Selye's stress theory explains that a person stressed for long periods of time will:

Correct Answer: A

Rationale: Selye's stress theory, also known as the General Adaptation Syndrome, consists of 3 stages: alarm, resistance, and exhaustion. Long-term stress leads to exhaustion as the body's resources are depleted, making a person more susceptible to illnesses. Option A is correct as it aligns with this theory. Option B is incorrect as prolonged stress weakens the body, not makes it stronger. Option C is incorrect because stress does not necessarily lead to increased assertiveness. Option D is unrelated to Selye's stress theory.

Correct Answer: C

Rationale: Rationale: - Patient outcomes are essential in a critical pathway for CHF to track progress and effectiveness of interventions. - Expected length of stay is not a core component but can be useful for resource planning. - Assigned healthcare team is important but not a core component in the critical pathway. - Medical history is relevant but not essential in the development of a critical pathway for CHF.

Correct Answer: C

Rationale: The correct answer is C: Continual monitoring. Quality improvement programs require ongoing monitoring to assess progress, identify areas for improvement, and make data-driven decisions. Continual monitoring allows for timely adjustments to processes and interventions to ensure sustained quality improvement. Blame and punishment (A) are counterproductive in a QI program as they can create a culture of fear and hinder open communication. Employee satisfaction (B) is important but not necessarily an essential element of a QI program. Strict adherence to policies (D) is important but alone may not lead to continuous improvement without the feedback loop provided by continual monitoring.

Correct Answer: D

Rationale: The correct answer is D because coordinating patient transitions is a primary responsibility of a nurse case manager. This involves ensuring continuity of care, smooth transitions between healthcare settings, and facilitating communication among healthcare providers. Direct patient care (A) is typically the responsibility of bedside nurses, not case managers. Financial planning (B) is more related to financial counselors or social workers. Health education (C) may be part of a nurse case manager's role, but it is not the primary responsibility compared to coordinating patient transitions.

Correct Answer: A

Rationale: Selye's stress theory, also known as the General Adaptation Syndrome, consists of 3 stages: alarm, resistance, and exhaustion. Long-term stress leads to exhaustion as the body's resources are depleted, making a person more susceptible to illnesses. Option A is correct as it aligns with this theory. Option B is incorrect as prolonged stress weakens the body, not makes it stronger. Option C is incorrect because stress does not necessarily lead to increased assertiveness. Option D is unrelated to Selye's stress theory.

Correct Answer: D

Rationale: The correct answer is D: Contingency theory. Contingency theory suggests that there is no one best way to organize and manage a healthcare system. It emphasizes that the effectiveness of a healthcare delivery system depends on various factors such as the environment, technology, and organizational structure. This theory acknowledges the complexity of healthcare systems and the need for flexibility and adaptation to changing circumstances. A: Open system theory focuses on the system's interaction with its environment, but it does not specifically address the best way to organize and manage a healthcare system. B: Closed system theory suggests that a system is self-contained and not influenced by external factors, which is not suitable for describing healthcare delivery systems. C: Chaos theory emphasizes the unpredictability and complexity of systems, but it does not provide a framework for organizing and managing healthcare systems effectively.

Correct Answer: C

Rationale: The correct answer is C: Time wasters. The manager missed the deadline due to distractions such as answering phone calls, checking emails, and engaging with staff, which are all considered time-wasting activities. These distractions prevented him from focusing on the task at hand, leading to missing the deadline. Goal setting (choice A) is about defining objectives, not the immediate cause of missing the deadline. Organization (choice B) refers to structuring tasks efficiently, which the manager failed to do. Assertiveness (choice D) relates to standing up for oneself and making decisions, not the primary reason for missing the deadline in this scenario.

Correct Answer: A

Rationale: The correct answer is A: The patient will reach a glycosylated hemoglobin level of less than 7%. This goal is most important because it directly addresses the patient's diabetes management by aiming to achieve good glycemic control. Lowering the HbA1c level to less than 7% is a key indicator of reduced risk for diabetes-related complications. Options B, C, and D are not as critical in addressing the specific nursing diagnosis of imbalanced nutrition. Option B focuses on weight loss, which may not necessarily address the underlying issue of imbalanced nutrition. Option C addresses meal distribution but does not directly target improved glycemic control. Option D emphasizes eliminating simple sugars but does not encompass the comprehensive management of diabetes.

Correct Answer: B

Rationale: The correct answer is B: Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA). Rationale: 1. HIPAA protects patients' confidentiality and prohibits the disclosure of personal health information without consent. 2. By reminding the staff members of this breach, the RN upholds ethical standards and protects the client's privacy. 3. Joining the conversation (choice A) would further violate the client's confidentiality. 4. Correcting a statement (choice C) may draw more attention to the conversation, potentially worsening the breach. 5. Ignoring the conversation (choice D) would be neglectful of the RN's duty to protect patient information.