Which of the following is an example of an environmental factor that could influence decision-making in nursing?

Correct Answer: D

Rationale: The correct answer is D because all the choices (A, B, C) are examples of environmental factors that can influence decision-making in nursing. Personal preferences can affect how a nurse chooses a treatment plan. Ethical considerations impact decisions regarding patient care. The availability of resources, such as staffing or medical supplies, can constrain decision-making. Therefore, considering all these factors collectively (personal preferences, ethical considerations, and availability of resources) is crucial in making informed nursing decisions.

Correct Answer: C

Rationale: The correct answer is C: Internal standards. Rationale: 1. Internal standards refer to criteria set by an organization based on its own goals and values. 2. Absolute judgment means evaluations are made against these internal standards. 3. By using internal standards, evaluations are consistent and aligned with organizational objectives. 4. External sources (A) and manager's personal opinion (D) are subjective and may not reflect organizational goals. 5. Manager and staff's perceived notion (B) may vary and lack consistency, unlike internal standards. Summary: Internal standards provide a consistent and objective basis for evaluations, ensuring alignment with organizational goals. External sources, personal opinions, and perceived notions lack this consistency and alignment.

Correct Answer: B

Rationale: The correct answer is B: Generate a pool of qualified applicants. The main purpose of recruitment activities is to attract and identify a diverse pool of qualified candidates for a job vacancy. By generating a pool of qualified applicants, the organization increases the chances of finding the best fit for the position. Option A, assessing motivation, is not the main purpose but can be a part of the recruitment process. Option C, assessing skills, and option D, assessing ability, are more related to the selection process rather than recruitment.

Correct Answer: B

Rationale: The correct answer is B: Complete an incident report. This is because completing an incident report is crucial for documenting the details of the injury, initiating an investigation, and implementing preventive measures. Notifying security (A) is important for immediate assistance. Notifying the nursing supervisor (C) ensures appropriate follow-up care. Ensuring staff has been examined (D) is essential for assessing and treating injuries. Completing an incident report is a standard protocol in healthcare settings to ensure proper documentation and accountability.

Correct Answer: B

Rationale: The correct answer is B: Schedule the patient for a fasting blood glucose level. At the first prenatal visit, it is important to assess the patient's risk factors for developing gestational diabetes, especially with a family history of diabetes. A fasting blood glucose level will provide an initial screening to determine if the patient is at risk for gestational diabetes. This test is non-invasive, cost-effective, and provides valuable information early in the pregnancy. Teaching about administering regular insulin (A) is premature without confirming a diagnosis. An oral glucose tolerance test at the twenty-fourth week (C) is typically done later in pregnancy to diagnose gestational diabetes. Providing teaching about fetal problems with gestational diabetes (D) is important but should come after confirming the diagnosis.

Correct Answer: D

Rationale: The correct answer is D: To coordinate long-term care services. Nurse case managers focus on coordinating and managing the long-term care needs of patients, ensuring continuity and quality of care. They work with healthcare providers, patients, and families to develop and implement care plans. Explanation: A: Providing direct patient care is typically the role of nurses, not specifically nurse case managers. B: Managing healthcare facilities is the responsibility of healthcare administrators, not nurse case managers. C: Advocating for patient rights is important but not the primary role of a nurse case manager; their focus is on coordinating care services.

Correct Answer: C

Rationale: The primary goal of evidence-based practice (EBP) is to enhance clinical decision-making. Evidence-based practice involves integrating the best available research evidence with clinical expertise and patient values to make informed decisions about patient care. By using evidence-based practice, healthcare providers can ensure that their decisions are based on the most current and relevant evidence, leading to improved patient outcomes. While reducing healthcare costs, improving patient outcomes, and ensuring patient safety are important aspects of healthcare, they are not the primary goal of evidence-based practice.

Correct Answer: C

Rationale: The correct answer is C: Network model. In this model, the HMO contracts with multiple IPAs, allowing members to choose from a wider network of physicians. This promotes flexibility and choice. The other choices are incorrect because: A: Staff model involves directly employing physicians, not contracting with IPAs. B: Point of service model allows members to go outside the network for care, not necessarily contracting with IPAs. D: Group model involves physicians working in a group practice, not IPAs.

Correct Answer: D

Rationale: Step 1: Tying the problem to clients' care is crucial in coaching to ensure the client sees the relevance and importance of addressing the issue. Step 2: This step helps create motivation and engagement for the client to actively work towards solving the problem. Step 3: By connecting the problem to the client's values and well-being, it enhances the client's commitment to the coaching process. Step 4: This step also promotes a deeper understanding of the impact the problem has on the client's life, driving them towards meaningful change. Step 5: Overall, tying the problem to clients' care is essential for effective coaching by fostering a client-centered approach and facilitating meaningful progress. Summary: A: Stating the target is important but not as overlooked as tying the problem to clients' care. B: Jumping to conclusions is a common mistake to avoid in coaching. C: Asking for suggestions can be beneficial, but it is not the often overlooked step in coaching.