MyLab Module 46

The nurse is conducting a drill for a large-scale biological attack. A participant asks the nurse, "Where would the healthcare personnel obtain the vaccines after such a large-scale attack?" Which response by the nurse is appropriate? ANSWER "The vaccine manufacturers will have the vaccines delivered within 24-36 hours." "The area hospitals have stockpiles of vaccines in case of a biological attack." "The CDC has the vaccines readily available to be shipped immediately to a disaster site." "A preassembled package with the vaccines will be delivered within 12 hours."

"A preassembled package with the vaccines will be delivered within 12 hours."

The school nurse prepares for responsibilities during an emergency by participating in quarterly fire drills. Which slogan best captures the nurse's responsibility? ANSWER "Fastest triage for physical injuries." "Most intense help for most severe injuries." "Scope of practice changes with circumstances." "Greatest good for the greatest number."

"Greatest good for the greatest number."

The nurse provides information about Medicare to a 65-year-old patient who is on Medicaid. Which patient statement indicates that further information is needed? ANSWER "I don't want to pay a premium for Medicare every month." "I have an appointment with a social worker to help me apply for Medicare." "I know I can use the health department for routine care until my Medicare comes through." "I understand that Medicare will not cover everything."

"I don't want to pay a premium for Medicare every month."

The nurse is working at a facility that utilizes primary care nursing as the model for delivering nursing care. Which statement by the nurse best demonstrates an understanding of the role of the primary care nurse? ANSWER "I have 24/7 authority and responsibility for the patients assigned to my group." "I will be providing all the care for my patients and delegate tasks if necessary." "I am responsible for the care of the patients assigned to my team." "I will be delegating tasks to others, and they will be responsible for the tasks."

"I have 24/7 authority and responsibility for the patients assigned to my group."

The nurse is questioning the clinical nurse specialist (CNS) about the rationale for reverse triage in a disaster. Which statement by the nurse shows an understanding of the CNS's explanation? ANSWER "Triage and reverse triage are interchangeable concepts." "In reverse triage, the most severely injured patients are treated last." "Reverse triage gives priority to the very young and very old." "Emergency personnel use reverse triage on a daily basis."

"In reverse triage, the most severely injured patients are treated last."

The patient tells the nurse, "My daughter is not able to care for me any longer and I am afraid that I don't have the money to pay for a nursing home." Which response by the nurse provides the patient the essential information to make a decision on health insurance? ANSWER "Medicaid has a program that you may qualify for that covers nursing home charges." "The Affordable Care Act pays for nursing home care." "Since you are over 65 years of age, Medicare will pay your nursing home charges." "You can enroll in CHIP because they help families."

"Medicaid has a program that you may qualify for that covers nursing home charges."

A patient diagnosed with a tularemia infection asks the nurse, "Where did I get this from?" Which response by the nurse provides the patient with accurate information? ANSWER "The bacteria are harbored in your intestinal tract." "Tularemia is spread by human contact." "The bacteria are transmitted by animals and insects." "The infection is a result of an animal bite."

"The bacteria are transmitted by animals and insects."

The nurse is caring for a patient who has managed care insurance. The patient states, "I am not too sure about this new insurance. I have never had this type of coverage before." Which statement by the nurse provides the patient with an accurate response? ANSWER "You will receive patient-focused care with your insurance plan." "This type of coverage by design promotes receiving high-quality, cost-effective care." "Your new insurance is excellent in decreasing your out-of-pocket expenses." "The insurance you have allows you to go wherever you want to receive care."

"This type of coverage by design promotes receiving high-quality, cost-effective care."

The patient in the prodromal phase of smallpox asks the nurse, "What does prodromal phase mean?" Which response by the nurse is accurate? "You will be developing a rash and small bumps." "You will have symptoms for a few days, during which you will experience a fever and body aches." "This is the most contagious phase of the disease." "You will most likely experience minimal symptoms."

"You will have symptoms for a few days, during which you will experience a fever and body aches."

The nurse is preparing to provide the parents of a child that is being seen for a well visit some general education. Which statement by the nurse reflects secondary prevention education? ANSWER "It is important to include fresh fruits and vegetables in your child's diet." "Your child should be seen by the dentist every 6 months." "You child is due for another immunization in 1 year." "It is important that your child get exercise for at least 20 minutes a day."

"Your child should be seen by the dentist every 6 months."

The nurse is integrating one of the six principles from the Joint Principles of the Patient-Centered Medical Home by extending clinic hours on the weekend. Which one of the six principles is the nurse addressing? ANSWER Whole person orientation Access to care Coordinated and integrated care Quality and safety

Access to care

The nurse is assessing a child who is slurring words and seeing double. The parent states, "I think that my child ate a bad batch of home canned beans yesterday." Which biological pathogen should the nurse suspect in the child? ANSWER Anthrax Smallpox Tularemia Botulism

Botulism

The nurse is assessing a child who is slurring words and seeing double. The parent states, "I think that my child ate a bad batch of home canned beans yesterday." Which biological pathogen should the nurse suspect in the child? ANSWER Smallpox Tularemia Anthrax Botulism

Botulism

A patient who is visually impaired and has Parkinson disease is assigned a nurse to coordinate care from a number of specialists. Which type of framework does this care coordination indicate? ANSWER Patient-focused care Managed care Case management Team nursing

Case management

The nurse is planning to participate in a community dialogue regarding healthcare resource allocation. Which discussion activity would be the most appropriate choice for this nurse? ANSWER Speaking with the hospital administration Talking with cancer survivors Collaborating with legislators Networking with healthcare providers

Collaborating with legislators

The nurse is assessing a patient suspected to be in the prodromal phase of smallpox. Which assessment finding should the nurse anticipate? ANSWER Coughing Fever Urticaria Diarrhea

Fever

The nurse is assessing a patient suspected to be in the prodromal phase of smallpox. Which assessment finding should the nurse anticipate? ANSWER Fever Urticaria Coughing Diarrhea

Fever

Which nursing care model for delivery can be the most cost effective? ANSWER Positive nursing Functional nursing Primary nursing Team nursing

Functional nursing

The nurse has integrated the six principles of the Joint Principles of the Patient-Centered Medical Home into practice. Which statement defines the goal when providing this type of practice? ANSWER The cost of the care provided to the patient using this model is moderate. Healthcare is a partnership with the patient and the patient's family. A team of healthcare providers will be available to care for the patient. Patient-centered care is delivered in the home setting.

