antibiotics (D) are tertiary.
When working with the community, recognizable nomenclature is important for:
- A. response.
- B. education.
- C. reporting.
- D. communication.
Correct Answer: D
Rationale: Rationale A: Response uses nomenclature but isn't primary. Rationale B: Education benefits but isn't focus. Rationale C: Reporting is a subset of communication. Rationale D: Correct, as NIMS standardizes interagency communication.