A nurse is reading an abstract about a study related to Rocky Mountain Spotted Fever. The purpose is stated as follows: "To examine the generalizability of two randomized placebo-controlled clinical trials in patients with Rocky Mountain Spotted Fever to determine whether steroid therapy resulted in the positive outcomes." The nurse knows generalizability refers to the:

Correct Answer: A

Rationale: The correct answer is A. Generalizability refers to the conclusion that findings from a sample can be applied to the entire population. In this case, the purpose of the study is to determine if the positive outcomes of steroid therapy in two randomized placebo-controlled trials for Rocky Mountain Spotted Fever can be generalized to a broader population of patients with the same condition. Choice B is incorrect because generalizability is not about the type of steroids used but about the applicability of study findings. Choice C is incorrect as it refers to selection bias, not generalizability. Choice D is incorrect as generalizability is about the application of findings, not the universality of bacteria types.

Correct Answer: D

Rationale: The correct answer is D because giving spur-of-the-moment recognition to an employee who has accomplished a goal is an example of positive reinforcement. This action immediately follows the desired behavior, increasing the likelihood of it being repeated. This instant feedback helps reinforce the employee's behavior positively. A: Thanking each employee every morning is a form of positive feedback, but it lacks the immediacy of reinforcement. B: Rotating a monthly recognition award does not provide immediate reinforcement for specific behaviors. C: Waiting for an annual review to recognize accomplishments does not provide timely feedback to reinforce desired behaviors.

Correct Answer: B

Rationale: The correct answer is B: Hill-Burton Act. This legislation established a program to provide federal grants for the construction of hospitals and healthcare facilities in underserved areas. It specifically addressed the need to improve access to healthcare services, aligning with the student's concern about acute care services in rural communities. The other choices are incorrect because: A: Social Security Act primarily focuses on social insurance programs; C: Sheppard-Towner Act focused on maternal and child healthcare; D: U.S. Civil Service Act pertains to regulations for federal employees, none of which directly address the issue of access to acute care services in rural communities.

Correct Answer: C

Rationale: The correct answer is C: case manager. A case manager coordinates resources to achieve optimal health outcomes for clients efficiently. They assess, plan, implement, and evaluate care while considering cost-effectiveness. Informatics specialists focus on data and technology, educators provide knowledge, and quality managers ensure high standards. In this scenario, the key role is coordinating resources, making C the best choice.

Correct Answer: C

Rationale: The correct answer is C because it offers a practical solution. By accepting another nursing position and transferring to labor and delivery when a position is available, the nurse can gain experience, maintain employment, and potentially build a relationship with the organization. This approach shows flexibility and commitment. A: Continuing to study is important, but it may not guarantee a position in labor and delivery. B: Returning to college is unnecessary and may delay entering the workforce. D: Practicing skills in a simulation lab is beneficial, but it does not address the immediate need for employment in the desired field.

Correct Answer: A

Rationale: The correct answer is A: develop. When delegating tasks, it is important for the nurse to choose the most qualified person to ensure safe and effective care. By delegating tasks to someone who needs development, the nurse can provide opportunities for growth and skill enhancement. This benefits both the individual being delegated to and the overall team. Choices B, C, and D are incorrect because promoting, punishing, or rewarding someone based on task delegation can lead to bias, unfairness, or inappropriate incentives, which are not conducive to effective delegation practices.

Correct Answer: B

Rationale: The correct answer is B: moxibustion. Moxibustion is a traditional Chinese medicine technique that involves burning dried herbs on or near acupuncture points to stimulate them. This practice helps to improve the flow of Qi and promote healing. Doshas (choice A) and kapha (choice D) are terms from Ayurveda, not related to acupuncture. Yoga (choice C) is a separate practice that involves physical postures and breathing exercises, not burning herbs on acupuncture points.

Correct Answer: B

Rationale: The correct answer is B because "One Flew Over the Cuckoo's Nest" raised awareness about the mistreatment of vulnerable populations in mental health institutions. It highlighted the need to uphold the rights of such individuals. A is incorrect because the movie did not specifically lead to an increase in funding for mental health care or a shift to institutional care. C is incorrect because while the movie portrayed nurses advocating for patients, it did not necessarily lead to a widespread perception of nurses as advocates for vulnerable populations. D is incorrect because there is no evidence to suggest that funding for nursing traineeships was eliminated as a direct result of the movie.

Correct Answer: B

Rationale: The correct answer is B because the length of the NCLEX-RN exam is based on the location of testing. This is because different testing centers may have varying procedures, schedules, and regulations that can affect the overall length of the exam. The length is standardized by location to ensure fairness and consistency for all candidates. Incorrect Answers: A: The last four numbers of the candidate's social security number have no relevance to the length of the exam. C: The candidate's educational preparation may impact their readiness for the exam but does not determine the length of the exam. D: The performance of the candidate is assessed during the exam and does not determine the initial length of the exam.