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A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
- A. A nurse should communicate with the performance improvement committee during a disaster to improve client outcomes.
- B. A nurse can recommend clients who are stable for discharge during a disaster.
- C. A unit nurse has the authority to prescribe emergency medications during a disaster.
- D. A unit nurse can provide information to the media during a disaster.
Correct Answer: B
Rationale: The correct answer is B because a nurse can recommend clients who are stable for discharge during a disaster to free up resources for more critical patients. This shows an understanding of prioritizing care and resource allocation in emergency situations. Choice A is incorrect because the performance improvement committee is not directly involved in disaster response. Choice C is incorrect because prescribing medications is outside the scope of a nurse's authority. Choice D is incorrect because providing information to the media is usually handled by designated spokespersons, not unit nurses.
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A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?
- A. The emergency department nurse is waiting to give report on a new admission.
- B. Two staff members have called to say they will be absent.
- C. A nurse on the previous shift wrote an incident report about a medication error.
- D. Transport assistance is unavailable to take a client to occupational therapy.
Correct Answer: A
Rationale: The correct answer is A because the charge nurse should address urgent situations first. The emergency department nurse waiting to give report on a new admission indicates a critical patient needing immediate attention. Addressing this first ensures timely and appropriate care for the patient. Choices B and D, staff absences and transport assistance availability, can be managed after addressing the urgent patient situation. Choice C, the incident report about a medication error, is important but not as time-sensitive as the new admission report. Therefore, the charge nurse should prioritize addressing the emergency department nurse's report first.
A nurse is teaching a class of newly licensed nurses about evidence-based practice. The nurse should include which of the following as the first step in evidence-based practice?
- A. Develop a clinical question.
- B. Collect evidence from a variety of sources.
- C. Apply research to client care practice.
- D. Critically assess the evidence.
Correct Answer: A
Rationale: The correct answer is A: Develop a clinical question. This is the first step in evidence-based practice as it helps focus the search for evidence. By formulating a clear and specific question, nurses can identify relevant research studies to inform their practice. Collecting evidence (B) comes after formulating the question. Applying research to practice (C) and critically assessing evidence (D) are important steps but occur later in the process.
A nurse is caring for a client who has early-stage Alzheimer's disease. In which of the following actions is the nurse acting as a client advocate?
- A. Requesting a referral for the client to attend reminiscent therapy sessions
- B. Reorienting the client several times throughout the day
- C. Providing assistance for the client when ambulating down the hall
- D. Performing an updated cognitive assessment on the client
Correct Answer: A
Rationale: Requesting reminiscent therapy promotes the client's cognitive function and dignity, aligning with advocacy by prioritizing their best interests.
A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?
- A. Notify the client's provider about the incident.
- B. Instruct the AP to discontinue the conversation.
- C. Complete an incident report about the breach of client confidentiality.
- D. Reassign the AP to other clients on the unit.
Correct Answer: B
Rationale: The correct answer is B: Instruct the AP to discontinue the conversation. The nurse should address the situation immediately by instructing the AP to stop discussing the client's care in a public setting like the cafeteria to maintain client confidentiality. This action prevents further breach of confidentiality and reinforces the importance of respecting privacy. Notifying the provider (A) may be necessary later, but the immediate action should be to stop the conversation. Completing an incident report (C) is important for documentation but is not the first step. Reassigning the AP (D) may not address the root issue of confidentiality breach.
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?
- A. The nurse puts on a face mask.
- B. The nurse turns her back to the sterile field.
- C. The nurse holds her hands above her waist.
- D. The nurse applies goggles.
Correct Answer: C
Rationale: Holding hands above the waist maintains sterility, as areas below the waist are considered non-sterile.