Healthcare is a partnership with the patient and the patient's family.

The emergency response team is performing a drill for a bioterrorism attack with pneumonic plague. Which mechanism should the nurse consider is used for propagating pneumonic plague as a biological weapon? ANSWER It is released as a weaponized aerosol. It is placed in the food supply. It is transmitted through flea bites. It is dumped in the water supply.

It is released as a weaponized aerosol.

During a simulation of a deliberate release of biological agents, the nurse is given a scenario to provide care to a patient who is exposed to inhaled anthrax. Which initial symptom should the nurse anticipate to find during the assessment of a patient who has inhaled anthrax? ANSWER Chest discomfort Shortness of breath Cough Mild fever

Mild fever

The nurses participating on a disaster team are planning on installing a new warning system in the event of a tornado. Which phase of emergency management is the disaster team addressing? ANSWER Preparedness Recovery Mitigation Emergency response

Mitigation

The patient tells the nurse, "I live in a flood zone and have lost my home. I am glad I have flood insurance." Which phase of emergency management has protected the patient from complete financial loss? ANSWER Recovery Emergency response Mitigation Preparedness

Mitigation

The nurse is looking for signs of cutaneous anthrax while assessing a patient who came into contact with a white powder leaking from an envelope. Which early symptoms of anthrax should the nurse look for in this patient? ANSWER Small sores that become blisters Sore throat, mild fever, and muscle aches Nausea and loss of appetite Bloody diarrhea and high fever

Small sores that become blisters

The nurse caring for a patient who is newly diagnosed with diabetes requests a dietary consult. Which type of care is the nurse implementing? ANSWER Case management Primary prevention Tertiary prevention Secondary prevention

Tertiary prevention

The nurse is creating an educational program on bioterrorism and specific biological agents that have been assigned the highest priority by the Centers for Disease Control and Prevention (CDC). Which factor should the nurse give as the rationale for assigning a biological agent the highest priority? ANSWER The biological agent cannot be eradicated by a vaccine. The biological agent cannot be easily transmitted to others. The biological agent has an insignificant impact on public health. The biological agent can cause public panic.

The biological agent can cause public panic.

The nurse volunteers to participate in the Community Emergency Response Team (CERT) program. Which statement accurately describes the role that the nurse will have when participating in CERT? The nurse will be granted permission to use their nursing license in an emergency situation. THE CORRECT ANSWER The nurse will act as an extension of first responder services. The nurse will utilize the experience gained in the emergency department to triage victims. The nurse will take the place of first responder services.

The nurse will act as an extension of first responder services.

The nurse is implementing reverse triage during a disaster. Which patient should the nurse select to receive priority treatment? ANSWER The patient on dialysis who has recently refused treatment The patient who utilizes an oxygen generator for chronic obstructive pulmonary disease (COPD) The patient with type 1 diabetes and severe food allergies The patient experiencing angina with no previous history of cardiovascular disease

The patient experiencing angina with no previous history of cardiovascular disease

The nurse is caring for an older adult patient who takes many medications due to complex healthcare needs. Which statement describes the risk for the patient for prescription drug expenses when hitting the "donut hole" of Medicare? ANSWER The patient is able to get a free year's worth of drugs to use before the next calendar year. The patient can only qualify for generic medications using Medicare payment. The patient may be forced to purchase fewer prescription drugs. The patient is given low-cost medications paid for with government funding.

The patient may be forced to purchase fewer prescription drugs.

A patient tells the nurse, "I work full-time at a large company but I do not have any health insurance." Which statement best describes the nurse's understanding of why the patient may have no health insurance? ANSWER The patient may not be able to get insurance due to preexisting conditions. The patient may not be able to afford the health insurance the employer offers. The employer may not offer health insurance due to the employee's job description. The patient does not understand the importance of caring for health.

The patient may not be able to afford the health insurance the employer offers.

The nurse is caring for a patient who lives 50 miles from the clinic and is often unable to obtain transportation for follow-up care. Which barrier to healthcare is most likely responsible for the patient's noncompliance with follow-up clinic visits? ANSWER Perception of need Lack of healthcare insurance Uneven distribution of services Lack of a usual source of care

Uneven distribution of services

The nurse is triaging victims who were decontaminated after coming in contact with an unknown chemical substance. The nurse is required to wear personal protective equipment. The nurse is working in which zone? ANSWER Hot zone Warm zone Neutral zone Cold zone

cold zone

the nurse is determining a nursing care delivery model for a new intensive care unity (ICU) which model will provide the safest care for the patients? -Primary care nursing -Functional nursing -Team nursing -Patient-centered care nursing

primary care nursing

The nurse is teaching an adolescent patient how to perform a thorough breast self-examination using a realistic model of the breast. Which type of prevention activity is the nurse performing with this patient? Palliative prevention Secondary prevention Primary prevention Tertiary prevention

secondary prevention