The key to organizational success for health care facilities is:

Correct Answer: D

Rationale: The correct answer is D: retaining professional nurses. Retaining professional nurses is crucial for organizational success in healthcare facilities as it ensures continuity of care, promotes staff morale, reduces turnover costs, and maintains high-quality patient outcomes. By retaining experienced and skilled nurses, organizations can benefit from their expertise, knowledge, and commitment to providing excellent patient care. A: Hiring younger, more energetic nurses may bring new perspectives and energy but does not guarantee the same level of experience and expertise as professional nurses. B: Offering incentives like sign-on bonuses may attract new hires, but it does not address the underlying issues that lead to nurse turnover. C: Hiring highly qualified advanced practice nurses is beneficial, but it does not address the importance of retaining all professional nurses within the organization.

Correct Answer: A

Rationale: The correct answer is A: Preparedness. In this scenario, nurses and community officials are proactively planning and organizing resources to be ready for a disaster. Preparedness involves activities such as training, drills, and stockpiling supplies to ensure an effective response. Relief response (B) occurs during or immediately after a disaster to provide immediate assistance. Recovery (C) focuses on restoring community infrastructure and services post-disaster. Crisis intervention (D) is a short-term, immediate response to individuals in distress. In this case, the focus is on prevention and readiness, fitting the preparedness phase.

Correct Answer: D

Rationale: The correct answer is D because Medicare is a federal health insurance program that primarily covers individuals aged 65 and older, those with end-stage renal disease, and individuals with permanent disabilities. This answer aligns with the original intent and purpose of Medicare as established by the Social Security Act amendment. Explanation: 1. Medicare was established to provide health insurance for specific groups, including individuals aged 65 and older, those with end-stage renal disease, and individuals with permanent disabilities. 2. The program was not designed to lead to hospital closings or decrease nursing care, as stated in choice A. 3. Choice B is incorrect because Medicare does not specifically target younger adults or children with catastrophic illnesses. 4. Choice C is incorrect because while Medicare may cover preventive care for certain populations, its primary focus is on providing insurance for specific age groups and individuals with specific health conditions.

Correct Answer: A

Rationale: The correct answer is A: Emergency Medical Treatment and Active Labor Law (EMTALA). This act prohibits hospitals from transferring patients in active labor or with an emergency condition based on insurance status or ability to pay. It ensures that all individuals, regardless of insurance or immigration status, receive necessary emergency medical treatment. The other choices are incorrect because: B: Health Insurance Portability and Accountability Act (HIPAA) protects patient privacy and does not address transfer of patients in active labor. C: Patient Self-Determination Act focuses on patient autonomy in making healthcare decisions, not on preventing transfer based on insurance status. D: The Patient Safety and Quality Improvement Act promotes patient safety and quality improvement but does not specifically address transfer of patients in active labor.

Correct Answer: A

Rationale: The correct answer is A: the registered nurse (RN). This task requires clinical judgment and critical thinking skills, which are within the scope of practice of an RN. The RN is trained to assess the patient comprehensively, identify potential risks, and communicate effectively with other healthcare team members. LPNs/LVNs may not have the same level of assessment skills as RNs. UAPs do not have the clinical knowledge or skills required for this task. Option D is incorrect as completing and signing the initial assessment requires active patient assessment, which is a dynamic process and not just about past information.

Correct Answer: A

Rationale: The correct answer is A: Columbia Teachers College. This institution was the first to offer nursing graduates a baccalaureate degree, pioneering the advancement of nursing education. Columbia Teachers College had a dedicated nursing program that emphasized academic and clinical training, setting the standard for future nursing education. Explanation: A: Columbia Teachers College - Correct. Pioneered baccalaureate degree for nursing graduates. B: Yale University - Incorrect. Not historically known for offering the first baccalaureate degree in nursing. C: Harvard University - Incorrect. Focused on medical education, not nursing, at the time. D: New York Regents Program - Incorrect. Not a university and did not offer baccalaureate degrees in nursing.

Correct Answer: D

Rationale: The correct answer is D because the nurse's goal is to advocate for increased protective services for elder abuse. By learning about the key issues in the candidate's platform, the nurse can identify if the candidate supports policies related to elder abuse. This information will help the nurse assess the candidate's alignment with their advocacy goals and determine if the candidate is a suitable ally in advancing elder abuse prevention measures. A, B, and C are incorrect because: A: Educating the public about the nurse's political platform is not the primary purpose of attending the session. B: Being spontaneous may lead to an ineffective communication strategy without proper preparation. C: Addressing the candidate by their first name or title is a matter of personal preference and does not directly impact the nurse's advocacy efforts.

Correct Answer: B

Rationale: The correct answer is B because assessing the work climate by walking through the facility allows you to gain firsthand insight into the organization's culture, values, and overall environment. By observing how employees interact, the cleanliness of the facility, and the general atmosphere, you can assess if it aligns with your career goals and preferences. This method provides tangible and direct evidence that can help you make an informed decision. Choice A is incorrect because contacting The Joint Commission is not relevant to evaluating a potential employer's suitability for your career goals. Choice C is incorrect as reviewing financial statements may not provide insights into the work environment and culture. Choice D is incorrect because focusing solely on what the employer can do for you may not give a comprehensive understanding of whether the organization is a good fit for your career aspirations.

Correct Answer: B

Rationale: The correct answer is B because quantifying the amount and intensity of care required is essential to determine staffing needs based on patient acuity. This involves assessing the complexity and severity of patients' conditions, which directly impacts the level of care needed. Patient satisfaction (A) does not provide objective data on acuity. Examining skill mix (C) is important but not the primary factor in determining acuity. Hospital days (D) reflect length of stay, not acuity level.