The changes brought forth by the state boards of nursing are an example of which type of change agent?

Correct Answer: D

Rationale: The correct answer is D: Power-coercive. State boards of nursing have the authority to enforce regulations and standards through legal power, making them a power-coercive change agent. They can mandate compliance and impose consequences for non-compliance, utilizing their regulatory power to drive change. A: Resistance is incorrect as state boards of nursing do not resist change but rather implement and enforce it. B: Empirical-rational is incorrect as this approach involves presenting data and information to persuade individuals to change, which may not align with the state boards' regulatory enforcement. C: Normative-reeducative is incorrect as it focuses on changing beliefs and values through education and social influence, which is not the primary method used by state boards of nursing for implementing change.

Correct Answer: C

Rationale: The correct answer is C because effective delegation involves assigning tasks to appropriate staff members while providing oversight. This ensures tasks are completed safely and accurately. Retaining all tasks (A) does not promote staff development. Assigning tasks without supervision (B) can lead to errors. Avoiding delegation (D) limits staff growth. Effective delegation (C) maximizes efficiency and empowers staff.

Correct Answer: A

Rationale: The correct answer is A: Direct patient care. Case management in nursing focuses primarily on coordinating care, advocating for patients, and ensuring their needs are met. This involves direct patient interaction, collaborating with healthcare providers, and addressing the patient's physical, emotional, and social well-being. Resource management (B) involves allocating resources efficiently, financial planning (C) focuses on budgeting and financial aspects, and quality assurance (D) pertains to monitoring and improving healthcare standards. These options are important in healthcare but are not the primary focus of case management in nursing.

Correct Answer: B

Rationale: The correct answer is B, advocate for patient needs. A nurse advocate acts as a voice for patients, ensuring their rights are respected and needs are met. This involves advocating for proper care, treatment, and support. Direct patient care provider (A) focuses on hands-on patient care. Managing nursing staff (C) involves overseeing and coordinating staff, not directly advocating for patients. Ensuring policy adherence (D) involves following organizational policies and procedures, not necessarily advocating for individual patient needs. In summary, the role of a nurse advocate is to prioritize and champion the best interests of the patient.

Correct Answer: D

Rationale: The correct answer is D: Standardize care processes. Lean methodology in healthcare aims to streamline and standardize processes to eliminate waste and improve efficiency. By standardizing care processes, healthcare organizations can ensure consistent quality of care, reduce errors, and enhance patient safety. This focus on standardization is essential for achieving continuous improvement and delivering better outcomes. Explanation of other choices: A: Reduce healthcare costs - While reducing costs is a potential benefit of Lean methodology, it is not the primary focus. Cost reduction is a byproduct of improving processes and eliminating waste. B: Enhance patient satisfaction - While patient satisfaction is important in healthcare, it is not the primary focus of Lean methodology. Improving patient satisfaction may be a result of implementing Lean principles, but it is not the main goal. C: Increase patient throughput - While increasing patient throughput is a common goal in healthcare, it is not the primary focus of Lean methodology. Lean focuses on improving processes to deliver better quality care, rather than simply increasing the