Nokea
When charting in the client's record or chart, the nurse most needs to do which one of the following things?
- A. Date and sign each entry.
- B. Chart every two hours.
- C. Use ballpoint pen and not pencil.
- D. Cross out errors so others can't read them.
Correct Answer: A
Rationale: Dating and signing each chart entry is most essential, establishing a legal timeline and accountability for actions. Fixed intervals aren't mandatory, pens ensure permanence but aren't the priority, and crossing out errors risks misinterpretation. This practice validates care, crucial for nursing documentation integrity.
You may also like to solve these questions
When John has been given paracetamol, his fever was brought down dramatically from 40 degrees Celsius to 36.7 degrees in a matter of 10 minutes. The nurse would assess this event as:
- A. The goal of reducing john's fever has been met with full satisfaction of the outcome criteria
- B. The desired goal has been partially met
- C. The goal is not completely met
- D. The goal has been met but not with the desired outcome criteria
Correct Answer: A
Rationale: Paracetamol dropping fever from 40°C to 36.7°C in 10 minutes fully meets the goal of fever reduction e.g., normal range (36.6-38°C) achieved. Partial or unmet goals imply residual fever; undesired criteria suggest side effects (none here). Nurses document this success, per outcome evaluation standards.
The nurse gave the wrong medication to Mr. Gary that lead to his cardiac arrest. This is an example of?
- A. Malpractice
- B. Negligence
- C. Assault
- D. Battery
Correct Answer: A
Rationale: Wrong medication causing cardiac arrest is malpractice (A) breach of nursing standards, per tort law. Negligence (B) is broader, assault (C) intent-based, battery (D) touch-based. A's professional error fits, making it correct.
The nurse cares for 4 clients. Which activity demonstrates the nurse's understanding of how ethnicity influences the client's health?
- A. Provide financial resources from local organizations to pay for a client's health care needs.
- B. Teach a client using drawings, repetition, short sentences, and simple language.
- C. Assess a 5-month-old African American client for sickle cell anemia.
- D. Explain the consequences of not exercising and only eating fast food due to a stressful job.
Correct Answer: C
Rationale: Ethnicity influences health through genetic predispositions and cultural factors. Assessing a 5-month-old African American client for sickle cell anemia (C) reflects this, as the disease is prevalent in African descent populations due to a genetic mutation. Providing financial resources (A) addresses access, not ethnicity-specific health. Teaching with simple methods (B) aids comprehension but isn't ethnicity-tied. Diet and exercise advice (D) is general, not ethnic-specific. C is correct. Rationale: Sickle cell anemia's higher incidence in African Americans requires early screening to prevent complications like vaso-occlusive crises, showcasing culturally competent care rooted in genetic epidemiology, unlike the other options.
Which of the following is true about the NURSING CARE PLAN?
- A. It is nursing centered
- B. Rationales are supported by interventions
- C. Verbal
- D. Atleast 2 goals are needed for every nursing diagnosis
Correct Answer: A
Rationale: The nursing care plan is nursing-centered (A), focusing on nurse-led actions, per planning standards. Rationales support interventions (B) reverses logic, verbal (C) isn't typical, two goals (D) isn't required. A aligns with purpose, making it correct.
Rommel told Budek, 'Do you think Im crazy?' Budek responded, 'Do you think your crazy?' Budek uses what example of therapeutic communication?
- A. Reflecting
- B. Restating
- C. Exploring
- D. Seeking clarification
Correct Answer: A
Rationale: Budek's 'Do you think you're crazy?' is reflecting (A), redirecting Rommel's question to explore his feelings or self-perception. Restating (B) repeats verbatim (e.g., 'You think you're crazy?'). Exploring (C) digs deeper (e.g., 'Why do you ask?'). Clarification (D) seeks meaning. Reflecting, per Peplau, fosters self-reflection, apt for Rommel's doubt, making A correct.