Administration in a facility is charged with developing a shared governance structure within nursing to develop/revise policies/procedure, and to weigh in on decisions that ultimately support the success of the facility.

What is this process called?

Choice A rationale
While auscultating the lung fields can provide valuable information about the patient’s respiratory status, it is not the most immediate action needed for a COPD patient with an oxygen saturation of 89%4.
Choice B rationale
Administering oxygen is the most appropriate action for a COPD patient with an oxygen saturation of 89%. This will help increase the patient’s oxygen saturation and alleviate their shortness of breath.
Choice C rationale
Elevating the head of the bed can help improve lung expansion and ease breathing, but it is not as immediately effective as administering oxygen.
Choice D rationale
Assisting the patient to get up to the chair is not the most immediate action needed for a COPD patient with an oxygen saturation of 89%4.

Choice A rationale
The Americans with Disabilities Act (ADA) prohibits discrimination against people with disabilities in several areas, including employment, transportation, public accommodations, communications and access to state and local government’ programs and services. If a diabetic client was terminated from their employment for using their glucose meter, it would infringe upon this law.
Choice B rationale
The Emergency Medical Treatment and Active Labor Act (EMTALA) is a statute that governs when and how a patient may be refused treatment or transferred from one hospital to another when he is in an unstable medical condition. This law is not related to employment rights.
Choice C rationale
The Mental Health Parity Act (MHPA) is legislation signed into United States law on September 26, 1996 that requires annual or lifetime dollar limits on mental health benefits to be no lower than any such dollar limits for medical and surgical benefits offered by a group health plan or health insurance issuer offering coverage in connection with a group health plan. This law does not pertain to employment rights.
Choice D rationale
The Affordable Care Act (ACA), also known as Obamacare, is a healthcare reform that includes a list of health-related provisions that began taking effect in 2010. It doesn’t deal with employment rights.