Nokea
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.
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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.
The nurse is caring for a client who is unsure they will be able to make medical decisions as their disease progresses and would like to appoint another individual to have the authority to make these decisions. Which of the following options would be most appropriate?
- A. a living will
- B. informed consent
- C. a healthcare proxy
- D. non-informed consent
Correct Answer: C
Rationale: A healthcare proxy involves the client appointing an individual to make medical decisions with regard to their treatment if they are unable to do so themselves.
An example of a process standard on a med-surg unit is:
- A. a procedure for changing IV tubing.
- B. a policy for staffing.
- C. the job description of the CEO (chief executive officer).
- D. a procedure for checking waveforms on a client being treated on an intra-aortic balloon pump.
Correct Answer: A
Rationale: Process standards define the actions and behaviors required by staff to provide care.
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.
A concern regarding maternal and infant mortality and morbidity is that:
- A. a segment of the population is not receiving prenatal care.
- B. families appear unconcerned about quality health care.
- C. the personnel shortage in the maternity field will increase.
- D. maternal-child health workers are not adequately prepared.
Correct Answer: A
Rationale: There is a concern that a segment of the population is not accessing prenatal care, affecting infant and maternal mortality and morbidity.