Read the scenario below and highlight the statement that demonstrates shared governance. Select all that apply.

A hospital committee engages in a strategic planning process for the implementation of a facility-wide change that especially affects resident nurses. The committee insists on hosting regular Town Hall meetings, in which affected staff members and stakeholders are encouraged to attend.

Choice A Reason:

A workload rating is a method used to assess the amount of work required in a particular setting. While it is an important tool for understanding staffing needs and workload distribution, it does not describe a prototype evaluation system. A prototype evaluation system typically involves testing new methods or technologies to improve processes, such as scheduling or patient care.

Choice B Reason:

An experimental computer-based scheduling system that organizes staffing based on programmed rules and algorithms fits the description of a prototype evaluation system. This type of system is designed to test new approaches to scheduling and staffing, using advanced algorithms to optimize resource allocation. By experimenting with different rules and algorithms, the system aims to improve efficiency and effectiveness in staffing decisions.

Choice C Reason:

A formula-driven approach that calculates nursing productivity is a method used to measure the efficiency and output of nursing staff. While this approach is valuable for evaluating performance and productivity, it does not align with the concept of a prototype evaluation system. Prototype evaluation systems are more focused on testing new technologies or methods rather than solely calculating productivity.

Choice D Reason:

A patient classification system that gives each patient a score is used to categorize patients based on their care needs. This system helps in determining the appropriate level of care and resources required for each patient. However, it does not describe a prototype evaluation system. Prototype evaluation systems are typically experimental and involve testing new processes or technologies.

Choice E Reason:

A system that sorts patients into general groups to estimate their care requirements is a patient classification system. While this system is useful for planning and resource allocation, it does not fit the description of a prototype evaluation system. Prototype evaluation systems are experimental and focus on testing new approaches to improve existing processes.

Choice A Reason

Feeling in control of her behavior is an important goal for clients with anorexia nervosa, as it addresses the psychological aspect of the disorder. Anorexia nervosa often involves a significant loss of control over eating behaviors and body image. However, while regaining a sense of control is crucial, it is not the immediate priority when the client is severely underweight and at risk for serious health complications. The primary focus should be on stabilizing the client’s physical health.

Choice B Reason

Making positive statements about improvements in body image is also an important goal, as it can help improve the client’s self-esteem and body perception. However, this goal is more long-term and secondary to addressing the immediate physical health risks associated with severe weight loss. Positive body image can be worked on concurrently with nutritional rehabilitation but should not overshadow the urgent need for weight gain.

Choice C Reason

Identifying changes within the family unit that promote the client’s autonomy is beneficial for long-term recovery. Family dynamics often play a significant role in the development and maintenance of eating disorders. Promoting autonomy and healthy family interactions can support the client’s recovery process. However, similar to the previous goals, this is a secondary priority compared to the immediate need to address the client’s critical nutritional status.

Choice D Reason

Gaining 2 pounds of weight per week is the most immediate and critical goal for a client with anorexia nervosa who is severely underweight. This goal directly addresses the life-threatening physical health risks associated with the disorder, such as malnutrition, electrolyte imbalances, and organ failure. Achieving a safe and steady weight gain is essential for stabilizing the client’s health and providing a foundation for addressing the psychological aspects of the disorder.