Question 1

The nurse educator is teaching a group of nursing students about the methods that are used by insurance companies to ration healthcare resources.Which method does the educator include in the teaching session regarding this topic?

Accepted Answer

A) Rationing is one means of allocating healthcare resources. Rationing is a method used by individuals, insurance companies, and the government to prevent increases in the cost of health care or to reduce the cost of health care. Individuals ration when they decide to provide self-care for an illness or injury rather than seeking care from a healthcare provider. Methods used by insurance companies to ration healthcare resources include noncoverage (e.g., noncoverage of preexisting conditions for up to a year after enrollment) and denial of coverage for services (e.g., services deemed to be experimental or those that are not supported by scientific evidence that proves their efficacy).
B) Rationing is one means of allocating healthcare resources. Rationing is a method used by individuals, insurance companies, and the government to prevent increases in the cost of health care or to reduce the cost of health care. Individuals ration when they decide to provide self-care for an illness or injury rather than seeking care from a healthcare provider. Methods used by insurance companies to ration healthcare resources include noncoverage (e.g., noncoverage of preexisting conditions for up to a year after enrollment) and denial of coverage for services (e.g., services deemed to be experimental or those that are not supported by scientific evidence that proves their efficacy).
C) Rationing is one means of allocating healthcare resources. Rationing is a method used by individuals, insurance companies, and the government to prevent increases in the cost of health care or to reduce the cost of health care. Individuals ration when they decide to provide self-care for an illness or injury rather than seeking care from a healthcare provider. Methods used by insurance companies to ration healthcare resources include noncoverage (e.g., noncoverage of preexisting conditions for up to a year after enrollment) and denial of coverage for services (e.g., services deemed to be experimental or those that are not supported by scientific evidence that proves their efficacy).
D) Rationing is one means of allocating healthcare resources. Rationing is a method used by individuals, insurance companies, and the government to prevent increases in the cost of health care or to reduce the cost of health care. Individuals ration when they decide to provide self-care for an illness or injury rather than seeking care from a healthcare provider. Methods used by insurance companies to ration healthcare resources include noncoverage (e.g., noncoverage of preexisting conditions for up to a year after enrollment) and denial of coverage for services (e.g., services deemed to be experimental or those that are not supported by scientific evidence that proves their efficacy).

Question 2

As a working professional,the nurse knows that one reason to join the American Nurses Association (ANA)is for which opportunity?

Accepted Answer

A) Nurses must be aware of and participate in discussions that affect the allocation of healthcare resources in the workplace, in their communities, and at the federal level. Nurses are uniquely placed to advocate on behalf of clients when allocation of resources is being considered in their communities. They may advocate by talking with local legislators, writing to politicians, and engaging in discussions in their neighborhoods and social groups. As working professionals, nurses have the opportunity to participate in national discussions about resources through a number of professional organizations, such as the American Nurses Association.
B) Nurses must be aware of and participate in discussions that affect the allocation of healthcare resources in the workplace, in their communities, and at the federal level. Nurses are uniquely placed to advocate on behalf of clients when allocation of resources is being considered in their communities. They may advocate by talking with local legislators, writing to politicians, and engaging in discussions in their neighborhoods and social groups. As working professionals, nurses have the opportunity to participate in national discussions about resources through a number of professional organizations, such as the American Nurses Association.
C) Nurses must be aware of and participate in discussions that affect the allocation of healthcare resources in the workplace, in their communities, and at the federal level. Nurses are uniquely placed to advocate on behalf of clients when allocation of resources is being considered in their communities. They may advocate by talking with local legislators, writing to politicians, and engaging in discussions in their neighborhoods and social groups. As working professionals, nurses have the opportunity to participate in national discussions about resources through a number of professional organizations, such as the American Nurses Association.
D) Nurses must be aware of and participate in discussions that affect the allocation of healthcare resources in the workplace, in their communities, and at the federal level. Nurses are uniquely placed to advocate on behalf of clients when allocation of resources is being considered in their communities. They may advocate by talking with local legislators, writing to politicians, and engaging in discussions in their neighborhoods and social groups. As working professionals, nurses have the opportunity to participate in national discussions about resources through a number of professional organizations, such as the American Nurses Association.

