What does politics in nursing involve?
Clinical skills and expertise.
Collaboration and teamwork.
Patient care and advocacy.
Understanding and leveraging relationships and influence in decision-making.
The Correct Answer is D
Choice A rationale
Clinical skills and expertise are essential for direct patient care, but they are distinct from the political aspects of nursing. While a strong clinical foundation is a prerequisite for a nurse, politics in nursing focuses on the broader systems and structures that influence professional practice and healthcare policy.
Choice B rationale
Collaboration and teamwork are fundamental to nursing practice and are necessary for patient care. While they are components of professional interaction, politics in nursing extends beyond the immediate team to include broader relationships with stakeholders, policymakers, and institutional leaders to influence decision-making.
Choice C rationale
Patient care and advocacy are the core responsibilities of a nurse at the bedside. While advocacy is a political act, politics in nursing encompasses a much wider scope. It involves using influence and relationships to shape policies and decisions that affect patient care on a systemic or community level.
Choice D rationale
Politics in nursing is the strategic use of relationships and influence to impact decisions, policies, and resource allocation within healthcare systems. This includes lobbying, participating on committees, and engaging in professional organizations to advocate for the profession, improve patient outcomes, and advance healthcare initiatives. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Hyperthermia is an abnormally high body temperature and is not a typical complication of submersion injury. Submersion injuries, particularly in cold water, more commonly lead to hypothermia, which is a dangerously low body temperature, due to rapid heat loss from the body.
Choice B rationale
Acute respiratory distress syndrome (ARDS) is a severe, life-threatening complication of submersion injury. Aspiration of water, even in small amounts, can damage the alveolar-capillary membrane, leading to pulmonary edema, impaired gas exchange, and a profound inflammatory response in the lungs, which is the hallmark of ARDS.
Choice C rationale
Hypertension, or high blood pressure, is not a typical complication of submersion injury. In fact, submersion can initially cause a vasovagal response leading to bradycardia and a drop in blood pressure, or subsequently lead to hypotension due to fluid shifts and systemic compromise.
Choice D rationale
While severe hypoxia from submersion can lead to cerebral edema and increased intracranial pressure, this is a consequence of the primary injury to the lungs, not a direct complication of the submersion itself. The most immediate and significant complication is the respiratory compromise that precedes other systemic effects.
Correct Answer is A
Explanation
Choice A rationale
The primary goal of mass-casualty triage is to achieve the greatest good for the greatest number of people. This principle, known as utilitarianism, dictates that medical resources and care are prioritized based on a patient's potential for survival. Patients with the highest likelihood of surviving are given precedence to optimize overall outcomes.
Choice B rationale
This is incorrect because providing care to the most critically injured patients first in a mass-casualty event would quickly deplete resources, potentially resulting in fewer overall survivors. This approach prioritizes immediate need over survival potential, which is contrary to the core principles of mass-casualty triage.
Choice C rationale
In a mass-casualty incident, resources are limited, and it is impossible to provide immediate advanced medical care to all patients. The goal is to efficiently allocate available resources, which often involves providing only basic life-saving interventions to a large number of people rather than comprehensive care to a few.
Choice D rationale
Allocating resources evenly among all patients in a mass-casualty event is inefficient and would lead to a poor outcome for a larger number of people. It would mean that those who could be saved with minimal intervention would not be prioritized, while those with non-survivable injuries would receive resources they cannot benefit from. *.
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