In distinguishing between evaluation methods used in school versus those used in the work environment, it is noted that the work environment evaluation includes:

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: 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: C

Rationale: The correct answer is C: Teamwork and collaboration. This is demonstrated as the nurses, physicians, and social workers work together to finalize the care plan and coordinate discharge for the homeless person. Each member contributes based on their expertise, recognizing and utilizing the strengths of other team members. This showcases effective communication, mutual respect, and shared decision-making, which are key aspects of teamwork and collaboration. Summary of other choices: A: Quality improvement - Not directly related to the collaborative effort described in the scenario. B: Evidence-based practice - While important, this choice does not specifically address the interprofessional collaboration demonstrated in the scenario. D: Patient-centered care - While important in overall patient care, this choice does not specifically address the teamwork and collaboration among the healthcare professionals in this scenario.

Correct Answer: A

Rationale: The correct answer is A because the preparedness phase of the disaster continuum aligns with the assessment and planning steps of the nursing process. In both situations, assessment involves identifying potential risks or needs, while planning entails developing strategies to address those risks or needs. Preparedness in disasters is about assessing vulnerabilities and creating plans to mitigate risks, which is akin to the initial steps in the nursing process. Choices B, C, and D are incorrect because they do not accurately match the phases of the disaster continuum with the corresponding steps in the nursing process. B incorrectly associates recovery with planning, C incorrectly links recovery with implementation, and D incorrectly pairs response relief with evaluation.

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: The correct answer is D: Improper construction that caused the leak and towel placement. This is a special cause variation because it is an external factor outside the patient's control that directly contributed to the incident. The construction causing water leaks and the placement of a towel to collect water created a hazardous environment leading to the fall. The other choices, A, B, and C, are common cause variations as they are related to the patient's behavior or medical condition which could have been managed or controlled within the usual process.

Correct Answer: D

Rationale: The correct answer is D: deployment chart. A deployment chart is used to illustrate how resources or personnel are allocated and utilized during an emergency or disaster situation. In this case, the organization's emergency preparedness task force is detailing how each department will assist individuals in reaching safety, which aligns with the purpose of a deployment chart. It helps visualize the specific roles and responsibilities assigned to each department during an evacuation. A: Pareto chart is used for prioritizing actions based on the 80/20 rule. B: Control chart is used for monitoring process variations over time. C: Top-down flowchart is used to represent the sequence of steps in a process hierarchy. In summary, the other choices are incorrect because they do not specifically address the allocation of resources and responsibilities during an emergency evacuation scenario, which is the primary function of a deployment chart.

Correct Answer: A

Rationale: The correct answer is A: the increase in the number of minimally invasive procedures being performed for disease treatment. This is because advancements in medical technology have led to a shift towards less invasive procedures, impacting how nursing care is delivered. Minimally invasive procedures often require specialized care and monitoring, necessitating changes in nursing practice. Choice B is incorrect as care provided for patients over an extended period in acute care settings is not a significant factor driving dramatic changes in nursing care delivery over the next 20 years. This scenario is more related to the current healthcare system rather than future changes. Choice C is incorrect as the reduction in the number of nurses and healthcare professionals available to provide care is unlikely to be a driving force for dramatic changes. In fact, efforts are being made to address the nursing shortage through various initiatives. Choice D is incorrect as widespread illiteracy and decreased self-efficacy of the aging patient population, while important considerations for nursing care, are not the primary factors driving dramatic changes in

Correct Answer: B

Rationale: The correct answer is B: cost shifting. Cost shifting refers to the practice of healthcare providers charging higher prices to patients who have insurance or can pay in order to make up for the costs incurred from providing care to uninsured or underinsured individuals. This helps offset the financial burden caused by uncompensated care. A: Charity is incorrect because it refers to voluntary giving of help, typically in the form of money or goods, to those in need. Cost shifting involves charging more to certain patients to cover costs, rather than voluntary donations. C: Price sharing is incorrect as it does not accurately reflect the concept of redistributing costs among different groups of patients based on their ability to pay. D: Governmental reimbursement is incorrect because it specifically refers to payments made by the government to healthcare providers for services rendered to patients covered by government insurance programs, not the practice of cost shifting.