Correct Answer: D

Rationale: The correct answer is D because the IOM competencies aim to improve healthcare by addressing both individual and system-based approaches. This is crucial as it recognizes that improving healthcare requires a comprehensive approach that involves changing both individual behaviors and systemic structures. A: Each competency is mutually exclusive - This is incorrect as the competencies are designed to work together, not in isolation. B: The competencies focus on individual efforts to reduce errors - This is incorrect as the competencies also emphasize the importance of systemic changes to prevent errors. C: Physicians lead the team to achieve each competency - This is incorrect as the competencies are meant to be achieved collaboratively by a multidisciplinary team, not solely led by physicians.

Correct Answer: B

Rationale: The correct answer is B because the U.S. Bureau of Labor Statistics predicts that the job growth rate for RNs will surpass job growth in all other occupations by 2020. This is supported by the increasing demand for healthcare services due to an aging population and advancements in medical technology. Choice A is incorrect as the need for registered nurses is expected to continue due to the complexity of patient care. Choice C is incorrect as the need for hospital nurses is projected to increase, not decrease. Choice D is incorrect as many hospitals still struggle to achieve the required RN workforce due to various factors like turnover and retention issues.

Correct Answer: C

Rationale: The correct answer is C. The Unlicensed Assistive Personnel (UAP) can be delegated the task of obtaining the initial blood pressure reading because this task is within their scope of practice and does not require specialized nursing knowledge or assessment skills. The UAP can be trained and supervised to accurately measure blood pressure, freeing up the RN to focus on assessing the patient's overall condition and providing necessary interventions. Delegating this task to the UAP is cost-effective and efficient, allowing the RN to prioritize critical nursing assessments and interventions for the patient's presenting symptoms. Incorrect choices: A: RN - The RN should not perform tasks that can be safely delegated to other members of the healthcare team to optimize efficiency and resource utilization. B: LPN/LVN - While LPNs/LVNs have more advanced training than UAPs, obtaining a blood pressure reading is a basic task that can be appropriately delegated to UAPs. D: Using the blood pressure obtained in the ambulance - This option does

Correct Answer: A

Rationale: The correct answer is A: Change out of their work attire before running errands. This is because maintaining a professional image involves setting clear boundaries between work and personal life. By changing out of work attire before running errands, the nurse avoids potential misconceptions or misunderstandings from the public. Choice B (Renew membership in a nursing organization) is not directly related to maintaining a professional image, although it is important for professional development. Choice C (Earning an advanced nursing degree) may enhance professional qualifications but does not directly impact the nurse's image. Choice D (Developing effective nurse-physician relationships) is important for teamwork but does not specifically address individual professional image.

Correct Answer: A

Rationale: In developing a patient classification system, planned procedures are crucial as they determine resource allocation, staffing needs, and patient acuity. Understanding the procedures aids in categorizing patients accurately based on care requirements. Ethnic diversity, clinical competency, and educational level are not primary factors in this initial step as they do not directly impact patient classification. Ethnicity does not determine care needs, staff competency should already be ensured, and nurse education level is not the sole determinant of patient classification. Hence, A is the correct choice for developing an effective patient classification system.