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A nurse is considering moving from the hospital setting to home health care. In speaking with other professionals, what qualities does the nurse find they should possess to be successful? Select all that apply.
- A. Making accurate assessments
- B. Researching new treatments for chronic diseases
- C. Communicating effectively
- D. Delegating tasks appropriately
- E. Performing clinical skills effectively
- F. Making independent decisions
Correct Answer: A,C,E,F
Rationale: Nurses working in the community must have the knowledge and skills to make accurate assessments, work independently, communicate effectively, and perform clinical skills accurately. Community-based nurses may be researchers and occasionally delegate care, but these are not key qualities for this type of nursing.
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A nurse on a medical-surgical unit is teaching a patient's family about hospice care. How does the nurse best explain the focus of this care?
- A. Hospice care focuses on symptom and pain relief.
- B. Nutrition is provided orally or by tube to maintain intake.
- C. Surgical procedures are performed when medically necessary.
- D. Services are provided until the patient's death.
Correct Answer: A
Rationale: Hospice services include pain management, physician and nurse practitioner services, spiritual support, respite services, and bereavement counseling.
A nurse asks the AP to prepare the hospital room for a new ambulatory patient. Which aspect of the room will the nurse ask the AP to correct?
- A. The bed linens are folded back.
- B. A hospital gown is on the bed.
- C. Equipment for taking vital signs is in the room.
- D. The bed is in the highest position.
Correct Answer: D
Rationale: A properly prepared hospital room includes a bed in the lowest position for an ambulatory patient, an open bed with top linens folded back, routine and special equipment and supplies assembled, and the physical environment of the room adjusted.
When transferring a patient from the operating room to the medical-surgical unit, a nurse uses the SBAR format for handoff communication. Place the components of the SBAR communication (Situation, Background, Assessment, and Recommendations) in their proper order.
- A. This 20-year-old patient presented to the ER with right lower quadrant pain, fever, and an elevated WBC count.
- B. The patient is postlaparoscopic appendectomy.
- C. The patient may need pain medication in 30 minutes.
- D. The patient is sleepy, but responsive; five small bandages on the abdomen are clean and dry.
Correct Answer: B,A,C,D
Rationale: The SBAR communication for this patient should be: The patient is post laparoscopic appendectomy. This 20-year-old patient presented to the ER with right lower quadrant pain, fever, and an elevated WBC count. The patient may need pain medication in 30 minutes. The patient is sleepy, but responsive; there are five small bandages on the abdomen that are clean and dry.
A nurse is caring for a patient who has been hospitalized for dehydration secondary to a urinary tract infection. The patient states, 'I'm leaving. There are too many germs here, and I'll probably get sicker than when I came in.' As this patient has capacity for decision making, which response is most consistent with the nurse's legal accountability?
- A. Only the primary health care provider can authorize your discharge from a hospital.
- B. Let me gather your belongings and prepare the discharge paperwork.
- C. I will inform the health care provider that you want to leave and request a psychiatric consult.
- D. Your choice carries risks for complications, so I must ask you to sign a release form.
Correct Answer: D
Rationale: The patient is legally free to leave the hospital against medical advice (AMA); however, patients who who leave AMA must sign a form releasing the health care provider and hospital from legal responsibility for their health status. This signed form becomes part of the medical record.
A nurse and AP are planning to receive a patient who sustained a traumatic head injury in a motor vehicle accident. Which activity can the nurse safely delegate to the AP?
- A. Collecting information for a health history
- B. Performing a physical assessment
- C. Contacting the health care provider for medical orders
- D. Preparing the bed and collecting needed supplies
Correct Answer: D
Rationale: The nurse may delegate preparation of the bed and collection of needed supplies to assistive personnel but performs the other activities listed, as they require clinical judgment and specialized skills.