Nokea
Delegation of tasks to appropriate personnel allows the nurse to:
- A. take a break.
- B. keep other members of the team productive.
- C. maintain tight control of all aspects of the workflow.
- D. realize the importance of her role by making all decisions.
Correct Answer: B
Rationale: Maintaining the productivity of all team members by delegating tasks appropriate to the job descriptions of the personnel increases work effectiveness and efficiency.
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The nurse notices that a family is waiting at the nursing station desk for its loved one to be brought to the unit for admission during a change-of-shift report. The nurse should:
- A. request that the family wait for its loved one in the client's room and wait to resume the report until the family has left the desk area.
- B. request that a nursing assistant bring coffee for the family while it waits at the desk and continue with the report.
- C. request that the family have a seat in the station rather than stand while awaiting its loved one.
- D. request that the family wait for its loved one in the Emergency Department waiting room.
Correct Answer: A
Rationale: To protect the privacy of clients and the confidentiality of the information shared in a change-of-shift report, the family should be asked to wait in the client's room, and the report should be resumed only after it can no longer hear what is said.
Which of the following is not true of clinical pathways?
- A. They need to be updated daily.
- B. They show how the client is expected to respond to their diagnosis.
- C. The goal is improvement or discharge from the facility.
- D. They are evidence based.
Correct Answer: A
Rationale: Clinical pathways may be daily or weekly, so they may not need to be updated every day.
An LPN works on an adult medical/surgical unit and has been pulled to work on the burn unit, which cares for clients of all ages. What should he do?
- A. He should take the assignment, but make it clear he will only care for adult clients.
- B. He should take the assignment, but explain the situation to the charge nurse and ask for a quick orientation before starting.
- C. He should refuse to take the assignment, as caring for infant and child population is not within his scope of practice.
- D. He should take the assignment, but ask to be paired with a more experienced LPN.
Correct Answer: B
Rationale: While the LPN may specialize in a certain type of nursing or feel more comfortable caring for a specific client population, he should be able to use his skill set to safely and independently care for other populations as well. However, the LPN should let the charge nurse know his background before beginning his shift so he can familiarize himself with new equipment, ask questions, and identify resources.
Which of these is true regarding advance directives?
- A. They must be reviewed and re-signed every 10 years in order to remain valid.
- B. An advanced directive is legally valid in every state, no matter which state it was created in.
- C. A physician must determine when a client is unable to make medical decisions for himself.
- D. They cannot be honored by EMTs (emergency medical technicians) unless signed by a doctor.
Correct Answer: D
Rationale: If summoned, EMTs are legally obligated to provide emergency care to a client, regardless of advance directive status, unless the directive is signed by a doctor. If the client is brought to the hospital, physicians will evaluate the client and implement the advance directive, if necessary. Two physicians, not one, are needed to determine if a client is unable to make decisions for himself/herself. Advance directives do not expire and remain in effect until they are changed. Some states do not honor advance directives created in other states, so if a client moves, he/she should check with his/her new state policies on this topic.
Carrying a donor card for organ donation means that:
- A. medical care is altered in the event of serious injuries to get organs for donation.
- B. the family or legally responsible party of a client has no decision-making authority in the event that the client is considered for organ donation.
- C. a client is allowed to revoke his decision for organ donation at any time.
- D. a client is considered an organ donor for only one organ or tissue.
Correct Answer: C
Rationale: Revocation of the decision for organ donation may occur at any time, by either the client or his responsible party. When organ donation is considered, as many organs as the donor wished to donate are considered and accepted for donation if found appropriate. Medical care for an individual during immediate care and/or resuscitation is not altered to declare a client dead and ready for organ donation.