The 4-D model of appreciative inquiry is best defined as which of the following?
Dream, design, deliver, discover
Discover, dream, design, destiny/deliver
Dream, design, define, deliver
Discover, design, define, deliver/destiny
The Correct Answer is B
Choice A reason: This sequence does not reflect the structured stages of appreciative inquiry, which emphasize discovery and envisioning possibilities before design and implementation.
Choice B reason: The 4-D model includes Discover (identify strengths), Dream (envision what could be), Design (plan actions to achieve the dream), and Destiny/Deliver (implement and sustain positive change), making this the correct sequence.
Choice C reason: This sequence omits the discovery phase and replaces destiny with define, which is inconsistent with the established model.
Choice D reason: Mixing deliver and destiny without following the proper sequence of discovery, dreaming, designing, and delivering misrepresents the model.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Osteoporosis treatment is recommended for patients with a t-score of -2.5 or below, which indicates significant bone density loss and a high risk of fractures.
Choice B reason: While a history of fragility fracture indicates high risk, treatment is often initiated based on bone density criteria even in the absence of fracture.
Choice C reason: Patients with osteopenia may receive treatment based on fracture risk, but the threshold is typically higher than 1%, and clinical guidelines focus on t-score criteria or significant risk factors.
Choice D reason: Age alone, even if older than 65, is not sufficient for treatment unless accompanied by diagnostic criteria or fractures. Symptomatic presentation is not the primary trigger for therapy.
Correct Answer is B
Explanation
Choice A reason: Duty to patient refers to the legal obligation of the healthcare provider to adhere to a standard of care for patients. While this duty exists in the scenario, the act of administering gentamicin improperly does not represent the duty itself.
Choice B reason: Breach of duty occurs when a healthcare provider fails to meet the standard of care, as in administering a nephrotoxic or ototoxic drug without appropriate monitoring. This failure directly constitutes a breach in professional responsibility.
Choice C reason: Proximate cause is the direct link between the breach and the harm suffered. In this case, while the gentamicin administration caused the hearing loss, proximate cause is the connection, not the act of malpractice itself.
Choice D reason: Damages refer to the harm or loss suffered by the patient, such as hearing loss or occupational impairment, but they are not the act of malpractice itself.
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