A nurse is working with an RN to admit a new client. Which of the following steps of the nursing process is the nurse using when assisting to formulate goals for a positive outcome?

Choice A reason: The hospital supervisor is not the first person to notify, as they are not directly responsible for the unit or the staff. The hospital supervisor is usually a senior nurse who oversees the operations of the entire hospital or a specific shift. They may be involved in the later stages of the reporting process, but not as the initial contact.

Choice B reason: The charge nurse is the first person to notify, as they are the immediate supervisor of the unit and the staff. The charge nurse is usually an experienced nurse who coordinates the care and activities of the unit, assigns tasks, and provides guidance and support to the staff. They have the authority and responsibility to address the situation and take appropriate actions.

Choice C reason: The chief nursing officer is not the first person to notify, as they are not directly involved in the unit or the staff. The chief nursing officer is usually the highestranking nurse in the organization, who oversees the nursing practice, quality, and education across the entire system. They may be informed of the situation by the unit director or the hospital supervisor, but not as the initial contact.

Choice D reason: The unit director is not the first person to notify, as they are not directly available on the unit or the staff. The unit director is usually a nurse manager who oversees the administrative and financial aspects of the unit, such as budgeting, staffing, and evaluation. They may be notified of the situation by the charge nurse or the hospital supervisor, but not as the initial contact.

Choice A reason: Professional identity is not the correct answer, as it refers to the sense of belonging and alignment with the values and norms of the nursing profession. Joining a professional organization does not necessarily imply that the nurse has a strong professional identity, as they may have other motives or interests for doing so.

Choice B reason: Quality improvement is not the correct answer, as it refers to the systematic and continuous actions that lead to measurable improvement in health care services and outcomes. Joining a professional organization does not directly contribute to quality improvement, as it depends on the nurse's involvement and participation in the organization's activities and initiatives.

Choice C reason: Risk management is not the correct answer, as it refers to the process of identifying, analyzing, and reducing the potential for harm or loss in health care settings. Joining a professional organization does not affect risk management, as it does not change the nurse's responsibility or accountability for their practice.

Choice D reason: Professional commitment is the correct answer, as it refers to the degree of loyalty, dedication, and engagement that the nurse has towards the nursing profession. Joining a professional organization is an example of professional commitment, as it shows that the nurse is interested in advancing their knowledge, skills, and career, and in contributing to the development and improvement of the profession.