A researcher conducts a survey to determine the perceived health status of elderly persons living independently at home. The same subjects participate in a telephone call in which they describe the lived experience of living with chronic illness. When writing up the research study, the nurse would describe using:

Correct Answer: B

Rationale: The correct answer is B: triangulation. Triangulation involves using multiple data sources or methods to validate findings. In this scenario, the nurse is using both survey data and telephone interviews to gain a comprehensive understanding of the elderly persons' health status. This method enhances the study's credibility and reliability by cross-verifying information. A: A control group is not relevant in this context as it involves comparing an intervention group with a control group to assess the impact of an intervention. C: A pilot study is a small-scale preliminary study conducted to evaluate the feasibility of a larger study. It is not the appropriate description for using multiple data sources. D: Secondary data analysis involves analyzing existing data collected by someone else. It is not applicable in this case where the researcher is collecting primary data through surveys and interviews.

Correct Answer: B

Rationale: The correct answer is B because taking a deep breath and remaining calm helps the nurse develop patience, which is essential for managing stress and workload effectively. By staying calm, the nurse can think more clearly, make better decisions, and handle challenging situations with composure. This approach can improve the nurse's overall well-being and productivity. Choices A, C, and D are incorrect because: A: Positive affirmations are helpful but may not address the root cause of the nurse's fatigue and workload issues. C: Staying hydrated is important for maintaining energy levels, but it may not directly address the nurse's ability to manage workload and personal life balance. D: Eating healthy snacks and taking breaks are important for maintaining energy levels, but they may not directly address the nurse's ability to stay calm and patient in stressful situations.

Correct Answer: D

Rationale: The correct answer is D because when delegating tasks, the RN must first assess the patient to determine their needs and condition. This assessment is crucial in deciding which tasks can be safely delegated to the LPN or UAP. By assessing the patient, the RN can ensure that the delegated tasks are appropriate, match the competency of the delegatee, and are within the scope of practice for each individual. This step is essential to maintain patient safety and quality of care. Choice A is incorrect because while the RN is accountable for the decision to delegate, both accountability and responsibility rest with the RN, not just the delegatee. Choice B is incorrect because tasks should only be delegated within the scope of practice of the delegatee, not based on the delegatee's personal certainty of competence. Choice C is incorrect as LPNs have a distinct scope of practice that is separate from professional nursing, and they do not practice professional nursing.

Correct Answer: A

Rationale: The correct answer is A because reading the financial policy manual will provide the new nurse manager with a comprehensive understanding of the organization's budgeting process, which is crucial for successful budget management. This will help the nurse manager make informed decisions and align their actions with the organization's budgeting guidelines. Choice B is incorrect as it suggests delegating budget management to the nursing administration office, which does not promote the nurse manager's development of budgeting skills and knowledge. Choice C is incorrect because while it is important to communicate with the hospital's finance office for guidance, solely relying on this communication may not provide the nurse manager with a deep understanding of the budgeting process. Choice D is incorrect because focusing only on bottom-line numbers without understanding the details of each line in budget reports can lead to oversight of important budget components and hinder effective budget management.

Correct Answer: A

Rationale: The correct answer is A: uterine contractions resulting in possible miscarriage. Feverfew is known to stimulate uterine contractions, which can potentially lead to miscarriage in pregnant women. This risk is especially concerning during the first trimester when the uterus is more sensitive to such stimulants. Uterine contractions can increase the risk of premature labor and miscarriage. Reduced fetal growth (choice B), insomnia (choice C), and tiredness the following day (choice D) are not directly associated with feverfew use during pregnancy. It is crucial for the nurse to educate the patient about the potential risk of uterine contractions and advise against the use of feverfew during pregnancy to ensure the safety of both the mother and the fetus.

Correct Answer: A

Rationale: The correct answer is A: Hospice. Rationale: 1. Hospice care focuses on providing end-of-life care, pain management, and family support for terminally ill patients. 2. Nurses in hospice work closely with patients and their families to ensure comfort and dignity during the end-of-life process. 3. Hospice care emphasizes quality of life over aggressive life-sustaining treatments, aligning with the scenario described in the question. 4. Infection control and coordination roles do not specifically focus on end-of-life care or pain management for terminally ill patients. 5. While case managers may provide support and coordination of care, they do not specialize in end-of-life care like hospice nurses do.

Correct Answer: B

Rationale: The correct answer is B: Quality management. The nurse assessing and recording variations from the hospital standard of rotating IV sites every 72 hours is fulfilling a quality management role by ensuring adherence to established protocols to maintain patient safety and prevent complications. Quality management involves monitoring and improving healthcare processes to enhance patient outcomes. In this scenario, the nurse's actions contribute to maintaining high standards of care. Summary: A: Infection control focuses on preventing and controlling the spread of infections, not specifically related to monitoring compliance with IV site rotation. C: Coordinator position involves organizing and coordinating care, not directly related to assessing adherence to standards. D: Counselor provides emotional support and counseling to patients, not related to monitoring and maintaining healthcare standards.

Correct Answer: D

Rationale: The correct answer is D: Capital budgeting. Capital budgeting involves planning and managing significant expenditures for long-term assets like equipment and facilities. In this scenario, replacing all 50 patient beds with new beds equipped with Fall Watch electronic sensors is a major investment in a long-term asset. The nurse manager is making a strategic decision that will impact the nursing unit's operations for an extended period. Summary: A: Fiscal budgeting focuses on revenues and expenses for a specific period, not long-term asset investments. B: Labor budgeting pertains to planning and managing labor costs, not capital investments. C: Operational budgeting involves day-to-day expenses and activities, not major capital expenditures like replacing all patient beds.

Correct Answer: B

Rationale: The correct answer is B because in a competency examination involving a neurologic assessment, the critical elements are the required criteria that must be incorporated into the assessment to achieve the desired outcome. These elements are essential components that assessors need to include to ensure a thorough and accurate evaluation of the client's neurological status. Choice A is incorrect as critical elements do not necessarily equate to life or death situations. Choice C is incorrect as fundamental strategies unique to complex dynamic care environments are not specifically related to the critical elements of a neurologic assessment. Choice D is incorrect as objective data for client recovery likelihood is not the same as the required criteria for a neurologic assessment.