Nursing Elites

1. When does the nurse act as a client advocate?

• A. Pulling the curtain around the client's bed while changing a dressing
• B. Contacting the health care provider to request a meeting for the client
• C. Ensuring access to medical information by appropriate personnel only
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Acting as a client advocate involves various actions to protect the client's rights and well-being. Pulling the curtain around the client's bed while changing a dressing ensures privacy and dignity. Contacting the health care provider to request a meeting for the client facilitates communication and addresses the client's needs. Ensuring access to medical information by appropriate personnel only safeguards the client's confidentiality and privacy. Therefore, all the actions mentioned in choices A, B, and C are examples of a nurse acting as a client advocate, making D the correct answer.

2. What is established when threats to air resources prevent evacuation by air from forward units?

• A. Area support medical battalions
• B. TOE units
• C. Ambulance exchange points
• D. Field hospitals

Correct answer: C

Rationale: Ambulance exchange points are established when threats to air resources prevent evacuation by air from forward units. These points serve as locations where patients can be transferred between ground and air ambulances. Area support medical battalions (Choice A) refer to medical units that provide medical support to large areas and are not specifically related to evacuation. TOE units (Choice B) and field hospitals (Choice D) are not typically established in response to threats to air resources affecting evacuation.

3. What is the most crucial and most difficult management skill required of the M6 practical nurse?

• A. Preparing time schedules and task assignment rosters
• B. Inspecting equipment for damage and proper function
• C. Preparing reports and maintaining records
• D. Effectively managing personnel

Correct answer: D

Rationale: The correct answer is D: Effectively managing personnel. In a healthcare setting, managing personnel is crucial as it involves leading, motivating, and coordinating the healthcare team to ensure quality patient care. While tasks like preparing schedules, inspecting equipment, and maintaining records are important, managing personnel involves dealing with human factors, conflicts, and emotions, making it the most challenging skill for a practical nurse.

4. What is the mission of the Army Medical Department?

• A. Ensure that each soldier receives a physical examination annually
• B. Deliver healthcare to regions of the U.S. designated as disaster areas by the President
• C. Maintain the health of the Army and preserve its combat effectiveness
• D. Offer medical, dental, and veterinary education and training

Correct answer: C

Rationale: The correct answer is C: 'Maintain the health of the Army and preserve its combat effectiveness.' This mission statement reflects the primary goal of the Army Medical Department, which is to ensure that military personnel remain healthy and fit for duty to preserve the Army's fighting strength. Choices A, B, and D are incorrect because they do not capture the core purpose of the Army Medical Department, which is focused on the health and readiness of the military forces, rather than performing annual physical examinations, responding to disasters, or providing education and training.

5. During a respiratory assessment, the nurse is determining respirations per minute. Which factor(s) generally affect the character of respirations? Select all that apply.

• A. Anxiety
• B. Exercise
• C. Smoking
• D. A, B

Correct answer: D

Rationale: The correct answer is D. Anxiety and exercise can significantly alter the character of respirations, increasing the rate and depth. Smoking primarily affects the health of the respiratory system in the long term but may not immediately impact the character of respirations. Therefore, choice C is incorrect. Choices A and B are correct as anxiety and exercise can lead to changes in the rate and depth of respirations.

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