Question 3

The nurse is planning care for a number of clients who have been victims of a hurricane.Which is the priority nursing diagnosis to include in the plan of care for the victims?

Accepted Answer

A) Almost all victims of trauma would be at risk for post-trauma syndrome. Some victims may experience decreased cardiac output, but not all. Clients will not experience chronic confusion from the trauma unless there is a disease process already present that causes confusion. Fatigue may or may not affect the victims.
B) Almost all victims of trauma would be at risk for post-trauma syndrome. Some victims may experience decreased cardiac output, but not all. Clients will not experience chronic confusion from the trauma unless there is a disease process already present that causes confusion. Fatigue may or may not affect the victims.
C) Almost all victims of trauma would be at risk for post-trauma syndrome. Some victims may experience decreased cardiac output, but not all. Clients will not experience chronic confusion from the trauma unless there is a disease process already present that causes confusion. Fatigue may or may not affect the victims.
D) Almost all victims of trauma would be at risk for post-trauma syndrome. Some victims may experience decreased cardiac output, but not all. Clients will not experience chronic confusion from the trauma unless there is a disease process already present that causes confusion. Fatigue may or may not affect the victims.

Question 4

During a mass casualty event,the demand for nursing skills increases and calls for which implementation?

Accepted Answer

A) Nurses perform triage every day in emergency departments. During a mass casualty event (more than 100 victims), the demand on nurses' knowledge and skills will be even greater. Mass casualty events call for the implementation of reverse triage, in which the most severely injured or ill victims who require the greatest resources are treated last to allow the greatest number of victims to receive medical attention.
B) Nurses perform triage every day in emergency departments. During a mass casualty event (more than 100 victims), the demand on nurses' knowledge and skills will be even greater. Mass casualty events call for the implementation of reverse triage, in which the most severely injured or ill victims who require the greatest resources are treated last to allow the greatest number of victims to receive medical attention.
C) Nurses perform triage every day in emergency departments. During a mass casualty event (more than 100 victims), the demand on nurses' knowledge and skills will be even greater. Mass casualty events call for the implementation of reverse triage, in which the most severely injured or ill victims who require the greatest resources are treated last to allow the greatest number of victims to receive medical attention.
D) Nurses perform triage every day in emergency departments. During a mass casualty event (more than 100 victims), the demand on nurses' knowledge and skills will be even greater. Mass casualty events call for the implementation of reverse triage, in which the most severely injured or ill victims who require the greatest resources are treated last to allow the greatest number of victims to receive medical attention.

Question 5

The nurse providing rapid triage and emergency treatment for clients in an effort to stabilize them knows that which is the primary purpose of the warm zone?

Accepted Answer

A) The warm zone (also referred to as the yellow, contamination, or contamination reduction zone) is located at least 300 feet from the outer edge of the hot zone. Although the primary purpose is decontamination, rapid triage and emergency treatment to stabilize victims may also take place in the warm zone. Individuals who have the highest levels of contamination are treated with the highest priority. PPE is required in this zone.
B) The warm zone (also referred to as the yellow, contamination, or contamination reduction zone) is located at least 300 feet from the outer edge of the hot zone. Although the primary purpose is decontamination, rapid triage and emergency treatment to stabilize victims may also take place in the warm zone. Individuals who have the highest levels of contamination are treated with the highest priority. PPE is required in this zone.
C) The warm zone (also referred to as the yellow, contamination, or contamination reduction zone) is located at least 300 feet from the outer edge of the hot zone. Although the primary purpose is decontamination, rapid triage and emergency treatment to stabilize victims may also take place in the warm zone. Individuals who have the highest levels of contamination are treated with the highest priority. PPE is required in this zone.
D) The warm zone (also referred to as the yellow, contamination, or contamination reduction zone) is located at least 300 feet from the outer edge of the hot zone. Although the primary purpose is decontamination, rapid triage and emergency treatment to stabilize victims may also take place in the warm zone. Individuals who have the highest levels of contamination are treated with the highest priority. PPE is required in this zone.

