Using Strader's seven-step decision-making process, the nurse needs to first identify the purpose. What must the nurse do next?

Correct Answer: C

Rationale: In Strader's seven-step decision-making process, after identifying the purpose, setting the criteria is the next logical step. This involves defining standards or goals like pain reduction or improved mobility that solutions must meet, providing a clear framework for evaluation. Deciding who's involved or enlisting client cooperation might follow but isn't immediate; the nurse must first establish what success looks like. Identifying solutions comes later, after criteria are set to guide options. For example, if the purpose is to manage a client's dyspnea, criteria might include oxygen saturation levels, ensuring subsequent steps align with measurable outcomes. This structured approach enhances decision-making precision in nursing practice.

Correct Answer: D

Rationale: Transitional epithelium changes shape with bladder fullness, stretching thin when full, a unique adaptation. It's stratified, not single-layered, and lacks special elastic substances. This aids nursing assessment of urinary function.

Correct Answer: A

Rationale: A washcloth in the sink prevents denture damage if dropped, best for safety. Pulling by the clasp, hot water, or overnight soaking risks harm. Nurses ensure this for equipment care.

Correct Answer: A

Rationale: Carbohydrates like grains form the food pyramid base, recommended most for energy, over vegetables, dairy, or proteins. Nurses teach this for balanced diets.

Correct Answer: B

Rationale: Assisting with passive range of motion exercises promotes mobility in a bedridden patient by maintaining joint flexibility and preventing stiffness, countering immobility's effects. Staying in bed or restricting movement worsens deconditioning, and restraints hinder progress. Nurses implement this to gradually restore function, supporting circulation and muscle health, a vital step toward active mobility in prolonged rest scenarios.