A community health nurse is developing a disaster-preparedness plan. Which of the following actions should the nurse take first when developing the plan?

Assemble an emergency disaster response team.

Evaluate the effectiveness of local disaster-preparedness drills.

Identify the community's risks and capabilities.

Provide education about first aid and triage.

Answer and Explanation

The Correct Answer is C

Choice A reason: Assembling an emergency disaster response team is not the first action to take when developing a disaster-preparedness plan. The nurse should first assess the community's needs and resources before forming a team.

Choice B reason: Evaluating the effectiveness of local disaster-preparedness drills is not the first action to take when developing a disaster-preparedness plan. The nurse should first identify the potential hazards and vulnerabilities of the community before conducting or reviewing any drills.

Choice C reason: Identifying the community's risks and capabilities is the first action to take when developing a disaster-preparedness plan. The nurse should perform a comprehensive assessment of the community's strengths, weaknesses, opportunities, and threats (SWOT) related to disaster management.

Choice D reason: Providing education about first aid and triage is not the first action to take when developing a disaster-preparedness plan. The nurse should first determine the learning needs and preferences of the community before designing and implementing any educational programs.

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Correct Answer is D

Explanation

Choice A reason : Palliative care does not end immediately upon the patient's death; it also supports the family through the bereavement process. This choice does not reflect an understanding of the full scope of palliative care services.

Choice B reason : While palliative care includes end-of-life care, it is not exclusively reserved for this period. It can be initiated at any stage of a serious illness, with the goal of improving quality of life and providing symptom relief.

Choice C reason : Palliative care does not aim to postpone death. Instead, it focuses on providing relief from the symptoms, pain, and stress of a serious illness, regardless of the diagnosis or stage of the disease.

Choice D reason : This statement accurately reflects the primary goal of palliative care, which is to improve the quality of life for both the patient and the family, by addressing physical, emotional, and spiritual needs.

A. The client's insurance provides coverage for palliative care B. The client has declined additional life prolonging treatments C. The client requires inpatient care due to lack of a caregiver D. The client has documentation stating he has less than 12 months to live

Correct Answer is B

Explanation

Choice A: The client’s insurance provides coverage for palliative care

This option is incorrect. While insurance coverage for palliative care is important, it is not a qualifying criterion for hospice care. Hospice care eligibility is primarily based on the patient’s medical condition and prognosis, not on insurance coverage.

Choice B: The client has declined additional life prolonging treatments

This option is correct. One of the key criteria for hospice care is that the patient must choose palliative care (comfort care) over curative treatments. This means the patient has decided to stop treatments aimed at prolonging life and instead focus on quality of life and symptom management.

Choice C: The client requires inpatient care due to lack of a caregiver

This option is incorrect. While the need for inpatient care can be a factor in the type of hospice services provided, it is not a criterion for qualifying for hospice care. Hospice care can be provided in various settings, including the patient’s home, regardless of caregiver availability.

Choice D: The client has documentation stating he has less than 12 months to live

This option is incorrect. The standard criterion for hospice care is a prognosis of six months or less to live if the disease follows its usual course. Documentation stating a life expectancy of less than 12 months does not meet the hospice eligibility requirement.

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A community health nurse is developing a disaster-preparedness plan. Which of the following actions should the nurse take first when developing the plan?

Nursing Test Bank

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