Question 6

The charge nurse assesses clients during a mass casualty incident (MCI)and transfers some to other units and some are discharged to home.In planning for the admission of critically ill clients from the emergency department,which nurses will the charge nurse assign the new clients to when admitted to the unit?

Accepted Answer

A) During the admission of injured clients, the charge nurse would assign the new clients to those nurses with advanced assessment, technical, and communication skills. Nurses do need to have good ethics, sufficient risk-reduction knowledge, and appropriate self-care knowledge during emergency responses. However, during the admission of victims, the charge nurse would want the highly competent nurses caring for the new clients.
B) During the admission of injured clients, the charge nurse would assign the new clients to those nurses with advanced assessment, technical, and communication skills. Nurses do need to have good ethics, sufficient risk-reduction knowledge, and appropriate self-care knowledge during emergency responses. However, during the admission of victims, the charge nurse would want the highly competent nurses caring for the new clients.
C) During the admission of injured clients, the charge nurse would assign the new clients to those nurses with advanced assessment, technical, and communication skills. Nurses do need to have good ethics, sufficient risk-reduction knowledge, and appropriate self-care knowledge during emergency responses. However, during the admission of victims, the charge nurse would want the highly competent nurses caring for the new clients.
D) During the admission of injured clients, the charge nurse would assign the new clients to those nurses with advanced assessment, technical, and communication skills. Nurses do need to have good ethics, sufficient risk-reduction knowledge, and appropriate self-care knowledge during emergency responses. However, during the admission of victims, the charge nurse would want the highly competent nurses caring for the new clients.

Question 7

A group of nurses attend an in-service regarding emergency preparedness for the hospital.One of the nurses has three small children and lives in a two-story house in the suburbs.After the class,the nurse plans to initiate which action to enhance family safety?

Accepted Answer

A) The priority action for protecting the nurse's family is obtaining a fire escape ladder for the second floor. Water purification may be important, depending on the quality of the water, but obtaining a fire escape ladder is the priority. Installing a generator may be useful in the case of a power outage, but obtaining a fire escape ladder is the priority. Deadbolt locks are good to keep intruders out, but protecting the family from entrapment by fire is the priority.
B) The priority action for protecting the nurse's family is obtaining a fire escape ladder for the second floor. Water purification may be important, depending on the quality of the water, but obtaining a fire escape ladder is the priority. Installing a generator may be useful in the case of a power outage, but obtaining a fire escape ladder is the priority. Deadbolt locks are good to keep intruders out, but protecting the family from entrapment by fire is the priority.
C) The priority action for protecting the nurse's family is obtaining a fire escape ladder for the second floor. Water purification may be important, depending on the quality of the water, but obtaining a fire escape ladder is the priority. Installing a generator may be useful in the case of a power outage, but obtaining a fire escape ladder is the priority. Deadbolt locks are good to keep intruders out, but protecting the family from entrapment by fire is the priority.
D) The priority action for protecting the nurse's family is obtaining a fire escape ladder for the second floor. Water purification may be important, depending on the quality of the water, but obtaining a fire escape ladder is the priority. Installing a generator may be useful in the case of a power outage, but obtaining a fire escape ladder is the priority. Deadbolt locks are good to keep intruders out, but protecting the family from entrapment by fire is the priority.

Question 8

The nurse is participating on a local council as an advisor regarding community needs during an emergency.Which recommendation regarding community needs during an emergency response does the nurse include when advising the council?

Accepted Answer

A) During the mitigation phase of the emergency response, the community identifies the potential hazards and takes measures to prevent or minimize the emergency. A comprehensive disaster plan is part of phase 1, the preparedness phase. A coordinated response to emergencies occurs during the third phase, emergency response. Programs to restore the community are part of the recovery phase.
B) During the mitigation phase of the emergency response, the community identifies the potential hazards and takes measures to prevent or minimize the emergency. A comprehensive disaster plan is part of phase 1, the preparedness phase. A coordinated response to emergencies occurs during the third phase, emergency response. Programs to restore the community are part of the recovery phase.
C) During the mitigation phase of the emergency response, the community identifies the potential hazards and takes measures to prevent or minimize the emergency. A comprehensive disaster plan is part of phase 1, the preparedness phase. A coordinated response to emergencies occurs during the third phase, emergency response. Programs to restore the community are part of the recovery phase.
D) During the mitigation phase of the emergency response, the community identifies the potential hazards and takes measures to prevent or minimize the emergency. A comprehensive disaster plan is part of phase 1, the preparedness phase. A coordinated response to emergencies occurs during the third phase, emergency response. Programs to restore the community are part of the recovery phase.

