Correct Answer: C

Rationale: The correct answer is C: Participatory. In participatory budget development, input is gathered from various levels within the organization, such as staff and managers. In this scenario, the nurse manager met with her staff to establish strategic goals before budget negotiations, indicating a participatory approach. This allows for staff buy-in and ownership of the goals.

A: Iterative budget development involves refining a budget through multiple rounds of review, which is not explicitly mentioned in the scenario.
B:
Top-down budget development is characterized by decisions made by upper management without input from lower levels, contradicting the scenario where staff provided input.
D: Zero-based budgeting starts from scratch without considering previous budgets, which is not evident in the scenario where goals were established based on staff input.

In summary, the participatory budget development is the appropriate choice in this scenario as it aligns with the collaborative approach taken by the nurse manager and her staff in setting strategic goals before budget negotiations.

Correct Answer: D

Rationale: The correct answer is D: scheduling daily activities. This is because positive time management skills involve planning and organizing tasks to effectively utilize time. By scheduling daily activities, individuals can prioritize tasks, set goals, and allocate time efficiently. This helps in achieving productivity and reducing stress.


Choice A (maintaining an open-door policy) is incorrect as it pertains to communication style, not time management.
Choice B (retaining all paperwork) is not directly related to time management but rather to organization.
Choice C (returning all telephone calls immediately) is also not a direct indicator of effective time management as it focuses on communication responsiveness rather than overall time utilization.

Correct Answer: B

Rationale: The correct answer is B: cultural self-assessment. This is important as it helps the nurse understand their own beliefs, values, and biases, which can impact how they interact with culturally diverse clients. By being self-aware, the nurse can better recognize and address any potential cultural misunderstandings or conflicts.

A: Taking a sign language course is not the priority as not all culturally diverse clients are deaf or use sign language.
C: While cultural client assessment is important, it is secondary to the nurse understanding their own cultural biases first.
D: Taking a course on how to speak Spanish is helpful but may not address the broader cultural competence needed to work with diverse clients.

Correct Answer: B

Rationale: The correct answer is B: Sickle cell anemia. This genetic disorder is found in individuals of African, Asian, Hispanic, and American Indian descent. Sickle cell anemia is caused by a mutation in the hemoglobin gene, leading to the production of abnormal hemoglobin. This condition is more prevalent in these ethnic groups due to historical reasons and natural selection against malaria.

A: Mongolian spots are common in Asian infants but not in all the mentioned ethnicities.
C: Lactose intolerance is more common in individuals of African, Asian, and Hispanic descent but not specifically in American Indians.
D: Thalassemia is more prevalent in individuals of Mediterranean, African, and Southeast Asian descent, not in all the mentioned ethnicities.

Correct Answer: A

Rationale: The correct answer is A because knowing the intensity of care needed by patients based on physical and psychosocial factors is essential to determine appropriate staffing levels. Understanding patient needs ensures adequate staff allocation for quality care delivery. Examining staff education (
B) and skill level (
C) is important but comes after assessing patient needs. Reviewing the budget (
D) is necessary but should not be the first step in staffing planning.