Nokea
A charge nurse is planning a staff meeting to address low morale on the unit. Which of the following actions should the charge nurse take to promote a positive discussion?
- A. Criticize staff members who have been vocal about their dissatisfaction.
- B. Invite staff to share ideas for improving the work environment.
- C. Schedule the meeting during a busy shift to ensure attendance.
- D. Focus solely on the unit's performance metrics.
Correct Answer: B
Rationale: Inviting staff to share ideas fosters collaboration and engagement, creating a positive environment for addressing morale issues and encouraging staff input.
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A charge nurse plans to use effective change strategies when implementing a change in a nursing procedure on the medical-surgical unit. Which of the following actions should the charge nurse take during the moving stage of change?
- A. Set a target date.
- B. Use tactics to alert staff nurses that a change is needed.
- C. Evaluate the effectiveness of the change.
- D. Assess the problem.
Correct Answer: A
Rationale: The correct answer is A: Set a target date. During the moving stage of change, setting a target date is crucial to create a sense of urgency and maintain momentum. It provides a clear timeline for implementation, ensuring accountability and focus. This action helps prevent delays and keeps the change process on track.
Choice B is incorrect because alerting staff nurses about the need for change is more relevant during the unfreezing stage. Choice C is incorrect as evaluating effectiveness typically occurs during the refreezing stage. Choice D is incorrect as assessing the problem is part of the initial stages of change management, not the moving stage.
A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
- A. Teach a client about low-sodium foods.
- B. Measure and record intake and output for a client.
- C. Perform wound irrigation for a client.
- D. Evaluate pain relief for a client following the administration of a pain medication.
Correct Answer: B
Rationale: The correct answer is B: Measure and record intake and output for a client. This task can be safely delegated to an assistive personnel (AP) as it is a non-invasive and routine task that does not involve critical thinking or interpretation. APs are trained to perform basic tasks like measuring and recording intake and output accurately under the supervision of a nurse. Other choices are incorrect because: A involves providing client education which requires critical thinking and assessment skills, C involves a procedure that requires specific training and skill, and D involves evaluating the effectiveness of pain relief which requires nursing judgment and assessment skills.
A nurse is teaching a class on torts. The nurse should instruct the class that administering an antibiotic medication to a competent client after the client has refused it is an example of which of the following torts?
- A. False imprisonment
- B. Assault
- C. Battery
- D. Negligence
Correct Answer: C
Rationale: The correct answer is C: Battery. Battery is the intentional harmful or offensive touching of another person without consent. In this scenario, administering the antibiotic medication to a competent client after they have refused it constitutes a deliberate act of touching the client without their consent, which aligns with the definition of battery.
False imprisonment (A) involves restricting a person's freedom of movement unlawfully, which does not apply in this case. Assault (B) involves the threat of harmful or offensive contact, not the actual act itself. Negligence (D) is the failure to exercise proper care in a situation, which is not applicable here as the action was intentional.
A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)?
- A. Blood for PaCO2
- B. Random stool specimen
- C. Wound drainage for culture
- D. Urine from an indwelling catheter
Correct Answer: B
Rationale: The correct answer is B: Random stool specimen. The rationale is that collecting a random stool specimen does not require specialized training or skills, making it appropriate for assistive personnel (AP) to perform. Collecting blood for PaCO2 (A) requires specific training and knowledge of arterial blood gas sampling. Wound drainage for culture (C) involves sterile technique and knowledge of wound care. Urine from an indwelling catheter (D) requires knowledge of catheter care and sterile technique. Therefore, delegating the collection of a random stool specimen to AP is the most appropriate choice.
A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?
- A. A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eye sight
- B. A client who has terminal cancer and needs assistance with pain management
- C. A client who has dementia and needs help with activities of daily living
- D. A client who is recovering from a stroke and needs someone to provide care while his spouse is at work
Correct Answer: B
Rationale: The correct answer is B because hospice care is appropriate for clients with terminal illnesses who require palliative care, such as pain management. This client's terminal cancer indicates a need for hospice services to provide comfort and support during end-of-life care. Choices A, C, and D do not meet the criteria for hospice care as they do not involve terminal illness requiring palliative care. Choice A's issue can be managed with assistance, choice C's issue is related to dementia care, and choice D's issue is related to post-stroke care.