Question 9

A nurse recently attended a seminar that discussed the many threats to homeland security.The nurse is responsible for planning for emergencies from bioterrorism as nurse manager of the emergency department.Which agents does the nurse include when planning for bioterrorism? Select all that apply.

Accepted Answer

A) Smallpox, anthrax, botulism, plague, viral hemorrhagic fevers, and tularemia are the agents that are of highest concern in regard to bioterrorism. Cancer, flu, and tuberculosis have not been developed into biological threats and would not kill the number of people that smallpox would.
B) Smallpox, anthrax, botulism, plague, viral hemorrhagic fevers, and tularemia are the agents that are of highest concern in regard to bioterrorism. Cancer, flu, and tuberculosis have not been developed into biological threats and would not kill the number of people that smallpox would.
C) Smallpox, anthrax, botulism, plague, viral hemorrhagic fevers, and tularemia are the agents that are of highest concern in regard to bioterrorism. Cancer, flu, and tuberculosis have not been developed into biological threats and would not kill the number of people that smallpox would.
D) Smallpox, anthrax, botulism, plague, viral hemorrhagic fevers, and tularemia are the agents that are of highest concern in regard to bioterrorism. Cancer, flu, and tuberculosis have not been developed into biological threats and would not kill the number of people that smallpox would.
E) Smallpox, anthrax, botulism, plague, viral hemorrhagic fevers, and tularemia are the agents that are of highest concern in regard to bioterrorism. Cancer, flu, and tuberculosis have not been developed into biological threats and would not kill the number of people that smallpox would.

Question 10

The nurse manager is discussing the preparedness phase of a revised emergency management plan for the emergency department.Which resources will the nurse manager utilize to help nurses understand their roles and responsibilities during an emergency response? Select all that apply.

Accepted Answer

A) During the preparedness phase, individual nurses must gain an understanding of their expected roles in an emergency and prepare for them. Because nurses will be required to allocate scarce resources and supplies and make unbelievably difficult client care decisions, they must understand the ethics associated with such choices. The ANA is a good source of information to guide nurses' understanding of their roles and possible consequences. Nurses must be aware of their employer's response plans and have a sense of how their state and local community will operate during an emergency.
B) During the preparedness phase, individual nurses must gain an understanding of their expected roles in an emergency and prepare for them. Because nurses will be required to allocate scarce resources and supplies and make unbelievably difficult client care decisions, they must understand the ethics associated with such choices. The ANA is a good source of information to guide nurses' understanding of their roles and possible consequences. Nurses must be aware of their employer's response plans and have a sense of how their state and local community will operate during an emergency.
C) During the preparedness phase, individual nurses must gain an understanding of their expected roles in an emergency and prepare for them. Because nurses will be required to allocate scarce resources and supplies and make unbelievably difficult client care decisions, they must understand the ethics associated with such choices. The ANA is a good source of information to guide nurses' understanding of their roles and possible consequences. Nurses must be aware of their employer's response plans and have a sense of how their state and local community will operate during an emergency.
D) During the preparedness phase, individual nurses must gain an understanding of their expected roles in an emergency and prepare for them. Because nurses will be required to allocate scarce resources and supplies and make unbelievably difficult client care decisions, they must understand the ethics associated with such choices. The ANA is a good source of information to guide nurses' understanding of their roles and possible consequences. Nurses must be aware of their employer's response plans and have a sense of how their state and local community will operate during an emergency.

