Correct Answer: B

Rationale: The correct answer is B because communities are indeed the first responders in any disaster. Local resources are typically the first to mobilize and provide immediate assistance due to their proximity to the affected area. Federal agencies may take time to arrive on the scene, so it is crucial for communities to have their own disaster response plans in place. Choice A is incorrect because the federal government can become involved in disasters even without known terrorist activities, especially in large-scale disasters. Choice C is incorrect as it oversimplifies the roles of different agencies in disaster response. Choice D is incorrect because state and federal agencies may still provide assistance even if local health care facilities are operational.

Correct Answer: B

Rationale: The correct answer is B: Hill-Burton Act. The Hill-Burton Act, passed in 1946, provided federal funds for hospital construction, leading to a significant increase in the number of hospitals. This increase in hospital facilities created a higher demand for nurses to staff them, thereby initiating the shift from community-based nursing care to hospital-based care. The Sheppard-Towner Act (A) focused on maternal and child health programs, not hospital construction. The Veterans Bill (C) primarily addresses healthcare benefits for veterans. The Access to Health Care Bill (D) is a generic term and does not refer to a specific piece of legislation related to hospital construction or nursing staffing.

Correct Answer: B

Rationale: The correct answer is B: Quality management. The nurse assessing and recording variations from the hospital standard of rotating IV sites every 72 hours is fulfilling a quality management role by ensuring adherence to established protocols to maintain patient safety and prevent complications. Quality management involves monitoring and improving healthcare processes to enhance patient outcomes. In this scenario, the nurse's actions contribute to maintaining high standards of care. Summary: A: Infection control focuses on preventing and controlling the spread of infections, not specifically related to monitoring compliance with IV site rotation. C: Coordinator position involves organizing and coordinating care, not directly related to assessing adherence to standards. D: Counselor provides emotional support and counseling to patients, not related to monitoring and maintaining healthcare standards.

Correct Answer: C

Rationale: Rationale for Correct Answer (C): The correct answer is C because individuals covered under Medicaid, especially those living in poverty, often face barriers to timely healthcare access. Due to financial constraints and lack of awareness, this mother may delay seeking care, leading to a more advanced stage of breast cancer. This delay can result in the need for hospitalization for a mastectomy, which could have been avoided with early detection and treatment. Medicaid coverage does not necessarily guarantee prompt healthcare access, especially for preventive services like mammography. Summary of Incorrect Choices: A: This choice is incorrect because individuals covered by Medicaid, especially those facing financial hardships, may have limited access to preventive services like mammography due to various barriers. B: Having designated primary care and a specialist does not necessarily ensure timely care access, especially for individuals living in poverty and covered under Medicaid. D: This choice is incorrect as individuals covered by Medicaid generally have better access to healthcare services compared to the uninsured population, although they may still face barriers to

Correct Answer: D

Rationale: Step 1: In the work environment, evaluation focuses on appraising outcomes to assess effectiveness and compliance with policies. Step 2: Appraising outcomes according to policy ensures that results align with organizational objectives. Step 3: This process helps identify areas for improvement and ensures accountability. Step 4: Choices A, B, and C do not directly address the evaluation of outcomes based on policy, making them incorrect. Step 5: Therefore, the correct answer is D as it aligns with the purpose of evaluation in the work environment.