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 C
Explanation
Choice A reason: Lack of social engagement is more commonly associated with autism spectrum disorder and may be present in Rett syndrome, but it is not specific enough to distinguish between the two.
Choice B reason: Lack of imaginative play is also more typical in autism spectrum disorder and may not definitively point toward Rett syndrome.
Choice C reason: Deceleration of head growth (microcephaly) around 6 months is a hallmark feature of Rett syndrome, distinguishing it from autism spectrum disorder, which usually does not present with postnatal deceleration in head circumference.
Choice D reason: Lack of eye contact can be observed in autism spectrum disorder and is not unique to Rett syndrome, making it less useful for differential diagnosis.
Correct Answer is D
Explanation
Choice A reason: The Postpartum Depression Rating Scale is less commonly used and not the standard screening tool for perinatal depression.
Choice B reason: PHQ-9 screens for general depression in primary care but is not specifically designed for perinatal populations.
Choice C reason: CES-D is a general depression screening instrument and not validated specifically for perinatal use.
Choice D reason: The Edinburgh Postnatal Depression Scale (EPDS) is a validated, widely used screening tool for perinatal depression, appropriate for use during pregnancy and postpartum.
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