Nursing Elites

1. A healthcare provider is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads 'Infuse over one hour by port-a-cath.' When the healthcare provider assesses the personal digital assistant that lists the steps to access a port-a-cath, which type of computer software is being used?

• A. Data management
• B. Electronic health records
• C. Point-of-care technology
• D. Telehealth

Correct answer: C

Rationale: Point-of-care technology refers to the use of devices like personal digital assistants that allow healthcare providers to access and input data directly at the patient's bedside. It aids in providing timely and accurate information for patient care management. In this scenario, the healthcare provider is using the personal digital assistant for immediate access to information on accessing a port-a-cath, demonstrating the use of point-of-care technology. Choices A, B, and D are incorrect because data management typically involves organizing and storing data, electronic health records focus on patient health information management, and telehealth involves providing healthcare services remotely, none of which directly apply to the situation described.

2. How do accrediting agencies such as the Joint Commission ensure quality care?

• A. Imposing maximum staffing levels
• B. Stipulating nurse-patient ratios
• C. Confirming delivery of satisfactory care
• D. Requiring a specific staff mix

Correct answer: C

Rationale: Accrediting agencies such as the Joint Commission primarily focus on confirming the delivery of satisfactory care rather than imposing specific staffing levels, nurse-patient ratios, or staff mix. They do not dictate the exact staffing levels or ratios but rather evaluate if the care provided meets established quality standards. While adequate staffing levels and appropriate nurse-patient ratios are essential for quality care, accrediting agencies like the Joint Commission assess the outcomes and overall quality of care delivered by healthcare facilities.

3. When teaching about community preparedness for a community group, the nurse should explain that the components of the national disaster medical system (NDMS) provide assistance in what form?

• A. making available a nationwide bomb disposal squad team for the rapid removal of explosive devices
• B. Facilitating patient evacuation from the disaster area to a non-affected area
• C. organizing ground for detonation of bombs by bomb squad
• D. providing mental health care for victims and healthcare providers in the community

Correct answer: B

Rationale: The correct answers are B and C. The NDMS is designed to provide medical response during disasters, assist in patient movement, and offer definitive care to disaster victims. This includes organizing teams of healthcare providers with specialized skills and equipment to respond effectively to emergencies. Patient evacuation from disaster areas to safer locations is also a key function of the NDMS to ensure the well-being of those affected by the disaster. Options A and D are incorrect because the NDMS does not provide bomb disposal services and is primarily focused on medical response rather than mental health care.

4. How can the nurse best advocate for a patient who will be discharged from acute care to home?

• A. Arranging for Meals on Wheels to provide in-home meals
• B. Administering pain medication prior to discharge
• C. Teaching the patient how to take medications at home
• D. Taking the patient by wheelchair to the car

Correct answer: A

Rationale: Arranging for in-home support services like Meals on Wheels is crucial for ensuring the patient receives proper nutrition and support after discharge. This goes beyond simply administering medications or providing transportation. By arranging for in-home meals, the nurse addresses the patient's nutritional needs, promotes their overall well-being, and supports their ongoing care requirements. Administering pain medication or teaching medication management, while important, do not directly address the patient's need for nutritional support. Taking the patient by wheelchair to the car is focused on physical transportation and does not encompass the holistic care approach needed for a successful transition to home care.

5. When the nurse receives a shift report from the nurse going off shift and asks about a patient's state of mind and emotional needs, which aspect of Dr. Watson's theory is demonstrated?

• A. Intentionality
• B. Curiosity
• C. Caritas
• D. Holism

Correct answer: C

Rationale: The correct answer is C: Caritas. The act of inquiring about a patient's state of mind and emotional needs reflects the concept of Caritas in Dr. Watson's theory. Caritas involves showing deep concern, compassion, and love for the patient, going beyond just the physical aspects of care. Choice A, Intentionality, refers to the capacity for nurses to act deliberately with an ultimate goal in mind. Choice B, Curiosity, is not directly related to the specific action described in the question. Choice D, Holism, involves considering the patient as a whole being, including physical, emotional, social, and spiritual aspects, but it is not specifically demonstrated by inquiring about emotional needs and state of mind.

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