The ANA, which is committed to monitoring the regulation, education, and use of NAPs, recommends adherence to which one of the following principles:

Correct Answer: A

Rationale: The correct answer is A because the American Nurses Association (ANA) believes that it is the nursing profession itself that should have the authority to determine the scope of nursing practice. This principle emphasizes the importance of nursing professionals being actively involved in defining and regulating their own practice. Choice B is incorrect because while RNs may have a role in supervising unlicensed assistive personnel, it is not solely the responsibility of the RN to define and supervise the education and training of NAPs. Choice C is incorrect because ultimate responsibility and accountability for nursing practice lies with the licensed nurse, not the unlicensed NAP. Choice D is incorrect because the purpose of the RN is not just to work in a supportive role to assistive personnel; rather, it is to provide comprehensive nursing care and lead the nursing team.

Correct Answer: C

Rationale: The correct answer is C: Have the wife demonstrate the procedure. This is the best way to ensure understanding and competence. By having the wife demonstrate the dressing change, the nurse can assess her actual skills and correct any misunderstandings in real-time. Merely telling her (choice A) may not guarantee comprehension. Providing information about supplies (choice B) is important but does not assess the wife's ability to perform the task. Asking another nurse to reinforce teaching (choice D) does not directly assess the wife's understanding and ability to perform the dressing change.

Correct Answer: B

Rationale: The correct answer is B: A. Jones, RN. This format includes the nurse's full last name, first initial, and the nursing credential "RN." This is important for clarity and accuracy in documentation. Option A lacks the full last name, option C lacks the credential, and option D is an incorrect and non-standard format. By following the correct format in option B, Alice can clearly identify herself and maintain professional standards in documentation.

Correct Answer: D

Rationale: The correct answer is D: graphic record. Graphic records are commonly used to document specific patient variables like vital signs as they provide a visual representation of these data over time. This format allows for easy tracking and comparison of trends. Progress notes (A) typically focus on a patient's overall progress and response to treatment, rather than specific variables like vital signs. Nursing notes (B) may include observations and assessments but are not typically used for detailed recording of vital signs. Critical paths (C) are used to outline a patient's expected course of treatment and milestones, not for recording specific patient variables. Therefore, the graphic record is the most appropriate choice for documenting specific patient variables such as vital signs.

Correct Answer: B

Rationale: The correct answer is B: preventing illness. The smoking-cessation program aims to prevent the development of smoking-related health issues, aligning with the preventive aspect of nursing. By helping patients quit smoking, the nurse is actively working to reduce the risk of various illnesses associated with smoking. Choices A, C, and D do not directly address the proactive nature of preventing illness. Promoting health (A) focuses on overall well-being, restoring health (C) involves actions to return to a previous state of health, and facilitating coping with disability or death (D) pertains to managing existing conditions or end-of-life care, which are not the primary objectives of the smoking-cessation program in this scenario.