Correct Answer: B

Rationale: The correct answer is B because it involves a medical error that could potentially harm the patient. An incident report is necessary to document such events for quality improvement and patient safety. Choice A does not involve a preventable adverse event, so it does not require an incident report. Choice C is related to communication issues and can be resolved without an incident report. Choice D involves a patient fall, which is a reportable event, but the client was informed not to get up alone, making it less urgent for an incident report compared to a medication error.

Correct Answer: B

Rationale: The correct answer is B: Hot-spot item, analysis level. In this scenario, the patient's symptoms suggest pericardial effusion or cardiac tamponade. To facilitate auscultation, the nurse should place the stethoscope at the point of maximal intensity of the heart sounds, which is typically at the apex of the heart or the lower left sternal border. This requires the nurse to analyze the patient's symptoms and apply knowledge of cardiac anatomy to determine the optimal auscultation site. A: Multiple-response item, comprehension level - This choice involves selecting multiple correct answers from a list of options based on understanding the presented information. It doesn't require the critical thinking and analysis needed in this scenario. C: Chart/exhibit item, application level - This choice involves interpreting information presented in a chart or exhibit to apply it to a specific situation. While it involves application, it doesn't require the same level of analysis as determining the best auscultation site. D: Drag-and

Correct Answer: C

Rationale: The correct answer is C: ensure health care for older adults through a national insurance system. The Social Security Act of 1935 established social insurance programs to provide financial support for retired and elderly individuals. This was done through the implementation of Old-Age, Survivors, and Disability Insurance. The Act aimed to address the economic insecurity faced by older adults and their families by providing a safety net through a national insurance system. Incorrect answers: A: Increasing research on minority groups was not the primary purpose of the Social Security Act of 1935. B: Providing medical care for chemically impaired persons was not the primary focus of the Act. D: Decreasing the public's financial burden by limiting services offered by local health departments was not the primary goal of the Act.

Correct Answer: A

Rationale: The correct answer is A: case management. Case management involves coordinating care for patients to ensure they receive appropriate services and resources. DRGs determine reimbursement based on patient diagnoses, making accurate classification crucial. Nurses in case management play a key role in ensuring patients are placed in the correct DRG category for optimal care and reimbursement. Other choices are incorrect because: B: Quality assurance focuses on monitoring and improving the quality of care, not specifically tied to DRG classification. C: Utilization review involves assessing the appropriateness and necessity of healthcare services, not directly related to DRG classification. D: Cost-control pertains to managing healthcare costs, but does not address the specific role of nurses in DRG classification and patient care coordination.

Correct Answer: D

Rationale: The correct answer is D because "safe harbor" refers to a legal provision that protects nurses when they feel unsafe accepting a staffing assignment due to lack of recent experience or competency. By invoking safe harbor, nurses can continue caring for patients while an investigation is conducted to ensure patient safety and protect the nurse's license. This process allows nurses to voice concerns without fear of reprisal. Option A is incorrect as it refers to a disaster response plan, unrelated to safe harbor. Option B is incorrect as it discusses patient care teams and infectious diseases, not safe harbor protections. Option C is incorrect because it addresses reporting violence, which is not directly related to safe harbor provisions for staffing assignments.