A person who is covered by Medicaid moves from one state to another and asks the nurse at the health department why the benefits changed. The correct response by the nurse is:

Correct Answer: D

Rationale: The correct answer is D: "Medicaid is funded by both state and federal governments, but benefits vary from state to state." Rationale: 1. Medicaid is a joint federal and state program, meaning it is funded by both levels of government. 2. States have flexibility in designing and administering their Medicaid programs, leading to variations in benefits across states. 3. When an individual covered by Medicaid moves to a different state, they may experience changes in benefits due to these state-specific variations. Summary: A: Incorrect. While local governments may have some influence, Medicaid is primarily funded by both state and federal governments. B: Incorrect. The federal government does provide funding for Medicaid, but states also contribute, and benefits do vary across states. C: Incorrect. State benefits under Medicaid are not solely determined by the present economy; they are influenced by various factors and state policies.

Correct Answer: B

Rationale: The correct answer is B because it focuses on the benefits offered to employees, which aligns with the recruiter's statement about inclusiveness and non-discrimination. Asking about educational benefits and health insurance shows that the organization values its employees' well-being and development regardless of their background. Choice A is incorrect because it is discriminatory to ask about religious beliefs related to work schedules. Choice C is incorrect because it promotes a biased perspective on patient care and cultural beliefs. Choice D is incorrect as it implies a negative stereotype about patients from disadvantaged backgrounds, which goes against the principles of inclusivity and non-discrimination stated by the recruiter.

Correct Answer: D

Rationale: The correct answer is D: MEDLINE database. MEDLINE is a reputable database that provides access to a vast array of peer-reviewed medical literature, making it an excellent resource for scholarly publications. Here's the rationale: 1. Credibility: MEDLINE contains high-quality, peer-reviewed articles from reputable medical journals, ensuring the information obtained is reliable and accurate. 2. Specificity: The database is focused on medical research, including studies on hepatitis A, providing targeted and relevant information for the nurse's publication. 3. Efficiency: Search results in MEDLINE are organized and easily accessible, allowing the nurse to efficiently gather information without sifting through irrelevant sources. 4. Up-to-date: MEDLINE is regularly updated with the latest research findings, ensuring the nurse has access to the most current information on hepatitis A. In summary, using MEDLINE is the best choice for the nurse as it offers credible, specific, efficient, and up-to-date information compared to the other options.

Correct Answer: A

Rationale: The novice nurse is demonstrating priority setting by asking about the consequences of not completing a task. This skill involves determining the most crucial tasks to be completed first based on their potential impact on patient outcomes. By understanding the implications of task completion, the nurse can effectively prioritize their workload. Delegation involves assigning tasks to others, organization involves arranging tasks in a systematic way, and clinical skills refer to the technical abilities in providing patient care. These skills are not directly demonstrated by the nurse's question about the consequences of task completion.

Correct Answer: B

Rationale: The correct answer is B: Sickle cell anemia. This genetic disorder is found in individuals of African, Asian, Hispanic, and American Indian descent. Sickle cell anemia is caused by a mutation in the hemoglobin gene, leading to the production of abnormal hemoglobin. This condition is more prevalent in these ethnic groups due to historical reasons and natural selection against malaria. A: Mongolian spots are common in Asian infants but not in all the mentioned ethnicities. C: Lactose intolerance is more common in individuals of African, Asian, and Hispanic descent but not specifically in American Indians. D: Thalassemia is more prevalent in individuals of Mediterranean, African, and Southeast Asian descent, not in all the mentioned ethnicities.

Correct Answer: B

Rationale: The correct answer is B because interprofessional involves members of different disciplines collaborating to provide patient care, promoting a holistic approach. This fosters shared decision-making and communication among healthcare professionals, leading to improved patient outcomes. A is incorrect because multidisciplinary involves multiple disciplines treating a single patient, not many diverse patients. C is incorrect because interprofessional involves different disciplines, not members of the same discipline working together. D is incorrect because interprofessional is about collaboration between different disciplines, not the use of multiple interventions by nurses specifically.

Correct Answer: D

Rationale: The correct answer is D, Madeleine Leininger's nursing theory. Leininger's Cultural Care Theory emphasizes the importance of providing culturally congruent care to individuals, taking into account their cultural beliefs, values, and practices. This theory is particularly relevant when caring for immigrants as it helps nurses understand and address their unique cultural needs. A: Martha Rogers' nursing theory focuses on the science of unitary human beings and energy fields, not specifically on cultural care. B: Dorothea Orem's nursing theory, the Self-Care Deficit Theory, emphasizes the individual's ability to perform self-care activities, not specifically cultural care. C: Hildegard Peplau's nursing theory, the Theory of Interpersonal Relations, focuses on the nurse-patient relationship and therapeutic communication, not specifically on cultural care for immigrants.

Correct Answer: C

Rationale: The correct answer is C: ask, "What will happen if I don't complete the task now?" This is the best approach as it helps prioritize tasks based on their urgency and importance. By considering the consequences of not completing a task immediately, the nurse can focus on critical tasks first to ensure patient safety and efficient workflow. Choice A is incorrect because completing all tasks as they are thought of without prioritizing can lead to neglecting important tasks and compromising patient care. Choice B is incorrect as procrastination is not a professional or effective way to manage tasks in a healthcare setting. Choice D is incorrect as viewing large projects holistically is important, but it doesn't address the immediate need to prioritize individual tasks.

Correct Answer: B

Rationale: The correct answer is B: decontamination. Decontamination is the process of removing harmful chemicals from equipment and supplies to prevent further exposure and contamination. In this scenario, the disaster medical assistance team is working to contain contaminants first and then proceed with decontamination to ensure the safety of personnel. Containment (choice A) refers to preventing the spread of contaminants, not removing them. Triage (choice C) is the process of prioritizing patients based on the severity of their injuries, not removing chemicals. Scene assessment (choice D) involves evaluating the situation to determine the extent of the disaster, not the removal of harmful chemicals.