The nursing executive team met to review last year's productivity metric to strategize for the upcoming year's metric. The team wants to be certain the productivity metric shows productivity was:

Correct Answer: C

Rationale: The correct answer is C: balanced. In a professional setting, a balanced productivity metric indicates that productivity was at an optimal level, not too high or too low. This implies that the team wants to ensure that productivity was neither excessively high nor low, but rather appropriately managed. Option A (high) and B (low) are incorrect as they represent extreme ends of the spectrum, which may not accurately reflect the desired productivity level. Option D (iterative) is incorrect because it refers to a process of repetition and refinement, which is not directly related to the level of productivity achieved. Therefore, the most suitable choice in this context is C: balanced, as it aligns with the team's goal of maintaining an optimal level of productivity.

Correct Answer: B

Rationale: The correct answer is B because a "salvador" is typically a spiritual healer or medium in Hispanic culture who helps communicate with deceased family members. This aligns with the scenario of the patient seeking the services of a salvador to communicate with a family member who recently died. The other choices are incorrect because: A: Determining herbs for hot flashes is typically done by an herbalist or healthcare provider. C: Treating lower back pain usually involves medical professionals like doctors or physical therapists. D: Acupuncture for smoking cessation is typically provided by licensed acupuncturists or healthcare professionals, not a salvador.

Correct Answer: A

Rationale: The correct answer is A: uterine contractions resulting in possible miscarriage. Feverfew is known to stimulate uterine contractions, which can potentially lead to miscarriage in pregnant women. This risk is especially concerning during the first trimester when the uterus is more sensitive to such stimulants. Uterine contractions can increase the risk of premature labor and miscarriage. Reduced fetal growth (choice B), insomnia (choice C), and tiredness the following day (choice D) are not directly associated with feverfew use during pregnancy. It is crucial for the nurse to educate the patient about the potential risk of uterine contractions and advise against the use of feverfew during pregnancy to ensure the safety of both the mother and the fetus.

Correct Answer: A

Rationale: The correct answer is A: thromboembolism due to increased clotting. Ginkgo biloba is known to have a blood-thinning effect, which can increase the risk of thromboembolism, especially for individuals recovering from a stroke. This can lead to potentially life-threatening complications such as blood clots. Choice B: Seizures due to interaction with anticonvulsants is incorrect because ginkgo biloba is not known to significantly interact with anticonvulsants to cause seizures. Choice C: Hypertension due to sodium retention is incorrect because ginkgo biloba is not known to cause sodium retention or lead to hypertension. Choice D: Photosensitivity due to increased melanin production is incorrect because ginkgo biloba is not associated with increased melanin production or photosensitivity reactions.

Correct Answer: C

Rationale: The correct answer is C because disclosure is a key component of the national patient safety movement. By disclosing the error to the patient and involving them in the decision-making process, the nurse promotes transparency, trust, and patient-centered care. This approach also allows for timely interventions to address the allergic reaction effectively. Choice A is incorrect because prioritizing agency consequences over patient safety goes against ethical principles. Choice B is incorrect as it suggests disclosing before discussing with the physician or management, which could lead to confusion and potential miscommunication. Choice D is incorrect since reporting to the patient's insurance company does not address the immediate patient safety concern of the allergic reaction.

Correct Answer: B

Rationale: The correct answer is B: Quality management. The nurse assessing and recording variations from the hospital standard of rotating IV sites every 72 hours is fulfilling a quality management role by ensuring adherence to established protocols to maintain patient safety and prevent complications. Quality management involves monitoring and improving healthcare processes to enhance patient outcomes. In this scenario, the nurse's actions contribute to maintaining high standards of care. Summary: A: Infection control focuses on preventing and controlling the spread of infections, not specifically related to monitoring compliance with IV site rotation. C: Coordinator position involves organizing and coordinating care, not directly related to assessing adherence to standards. D: Counselor provides emotional support and counseling to patients, not related to monitoring and maintaining healthcare standards.

Correct Answer: D

Rationale: The correct answer is D: Legitimate. The coordinator's power is based on their legitimate authority to invite individuals to join the quality improvement committee. Legitimate power is derived from one's position or role within an organization, giving them the right to make decisions and direct activities. In this scenario, the coordinator's invitation is based on their legitimate authority as the leader of the quality group. Choice A: Coercive power involves the use of threats or punishment to influence others, which is not evident in the scenario. Choice B: Transformational power focuses on inspiring and motivating others to achieve a common goal, which is not explicitly demonstrated in the scenario. Choice C: Laissez-faire power involves a hands-off approach to leadership, allowing individuals to make their own decisions without much guidance, which is not applicable in this scenario.

Correct Answer: A

Rationale: The correct answer is A because the preparedness phase of the disaster continuum aligns with the assessment and planning steps of the nursing process. In both situations, assessment involves identifying potential risks or needs, while planning entails developing strategies to address those risks or needs. Preparedness in disasters is about assessing vulnerabilities and creating plans to mitigate risks, which is akin to the initial steps in the nursing process. Choices B, C, and D are incorrect because they do not accurately match the phases of the disaster continuum with the corresponding steps in the nursing process. B incorrectly associates recovery with planning, C incorrectly links recovery with implementation, and D incorrectly pairs response relief with evaluation.

Correct Answer: B

Rationale: The correct answer is B: cost shifting. Cost shifting refers to the practice of healthcare providers charging higher prices to patients who have insurance or can pay in order to make up for the costs incurred from providing care to uninsured or underinsured individuals. This helps offset the financial burden caused by uncompensated care. A: Charity is incorrect because it refers to voluntary giving of help, typically in the form of money or goods, to those in need. Cost shifting involves charging more to certain patients to cover costs, rather than voluntary donations. C: Price sharing is incorrect as it does not accurately reflect the concept of redistributing costs among different groups of patients based on their ability to pay. D: Governmental reimbursement is incorrect because it specifically refers to payments made by the government to healthcare providers for services rendered to patients covered by government insurance programs, not the practice of cost shifting.