The nurse should assess every client to determine if stress reduction interventions should be part of the plan of care. The rationale for this action is that:

Correct Answer: B

Rationale: The correct answer is B because stress can affect individuals unpredictably, making it essential to assess each client's stress levels. This allows for tailored interventions to address their unique stressors. Choice A is incorrect as stress levels vary among individuals. Choice C is incorrect because not all clients develop maladaptive coping strategies. Choice D is incorrect as the increase in mental illness prevalence does not directly correlate with the need for stress reduction interventions.

Correct Answer: C

Rationale: The correct answer, C, demonstrates awareness of safe, proficient nursing practice because it focuses on assessing the appropriateness of the medication and dose for the patient. This step ensures patient safety by verifying that the medication is suitable for the individual's condition and that the dosage is correct. It involves critical thinking and clinical judgment, aligning with the principles of patient-centered care and medication safety. Choices A and D are important steps in medication administration but do not directly address the crucial aspect of assessing the appropriateness of the medication for the patient. Checking the medication cart (A) ensures availability but does not guarantee suitability. Identifying the patient (D) is essential for patient safety but does not evaluate the medication itself. Choice B, checking the dose with another nurse, is a valuable safety measure to prevent medication errors but does not address the broader aspect of assessing the overall appropriateness of the medication for the specific patient's needs.

Correct Answer: C

Rationale: The correct answer is C: Implementation. This is because administering furosemide 40 mg IV push is a direct action taken by the nurse based on the planned interventions to manage the client's CHF symptoms. During the implementation phase, the nurse carries out the planned interventions to achieve the client's desired outcomes. A: Assessment is incorrect because administering medication is not part of the assessment phase, which involves gathering data about the client's condition. B: Planning is incorrect because administering medication is not part of the planning phase, which involves developing a care plan based on the assessment data. D: Evaluation is incorrect because administering medication is not part of the evaluation phase, which involves assessing the outcomes of the interventions implemented.

Correct Answer: A

Rationale: The correct answer is A, revoking the nursing license, due to the seriousness of the offense committed by the RN. Stealing narcotics is a violation of ethical standards and legal regulations, posing a risk to patient safety. Revoking the license is a necessary measure to protect the public from potential harm. Choice B, denying initial nursing licensure, is incorrect as the RN is already licensed. Choice C, issuing a limited nursing license, is inappropriate for such a severe violation. Choice D, no action taken on the nursing license, would not be justifiable given the gravity of the offense.

Correct Answer: A

Rationale: The correct answer is A: the client's priorities. When developing a teaching plan, understanding the client's priorities is essential to tailor the plan to their specific needs and goals. By prioritizing the client's preferences and concerns, the teaching plan can be more effective and client-centered. Vital signs (B) are important for assessing the client's health status but do not directly impact the teaching plan. Insurance coverage (C) and economic resources (D) are important considerations but should come after addressing the client's priorities to ensure the plan is feasible and accessible.