Which of the following should be included in a discussion of advance directives with new nurse graduates?

Correct Answer: A

Rationale: Step 1: The Patient Self-Determination Act requires healthcare providers, including nurses, to inform clients of their right to create an advance directive. Step 2: New nurse graduates need to understand this legal requirement to comply with ethical and legal standards. Step 3: By discussing this requirement with new nurse graduates, they will be better equipped to provide information and support to clients regarding advance directives. Step 4: This step is crucial in ensuring that clients' autonomy and right to self-determination are respected. Step 5: Option A is the correct answer as it directly relates to the legal obligation of nurses in discussing advance directives with clients. Summary: Options B, C, and D are incorrect as they do not address the specific legal requirement outlined in the Patient Self-Determination Act for informing clients about their right to create an advance directive.

Correct Answer: D

Rationale: The correct answer is D: Transformational leadership theory. This theory emphasizes the leader's ability to inspire and motivate followers to exceed their own self-interests for the good of the organization. In this scenario, the nurse's focus on improving multitasking and problem-solving aligns with the transformational leader's goal of empowering others to innovate and tackle challenges. Emotional intelligence (A) focuses on understanding and managing emotions, not specifically on multitasking or problem-solving. Motivation theory (B) addresses the factors that drive behavior but doesn't necessarily encompass multitasking and problem-solving skills. Situational leadership theory (C) emphasizes adapting leadership style to fit the situation, not specifically on improving multitasking and problem-solving abilities.

Correct Answer: A

Rationale: The correct answer is A because it provides positive reinforcement for a behavior that the nurse manager wants to encourage. By praising the CNA for her timely response to patients' call lights, the nurse manager is acting as a coach by recognizing and reinforcing a positive behavior. This approach is motivational and helps the CNA understand the importance of time management in a positive manner. Choice B is incorrect because it focuses on the CNA's appearance, which is not directly related to time management or coaching. Choice C is incorrect as it uses a threat of discipline rather than coaching to address the issue of vital signs being taken on time. Choice D is incorrect as it uses a negative statement without providing constructive feedback or coaching to address the issue of reporting blood sugar levels on time.

Correct Answer: D

Rationale: The correct answer is D (Values and Vision & Mission statements) because they are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & Mission statements define the organization's purpose, goals, and direction, providing a roadmap for strategic decisions. Reengineering (choice C) is not a typical component of strategic planning as it focuses on process improvement rather than guiding the overall strategy. Choice A (Values) alone is not sufficient for strategic planning without a clear direction provided by Vision & Mission statements (B), making D the most comprehensive and accurate choice.

Correct Answer: C

Rationale: The correct answer is C because in a high-volume maternity unit that uses differentiated practice, new graduates can expect their initial level of practice responsibility to be limited. This is because differentiated practice involves assigning tasks based on the individual nurse's skills and experience level. New graduates are typically assigned less complex tasks initially to ensure patient safety. Choice A is incorrect because evidence-based practice and risk management principles are not directly related to the staffing model being used. Choice B is incorrect because client teaching is typically a shared responsibility among all team members, not solely the team leader. Choice D is incorrect because in differentiated practice, client assignments are based on individual skills and competencies, not seniority.