Question 11

A hospital in the community has been notified of a multi-car crash on the interstate that will result in the transfer of many injured clients to the hospital.As part of the emergency response,the charge nurses in the emergency department (ED)and intensive care unit (ICU)are responsible for which tasks? Select all that apply.

Accepted Answer

A) The charge nurses in each unit are responsible for assessing the current clients and recommending to the physicians those clients who can be moved to make room for clients needing more immediate care. All departments should be involved in preparing for the emergency, not just the Emergency Department. The pharmacy assures that medications are available. The charge nurse would delegate the gathering of supplies to the staff nurses. The individual in charge of directing the emergency response for the hospital would notify the operating room of the potential for an influx of clients requiring surgery. The charge nurse would also assign care for the clients who are admitted to the unit.
B) The charge nurses in each unit are responsible for assessing the current clients and recommending to the physicians those clients who can be moved to make room for clients needing more immediate care. All departments should be involved in preparing for the emergency, not just the Emergency Department. The pharmacy assures that medications are available. The charge nurse would delegate the gathering of supplies to the staff nurses. The individual in charge of directing the emergency response for the hospital would notify the operating room of the potential for an influx of clients requiring surgery. The charge nurse would also assign care for the clients who are admitted to the unit.
C) The charge nurses in each unit are responsible for assessing the current clients and recommending to the physicians those clients who can be moved to make room for clients needing more immediate care. All departments should be involved in preparing for the emergency, not just the Emergency Department. The pharmacy assures that medications are available. The charge nurse would delegate the gathering of supplies to the staff nurses. The individual in charge of directing the emergency response for the hospital would notify the operating room of the potential for an influx of clients requiring surgery. The charge nurse would also assign care for the clients who are admitted to the unit.
D) The charge nurses in each unit are responsible for assessing the current clients and recommending to the physicians those clients who can be moved to make room for clients needing more immediate care. All departments should be involved in preparing for the emergency, not just the Emergency Department. The pharmacy assures that medications are available. The charge nurse would delegate the gathering of supplies to the staff nurses. The individual in charge of directing the emergency response for the hospital would notify the operating room of the potential for an influx of clients requiring surgery. The charge nurse would also assign care for the clients who are admitted to the unit.
E) The charge nurses in each unit are responsible for assessing the current clients and recommending to the physicians those clients who can be moved to make room for clients needing more immediate care. All departments should be involved in preparing for the emergency, not just the Emergency Department. The pharmacy assures that medications are available. The charge nurse would delegate the gathering of supplies to the staff nurses. The individual in charge of directing the emergency response for the hospital would notify the operating room of the potential for an influx of clients requiring surgery. The charge nurse would also assign care for the clients who are admitted to the unit.

Question 12

The nurse is working with an emergency response team following massive flooding caused by a hurricane.When working with the Clinical Outreach Communication Activity (COCA)team of the Centers for Disease Control and Prevention (CDC),the COCA is responsible for which action?

Accepted Answer

A) The CDC manages the COCA to ensure that clinicians have up-to-date information. The COCA is designed to provide two-way communication between clinicians and the CDC about emerging health threats such as pandemics, natural disasters, and terrorism. The COCA keeps a list of emergency preparedness and training resources offered by federal agencies and COCA partners.
B) The CDC manages the COCA to ensure that clinicians have up-to-date information. The COCA is designed to provide two-way communication between clinicians and the CDC about emerging health threats such as pandemics, natural disasters, and terrorism. The COCA keeps a list of emergency preparedness and training resources offered by federal agencies and COCA partners.
C) The CDC manages the COCA to ensure that clinicians have up-to-date information. The COCA is designed to provide two-way communication between clinicians and the CDC about emerging health threats such as pandemics, natural disasters, and terrorism. The COCA keeps a list of emergency preparedness and training resources offered by federal agencies and COCA partners.
D) The CDC manages the COCA to ensure that clinicians have up-to-date information. The COCA is designed to provide two-way communication between clinicians and the CDC about emerging health threats such as pandemics, natural disasters, and terrorism. The COCA keeps a list of emergency preparedness and training resources offered by federal agencies and COCA partners.

Quiz 46: Health Care Systems