The belief that effort will lead to a specific performance level in an individual is known as:

Correct Answer: B

Rationale: The correct answer is B: Expectancy. Expectancy theory posits that individuals believe that their effort will lead to a specific level of performance. This belief in the relationship between effort and performance is crucial in determining motivation. Rewards (A) refer to the outcomes of the performance, not the belief in effort-performance connection. Valence (C) is the value a person places on a specific reward, not the belief in effort-performance link. Instrumentality (D) is the belief that performance will lead to a certain outcome, not the belief in effort-performance relationship.

Correct Answer: D

Rationale: The correct answer is D: The patient has chest pressure when walking. This symptom could indicate cardiac issues, a known side effect of rosiglitazone. Reporting this immediately is crucial to prevent potential serious complications. A: The patient's blood pressure is 154/92. While high, it is not an immediate concern unless accompanied by other symptoms. B: The patient has a history of emphysema. Relevant but not urgent in this scenario. C: The patient's blood glucose is 86 mg/dL. Within the normal range and not a priority compared to chest pressure. In summary, choice D is correct as it addresses a potentially severe side effect of the medication that requires immediate attention. Choices A, B, and C are not as urgent or directly related to the medication's side effects.

Correct Answer: C

Rationale: The correct answer is C because evidence-based practice (EBP) involves integrating clinical expertise with the best available research evidence and considering patient preferences. This approach ensures that decisions are informed by both the clinician's experience and the most current and relevant research findings, leading to the most effective and individualized patient care. Choice A is incorrect as it solely relies on clinical expertise without considering research evidence. Choice B is incorrect as it suggests solely relying on research findings, neglecting the importance of clinical judgment. Choice D is incorrect as it focuses on following institutional guidelines rather than on the integration of clinical expertise and research evidence.

Correct Answer: C

Rationale: The correct answer is C, the nursing manager. A nursing manager is directly involved in overseeing the job duties and requirements, making them the best person to provide an accurate description to an applicant. They have detailed knowledge of the role and can provide insights on what the job entails. A previous employee may offer subjective views, while a human resource manager may not have a deep understanding of the specific job duties. The chief operating officer may not have direct knowledge of the day-to-day responsibilities of the position. Therefore, the nursing manager is the most suitable choice for describing the job accurately to an applicant.

Correct Answer: B

Rationale: The correct answer is B (3-6 months) because this timeframe allows for adequate planning, data collection, analysis, and stakeholder input without being too rushed or prolonged. 9-12 months (A) is too long, leading to potential inefficiencies and outdated information. 1-2 months (C) is too short, risking errors and overlooking crucial details. Over two years (D) is excessive and may lead to budgeting based on outdated or irrelevant information. B strikes the right balance for a thorough and efficient budgeting process.

Correct Answer: A

Rationale: Step 1: The client is alert and oriented, indicating capacity to make decisions. Step 2: The client expresses the desire to leave the hospital, exercising autonomy. Step 3: False imprisonment occurs when a person is unlawfully restrained. Step 4: Choice A is incorrect as it restricts the client's freedom without legal justification. Step 5: Choices B, C, and D respect the client's autonomy and do not involve restraining.

Correct Answer: B

Rationale: The correct answer is B: insert a large-bore IV catheter. In HHS, patients are severely dehydrated due to high blood sugar levels. Inserting a large-bore IV catheter allows for rapid rehydration with isotonic fluids. This helps to correct the hyperosmolarity and electrolyte imbalances. Giving dextrose (choice A) would worsen hyperglycemia, initiating oxygen (choice C) is not directly related to managing HHS, and administering long-acting insulin like glargine (choice D) is not the initial priority in managing acute HHS.

Correct Answer: C

Rationale: The correct answer is C: Network model. In a network model HMO, the organization contracts with two or more IPAs. IPAs are groups of independent doctors who work together to provide care. This model allows members to choose from a network of providers. A: Staff model HMOs directly employ physicians. B: Point of service model HMOs allow members to go out of network for care. D: Group model HMOs contract with a single medical group, not multiple IPAs. Therefore, the network model is the correct choice as it specifically involves contracting with multiple IPAs, distinguishing it from the other options.

Correct Answer: D

Rationale: The correct answer is D: Track patients' vital signs. Advanced technology in health care, like integrated health records, allows nurses to efficiently monitor and analyze patients' vital signs in real-time. This helps them make informed decisions and provide timely interventions. Nurses still need to conduct thorough assessments (eliminating choice A), order medications (not solely technology-dependent like choice B), and take blood samples (a part of physical assessments, not solely technology-related like choice C). Tracking vital signs is crucial in patient care, as it provides continuous monitoring and early detection of any changes, allowing nurses to intervene promptly.