A group of nurses are interested in the how to improve teaching effectiveness for patients who have a hearing impairment and lack family involvement while hospitalized. They believe "hearing loss decreases the teaching effectiveness while hospitalized." The group plans to evaluate teaching effectiveness using a 10-point Likert scale pre-post teaching, perform a hearing test to determine degree of hearing loss on admission, and have social work evaluate the impact of hearing impairment on patient's ability to safely live alone prior to discharge. The group is working in which step of the scientific process?

Correct Answer: B

Rationale: The correct answer is B: Method. In the scientific process, the method refers to designing and planning the research study. In this scenario, the group of nurses is planning how to improve teaching effectiveness for patients with hearing impairment, which involves designing the study by using a Likert scale pre-post teaching evaluation, conducting a hearing test, and involving social work for evaluation. This step focuses on determining how the research will be carried out, including data collection methods and procedures. The other choices are incorrect because: A: Hypothesis - This step involves formulating a testable prediction based on observations or existing knowledge. C: Results - This step involves analyzing the data collected and drawing conclusions. D: Evaluation - This step involves assessing the effectiveness or outcomes of the research study.

Correct Answer: A

Rationale: The correct answer is A: direction and communication. The RN failed to provide clear direction to the LPN regarding the specific type of enema to be administered and the amount. Furthermore, there was a lack of communication regarding the patient's current condition and the rationale for the enema. The other choices are incorrect because: B: task - The task of administering the enema was clearly communicated. C: person - The patient was identified by room number, so the person was specified. D: circumstances - While the circumstances of the patient's complaint were mentioned, the specific details related to the enema administration were lacking.

Correct Answer: C

Rationale: The correct answer is C because following up a few days after the interview shows professionalism and eagerness. It allows you to express gratitude, reiterate your interest, and inquire about the next steps. This timing is crucial as it keeps you fresh in the recruiter's mind without being too pushy. Choice A is incorrect because it is more appropriate to send a thank-you letter after the interview, not before. Choice B is incorrect as waiting 2 weeks after not getting the job may be too late for effective follow-up. Choice D is incorrect because you should not assume you got the position without confirmation.

Correct Answer: B

Rationale: The correct answer is B: Specialty organizations such as the American Psychiatric Nurses Association lobby for higher education requirements for nurses. Rationale: 1. Specialty organizations like the American Psychiatric Nurses Association focus specifically on mental health nursing, ensuring targeted advocacy and support. 2. Lobbying for higher education requirements demonstrates a commitment to advancing the profession and improving the quality of care. 3. Higher education requirements can lead to better outcomes for patients and enhance the credibility and expertise of mental health nurses. Summary: A: The American Nurses Association may have a broad reach, but it may not prioritize mental health nursing specifically. C: State nursing associations may have limitations in lobbying power, focusing more on state-level issues. D: Professional organizations like AAHN, while valuable for preserving history, may not actively advocate for current professional development and standards.

Correct Answer: A

Rationale: The correct answer is A: experimental design. In an experimental design, the researcher manipulates one variable (aromatherapy vs. acupuncture) to observe its effect on another variable (stress). Without a control group, it is impossible to establish a baseline for comparison. A control group is essential to isolate the effects of the treatment from other variables. Quasi-experimental designs lack random assignment, surveys are used to gather data rather than test hypotheses, and meta-analyses involve combining and analyzing results from multiple studies.

Correct Answer: D

Rationale: The correct answer is D because Medicare is a federal health insurance program that primarily covers individuals aged 65 and older, those with end-stage renal disease, and individuals with permanent disabilities. This answer aligns with the original intent and purpose of Medicare as established by the Social Security Act amendment. Explanation: 1. Medicare was established to provide health insurance for specific groups, including individuals aged 65 and older, those with end-stage renal disease, and individuals with permanent disabilities. 2. The program was not designed to lead to hospital closings or decrease nursing care, as stated in choice A. 3. Choice B is incorrect because Medicare does not specifically target younger adults or children with catastrophic illnesses. 4. Choice C is incorrect because while Medicare may cover preventive care for certain populations, its primary focus is on providing insurance for specific age groups and individuals with specific health conditions.

Correct Answer: B

Rationale: The correct answer is B because quantifying the amount and intensity of care required is essential to determine staffing needs based on patient acuity. This involves assessing the complexity and severity of patients' conditions, which directly impacts the level of care needed. Patient satisfaction (A) does not provide objective data on acuity. Examining skill mix (C) is important but not the primary factor in determining acuity. Hospital days (D) reflect length of stay, not acuity level.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates the use of telehealth in monitoring and providing remote care to a patient. In this scenario, a nurse is able to supervise and ensure the correct execution of peritoneal dialysis by observing the patient from a different location. This exemplifies the practical application of telehealth in enhancing patient care and safety. Choice A is incorrect because it describes a robot performing housekeeping chores, which is not directly related to telehealth or patient care. Choice B is incorrect as it focuses on computer software alerting about drug interactions, but it does not involve remote patient care or monitoring. Choice C is incorrect as it describes a physician dictating an admission history, which is not a direct example of telehealth involving remote patient monitoring or care.

Correct Answer: B

Rationale: The correct answer is B: the pandemic of H1N1 "swine flu." This is because the H1N1 flu pandemic was a global health concern directly linked to globalization due to the rapid spread of the virus across borders. The emergence of epidemic hepatitis A (choice A) is not directly tied to globalization. The reemergence of polio (choice C) is more associated with gaps in vaccination coverage rather than globalization. An increase in chronic illnesses (choice D) can be influenced by various factors, but it is not specifically a result of globalization in the context of this question.