Correct Answer: D

Rationale: The correct answer is D because accrediting agencies like The Joint Commission focus on ensuring patients receive satisfactory care through evidence-based practices. They evaluate the quality of care provided rather than specific staffing levels or ratios. Imposing maximum staffing levels (A) can be restrictive and may not account for varying patient needs. Requiring a specific staff mix (B) may not always be feasible or reflective of best practices. Stipulating nurse-patient ratios (C) can be important but may not address the overall quality of care provided to patients. In summary, option D is correct as accrediting agencies prioritize evidence of satisfactory care delivery over rigid staffing requirements.

Correct Answer: D

Rationale: Step 1: In the work environment, evaluation focuses on appraising outcomes to assess effectiveness and compliance with policies. Step 2: Appraising outcomes according to policy ensures that results align with organizational objectives. Step 3: This process helps identify areas for improvement and ensures accountability. Step 4: Choices A, B, and C do not directly address the evaluation of outcomes based on policy, making them incorrect. Step 5: Therefore, the correct answer is D as it aligns with the purpose of evaluation in the work environment.

Correct Answer: B

Rationale: The correct answer is B: Hill-Burton Act. The Hill-Burton Act, passed in 1946, provided federal funds for hospital construction, leading to a significant increase in the number of hospitals. This increase in hospital facilities created a higher demand for nurses to staff them, thereby initiating the shift from community-based nursing care to hospital-based care. The Sheppard-Towner Act (A) focused on maternal and child health programs, not hospital construction. The Veterans Bill (C) primarily addresses healthcare benefits for veterans. The Access to Health Care Bill (D) is a generic term and does not refer to a specific piece of legislation related to hospital construction or nursing staffing.

Correct Answer: D

Rationale: Step 1: Identification of the Issue - The situation described in option D directly impacts the safety of nurses by preventing them from changing the sharps container when needed, posing a risk for needlestick injuries. Step 2: Significance of the Issue - Needlestick injuries are a serious occupational hazard for healthcare workers and can result in exposure to bloodborne pathogens, leading to infections such as HIV and Hepatitis. Step 3: Advocacy Relevance - The inability to access the key to change the sharps container compromises the safety of nurses and violates their right to a safe work environment, making it a workforce advocacy issue. Step 4: Reporting to Higher Authorities - If the issue is not resolved at the local level, it should be reported to the state nurses association or the Center for American Nurses for intervention and resolution to ensure the safety of healthcare workers. Summary: Options A, B, and C do not directly relate to workforce advocacy issues that pose a significant risk to nurses' safety. Option

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.