Nokea
When working with the family of a patient receiving palliative care, what is the nurse's initial intervention?
- A. Determining who will be the patient's durable power of attorney
- B. Identifying what types of help the family will need to care for the patient
- C. Completely an assessment of the family's strengths and weaknesses
- D. Discuss the dynamics of the family with the patient
Correct Answer: B
Rationale: The correct initial intervention for the nurse when working with the family of a patient receiving palliative care is to identify what types of help the family will need to care for the patient (Choice B). This is because understanding the family's needs and resources is essential for providing effective support. By identifying the specific types of assistance required, the nurse can tailor the care plan to meet the family's needs, enhancing the quality of care provided to the patient.
Determining the patient's durable power of attorney (Choice A) is important but usually comes later in the process after understanding the family's needs. Completing an assessment of the family's strengths and weaknesses (Choice C) is valuable but not the initial step. Discussing the dynamics of the family with the patient (Choice D) may be relevant but is not the priority when initiating support for the family.
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During height and weight assessments at a school's health fair, a child admits to drinking a cup of coffee with his mother every morning, and another child reports enjoying a morning cup of coffee on the commute to school. These two children are both below average on the height chart, and the nurse states, "Drinking coffee stunts a child's growth." This logical fallacy is referred to as:
- A. appeal to common practice.
- B. confusing cause and effect.
- C. ad hominem abusive.
- D. red herring.
Correct Answer: B
Rationale: The correct answer is B: confusing cause and effect. The nurse's statement implies that drinking coffee causes the children to be below average in height, which is a logical fallacy. Height is determined by genetics, nutrition, and overall health factors, not by drinking coffee. The nurse is mistakenly attributing the children's height to their coffee consumption without considering other relevant factors. This error in reasoning is known as confusing cause and effect.
A: Appeal to common practice is when an argument is justified based on the fact that many people do it, which is not relevant to the coffee consumption issue.
C: Ad hominem abusive is attacking the person making the argument rather than addressing the argument itself, which is not the case here.
D: Red herring is when irrelevant information is used to distract from the main issue, which is not the case in this scenario.
A nurse hopes to improve time management skills using the ABC prioritization approach. Which tasks would be prioritized as "B"? (select all that apply)
- A. Turn in time sheet due in 3 days.
- B. Review dress code policy to give feedback before appointment in the morning.
- C. Perform blood glucose test on a patient admitted with Kussmaul respirations and change in level of consciousness.
- D. Complete patient teaching prior to discharge in 2 hours.
Correct Answer: B
Rationale: The correct answer is B because reviewing the dress code policy to give feedback before an appointment in the morning is time-sensitive and directly impacts the nurse's professional responsibilities. This task falls under the "B" category in the ABC prioritization approach, which prioritizes tasks that are important but not urgent. This task requires attention before the morning appointment to ensure professionalism and compliance.
Tasks A, C, and D are not prioritized as "B" because they are either more urgent or less important compared to reviewing the dress code policy before the morning appointment. Task A is important but not urgent as the time sheet is not due immediately. Task C is categorized as "A" as it involves a critical patient situation that requires immediate attention. Task D is categorized as "C" as it is important and time-sensitive, needing completion before discharge in 2 hours.
Which actions would result in a greater number of nurses entering and staying in practice, given today's state of nursing? (select all that apply)
- A. Determine why few black women enter graduate school.
- B. Provide incentives for minorities and men to enter nursing.
- C. Obtain grant funding to increase the number of faculty members and scholarship availability for students entering baccalaureate nursing programs.
- D. Survey nurses to determine why their job satisfaction is lower than that of other health care professions.
Correct Answer: B
Rationale: The correct answer is B: Provide incentives for minorities and men to enter nursing. This is because increasing diversity in the nursing profession can help address shortages and improve patient care. Incentives can attract underrepresented groups and address disparities.
A, determining why few black women enter graduate school, may address a specific subgroup but not the broader issue of nursing shortages.
C, obtaining grant funding for faculty and scholarships, may help improve education opportunities but may not directly address the retention and recruitment of nurses.
D, surveying nurses about job satisfaction, is important but may not directly address attracting more nurses into the profession or keeping them in practice.
A patient is admitted with hypotension, shortness of breath, flushing, and hives. All levels of staff have been trained to assess vital signs. Given budget restrictions and proper delegation rules, to which care provider would the RN delegate the task of obtaining the initial blood pressure reading?
- A. RN
- B. LPN/LVN
- C. Unlicensed assistive personnel (UAP)
- D. Use the blood pressure obtained in the ambulance, because it was assessed via electronic monitoring.
Correct Answer: C
Rationale: The correct answer is C. The Unlicensed Assistive Personnel (UAP) can be delegated the task of obtaining the initial blood pressure reading because this task is within their scope of practice and does not require specialized nursing knowledge or assessment skills. The UAP can be trained and supervised to accurately measure blood pressure, freeing up the RN to focus on assessing the patient's overall condition and providing necessary interventions. Delegating this task to the UAP is cost-effective and efficient, allowing the RN to prioritize critical nursing assessments and interventions for the patient's presenting symptoms.
Incorrect choices:
A: RN - The RN should not perform tasks that can be safely delegated to other members of the healthcare team to optimize efficiency and resource utilization.
B: LPN/LVN - While LPNs/LVNs have more advanced training than UAPs, obtaining a blood pressure reading is a basic task that can be appropriately delegated to UAPs.
D: Using the blood pressure obtained in the ambulance - This option does
A nurse who was recently certified in chemotherapy administration fails to check compatibility of phenytoin (Dilantin) before injecting into a continuous infusion of D W leading to occlusion of the line. Which statement by the nurse demonstrates a red herring?
- A. The nurse is upset and states, "I am sure I have injected this before without a problem" and the supervisor interprets this to mean the nurse often take shortcuts.
- B. The nurse states, "You are just upset because I am certified in chemotherapy administration and you are not."
- C. "The nurse who started the IV didn't get a blood return but determined the IV was the patient's"that is the problem."
- D. "This drug always occludes the line because it is so viscous."
Correct Answer: D
Rationale: The correct answer is D because it is a red herring statement that distracts from the main issue. Phenytoin is not known to be viscous enough to cause line occlusion. Step 1: Identify the issue - failure to check compatibility. Step 2: A, B, and C address the issue directly or indirectly, while D deflects blame to the drug's viscosity. Step 3: A acknowledges the mistake, B deflects by attacking the supervisor, and C blames the IV setup. In summary, D is incorrect as it diverts attention from the main issue, making it a red herring.