A patient is admitted with pneumoniThe case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:

Correct Answer: B

Rationale: The correct answer is B: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and treatments based on assessment findings to guide patient care in a structured manner. In this case, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics. A. Patient classification system: This refers to categorizing patients based on certain criteria for resource allocation and staffing levels, not specific care plans. C. Patient-centered plan of care: While patient-centered care focuses on individual preferences and needs, it does not necessarily include the structured timeline and interventions outlined in a clinical pathway. D. Diagnosis-related group (DRG): DRGs are used for billing and payment purposes based on specific diagnoses, not for detailed care plans like the one described in the question.

Correct Answer: C

Rationale: The correct answer is C: Meta-analysis. In this scenario, the nurse researcher is combining and analyzing data from multiple studies on life satisfaction among hemodialysis patients to draw overall conclusions. Meta-analysis allows for generalization through synthesizing results from various studies, providing a more comprehensive understanding of the topic. Incorrect choices: A: Quasi-experimental - This involves manipulating variables to observe their effects, which is not the case in the given scenario. B: Secondary analysis - This refers to re-analyzing existing data, not multiple studies as in meta-analysis. D: Survey - Surveys involve collecting data directly from participants, whereas in this case, existing studies are being analyzed.

Correct Answer: D

Rationale: The correct answer is D because it is a red herring statement that distracts from the main issue. Phenytoin is not known to be viscous enough to cause line occlusion. Step 1: Identify the issue - failure to check compatibility. Step 2: A, B, and C address the issue directly or indirectly, while D deflects blame to the drug's viscosity. Step 3: A acknowledges the mistake, B deflects by attacking the supervisor, and C blames the IV setup. In summary, D is incorrect as it diverts attention from the main issue, making it a red herring.

Correct Answer: A

Rationale: The correct answer is A: Simulation experiences. This intervention allows healthcare professionals to practice real-life scenarios in a controlled environment, improving skills and decision-making. It helps identify and address potential errors before they occur, enhancing patient safety. Other choices lack the hands-on, practical approach of simulations and may not adequately prepare professionals for real-world situations. Simulation experiences are crucial for enhancing clinical competence and reducing medical errors.

Correct Answer: B

Rationale: The correct answer is B because the Affordable Care Act of 2011 aimed to provide health care benefits to millions who were previously uninsurable or unable to afford insurance. This is in line with the main goal of the act, which was to increase access to affordable health care for Americans. Choice A is incorrect as the act does not mandate educational requirements for nurses. Choice C is incorrect as the act does not specifically cap the amount that hospitals and physicians can charge for procedures. Choice D is incorrect as the act focuses on expanding access to health insurance rather than directly subsidizing private insurance companies to reduce costs for individuals with chronic illnesses.

Correct Answer: B

Rationale: The correct answer is B: Strategic National Stockpile. This is because the Strategic National Stockpile is a federal repository of antibiotics, medical supplies, and equipment to respond to public health emergencies. In this scenario, the local supply of antibiotics is exhausted, so contacting the Strategic National Stockpile would provide the necessary antibiotics to treat the injured victims. Explanation for why other choices are incorrect: A: The Commissioned Corps Readiness Force is a team of health professionals who can be deployed during public health emergencies, but they do not specifically store or distribute medical supplies like antibiotics. C: The Department of Homeland Security focuses on national security and disaster response, but they do not directly handle the distribution of medical supplies like antibiotics. D: The local Young Men's Christian Association (YMCA) is a community organization that is not equipped to provide medical supplies for emergency response situations like this earthquake scenario.

Correct Answer: B

Rationale: The correct answer is B: educator. The nurse is providing information and teaching patients about preventing diabetic neuropathies, which aligns with the role of an educator. Educators focus on imparting knowledge and empowering individuals to make informed decisions about their health. The other choices are incorrect because: A: Change agents initiate and lead changes within an organization, not directly related to patient education. C: Managers oversee daily operations and resources within a healthcare setting, not specifically focused on patient education. D: Coordinators facilitate communication and collaboration among healthcare team members, but not primarily responsible for patient education.

Correct Answer: A

Rationale: The correct answer is A because the primary factor that characterizes a patient receiving palliative care is a diagnosis of a serious, life-threatening disease. Palliative care focuses on providing relief from the symptoms and stress of a serious illness, regardless of the stage of the disease or the prognosis. This means that palliative care can be appropriate for patients with a variety of life expectancies, not just those with less than 12 months to live. Choices B and C are incorrect because while they are important factors in healthcare decision-making, they are not the primary factor that characterizes a patient receiving palliative care. Choice D is also incorrect because palliative care can be provided to patients with various life expectancies, not just those with less than 12 months to live.

Correct Answer: B

Rationale: The correct answer is B: durable power of attorney. This legal document grants authority to another person, known as the healthcare proxy or agent, to make medical decisions on behalf of the client when they are unable to do so themselves. This is essential for ensuring that the client's wishes are respected and that appropriate medical care is provided. A: A living will is a document that outlines a person's preferences for medical treatment in case they become incapacitated, but it does not appoint someone to make decisions on their behalf. C: Informed consent is the process of ensuring that a patient understands the risks and benefits of a medical treatment before giving consent, but it does not authorize someone to make decisions on their behalf. D: Immunity refers to protection from legal liability and is not relevant to authorizing someone to make medical decisions for a client.