Nurses caring for the victims of a mass casualty incident:

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Contemporary Ethical Issues in Nursing Questions

Question 1 of 5

Nurses caring for the victims of a mass casualty incident:

Correct Answer: D

Rationale: The correct answer is D because prioritizing care based on the greatest chance of survival maximizes the number of lives saved in a mass casualty incident. This approach follows the principle of triage, which aims to allocate resources efficiently. Choice A is incorrect as it pertains to coordination rather than immediate patient care. Choice B is incorrect as it is not the primary role of nurses during a mass casualty incident. Choice C is incorrect as determining a credible threat is the responsibility of security and law enforcement, not nurses.

Question 2 of 5

A state is devastated by a tornado killing many people, destroying communication systems, utility services, homes, and medical facilities. The state requests immediate assistance from the U.S. Congress and from surrounding states. The affected state should first contact the:

Correct Answer: A

Rationale: The correct answer is A: Emergency Management Assistance Compact (EMAC). 1. EMAC is a mutual aid agreement among states for disaster response. 2. It allows affected states to request and receive assistance from other states. 3. It facilitates coordination and deployment of resources quickly in emergencies. 4. IOM focuses on health research, Red Cross on humanitarian aid, and Strategic National Stockpile on medical supplies, but they do not provide the immediate multi-sectoral assistance needed in this scenario.

Question 3 of 5

One difference between a leader and a manager is that a:

Correct Answer: C

Rationale: Step 1: A manager focuses on coordinating resources, such as people, time, and materials, to achieve organizational goals. Step 2: Coordinating resources is a key responsibility of a manager, as it involves planning, organizing, and controlling to ensure efficient operations. Step 3: Leaders, on the other hand, focus on setting a vision, inspiring and motivating others to achieve goals. Step 4: While both leaders and managers play crucial roles, the distinction lies in their primary focus and responsibilities. Step 5: Therefore, the correct answer is C, as it accurately reflects the key difference between a leader and a manager.

Question 4 of 5

Florence Nightingale is attributed with being intelligent (she developed statistical methods to evaluate health care), dependable (she often worked long hours to care for the injured), and ambitious (she fought against society's perception of nursing). Those who depict her as a leader on the basis of these qualities are practicing which leadership theory?

Correct Answer: A

Rationale: Step 1: Identify the qualities attributed to Florence Nightingale: intelligent, dependable, ambitious. Step 2: Recognize these qualities as traits. Step 3: Trait theory states that effective leaders possess certain traits. Step 4: Florence Nightingale's leadership qualities align with trait theory. Step 5: Therefore, depicting her as a leader based on her traits falls under trait theory. Summary: A: Trait theory focuses on inherent qualities of leaders, which align with Florence Nightingale's qualities. B: Chaos theory emphasizes unpredictability and complexity, not relevant here. C: Bureaucracy theory centers on structured organizations, not applicable to Nightingale's personal traits. D: Organizational theory addresses structure and management within organizations, not related to individual leadership attributes like traits.

Question 5 of 5

A hospital's policy requires that all nurse managers must have a minimum of a bachelor's degree in nursing. A BSN nurse new to the hospital has recently been hired as nurse manager for the oncology unit. An RN who has worked on this unit for many years is unable to be promoted to a nurse manager position because of his educational status and has been commenting to physicians and staff, "The new nurse manager has book sense but no leadership abilities." What is the best approach that can be used by the new nurse manager who is attempting to gain the trust and respect of the nursing staff on the unit?

Correct Answer: D

Rationale: Step 1: Acknowledge the clinical expertise of the upset nurse - This shows respect for the upset nurse's experience and expertise. Step 2: Clearly explain the expectations for teamwork - Setting clear expectations fosters a collaborative environment. Step 3: Emphasize open, honest communication - Encouraging open dialogue helps address concerns and build trust among the team. Overall, option D is the best approach as it combines acknowledging the upset nurse's expertise, setting expectations for teamwork, and promoting open communication, which are crucial for gaining trust and respect among the nursing staff. Summary of other choices: A: Sending memos excludes the upset nurse and may create further resentment. B: Transferring the upset nurse does not address the issue and may lead to more conflict. C: Assigning the upset nurse to unrelated committees may isolate them and not address the underlying problem of lack of trust and respect on the unit.

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