A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?

Correct Answer: A

Rationale: Step 1: The nurse's response should be professional and informative. Step 2: Response A provides a clear and professional explanation for the transfer. Step 3: Mentioning the provider's decision conveys expertise and reassurance to the family. Step 4: It shows respect for the provider's judgment and helps build trust with the family. Step 5: Responses B, C, and D do not directly address the family's concerns or provide a suitable explanation for the transfer.

Correct Answer: B

Rationale: The correct answer is B: Peer review. Peer review involves registered nurses evaluating and judging the performance of their peers against predetermined standards. This process allows for feedback, improvement, and accountability within the nursing profession. A: Group evaluation involves assessing the performance of a group as a whole, not individual peers. C: Forced distribution evaluation is a performance appraisal method where ratings are distributed in a predetermined pattern, not specific to peer assessment. D: Essay evaluation is a method of assessment based on written responses and does not specifically involve peer assessment. In summary, peer review is the appropriate term for nurses assessing and judging their peers' performance against predetermined standards.

Correct Answer: C

Rationale: Continuous reinforcement is the correct answer because values are primarily learned through repeated exposure and reinforcement of certain behaviors or beliefs. This process helps to internalize and solidify values over time. Reading books (A) may provide knowledge but does not necessarily lead to value formation. Formal degrees (B) offer education but do not guarantee value acquisition. Meeting diverse individuals (D) can broaden perspectives but may not directly teach values through reinforcement. Continuous reinforcement, on the other hand, ensures consistent learning and reinforcement of values.

Correct Answer: C

Rationale: The correct answer is C: Continual monitoring. Quality improvement programs require ongoing monitoring to assess progress, identify areas for improvement, and make data-driven decisions. Continual monitoring allows for timely adjustments to processes and interventions to ensure sustained quality improvement. Blame and punishment (A) are counterproductive in a QI program as they can create a culture of fear and hinder open communication. Employee satisfaction (B) is important but not necessarily an essential element of a QI program. Strict adherence to policies (D) is important but alone may not lead to continuous improvement without the feedback loop provided by continual monitoring.

Correct Answer: A

Rationale: The correct answer is A: Unfreeze the system. According to Lewin's Change Theory, the first step in the change process is to unfreeze the current state or system to prepare for change. This involves creating awareness of the need for change, addressing any resistance, and establishing a sense of urgency. Moving the system to a new level (choice B) and refreezing the system (choice C) are subsequent steps in the change process after unfreezing. Evaluating the system (choice D) comes later in the process to assess the effectiveness of the change implemented. Therefore, unfreezing the system is the critical initial step to facilitate successful change implementation.

Correct Answer: A

Rationale: The correct answer is A: Statutory laws. Nursing practice is primarily governed by statutory laws, which are laws created by legislative bodies. These laws outline the scope of practice, licensure requirements, and regulations for nursing professionals. Common laws (B) are based on court decisions and do not specifically govern nursing practice. Administrative laws (C) regulate administrative agencies and their functions, not nursing practice. Constitutional laws (D) pertain to the constitution and the rights of individuals, not the specific regulations for nursing practice.

Correct Answer: B

Rationale: The correct answer is B: Felony. Violating the nurse practice act involves serious breaches of professional standards, such as negligence or misconduct, which are considered criminal offenses. Committing a felony indicates a severe violation of the law, carrying significant legal consequences. Choices A, C, and D do not accurately represent the gravity of the offense, as they pertain to different legal categories with varying levels of severity. A juvenile offense is a violation committed by a minor, a misdemeanor is a lesser criminal offense, and a tort is a civil wrongdoing resulting in harm.

Correct Answer: D

Rationale: The correct answer is D: Patient-focused. Developing a patient-focused atmosphere is crucial to reduce potential risks in healthcare. Patients should be at the center of care, with their needs, preferences, and safety prioritized. In a patient-focused atmosphere, communication is enhanced, leading to better understanding and adherence to treatment plans, reducing errors and adverse events. Nurses, physicians, and families play important roles in patient care, but ultimately, the patient should be the primary focus. Incorrect choices: A: Nurse-focused - Focusing solely on nurses may neglect the holistic approach to patient care and fail to address the patient's needs directly. B: Physician-focused - Similarly, focusing only on physicians may lead to a lack of patient involvement in decision-making and may not address the emotional and psychological aspects of care. C: Family-focused - While involving families in care is important, solely focusing on them may not always align with the patient's best interests and may not address the patient's autonomy and individual needs.

Correct Answer: B

Rationale: The correct answer is B: How to sell. In recruiting strategies, knowing how to sell refers to effectively communicating the value proposition of the job opportunity to potential candidates. This involves showcasing the benefits, career growth opportunities, company culture, and other enticing factors. By mastering the art of selling, recruiters can attract and engage top talent. A: Not selling - This is incorrect because recruiting strategies involve actively selling and promoting job opportunities to candidates. C: When to sell - This is incorrect as it focuses on timing rather than the actual selling process in recruiting. D: What to sell - This is incorrect as it pertains to the actual job offering rather than the selling strategy itself.