Nokea
Which role is not appropriate for the LPN to participate in?
- A. Administering medications
- B. Dressing changes
- C. Designing a research study
- D. Reporting patient changes
Correct Answer: C
Rationale: The correct answer is C. Designing a research study is not typically within the scope of practice for a Licensed Practical Nurse (LPN). LPNs are primarily involved in providing direct patient care, such as administering medications, performing dressing changes, and reporting patient changes. Designing research studies usually requires advanced education and training beyond what an LPN receives, making it an inappropriate role for an LPN to participate in.
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During preoperative teaching for a client scheduled for a total knee arthroplasty who speaks a different language than the nurse, which interprofessional team member should the nurse include in the discussion?
- A. Interpreter
- B. Social worker
- C. Occupational therapist
- D. Spiritual advisor
Correct Answer: A
Rationale: The correct answer is A: Interpreter. The nurse should include an interpreter in the discussion to ensure effective communication with the client. Clear communication is crucial for informed consent and understanding preoperative instructions. Social worker (B) may provide emotional support, not language translation. Occupational therapist (C) focuses on rehabilitation post-surgery. Spiritual advisor (D) addresses religious or spiritual needs, not language translation.
When the domain .edu is noted during the search for the term informatics, what should the individual determine about the site's affiliation?
- A. It's an internet service provider
- B. It's a commercial site
- C. It's a government agency
- D. It's an educational institution
Correct Answer: D
Rationale: Step 1: ".edu" domains are reserved for educational institutions.
Step 2: Informatics is a field related to information and computer science.
Step 3: Therefore, an educational institution would likely provide accurate and in-depth information on informatics.
Step 4: The individual can trust the credibility and reliability of the information provided.
Summary:
- Option A is incorrect because an internet service provider would not be affiliated with an educational topic like informatics.
- Option B is incorrect as commercial sites aim for profit, not education.
- Option C is incorrect as government agencies typically have different domain extensions.
Nurses on a unit provide personal hygiene, administer medications, educate patients, and provide emotional support. The nurses are providing patient care based on which nursing delivery system?
- A. total patient care
- B. team nursing
- C. functional nursing
- D. partnership nursing
Correct Answer: A
Rationale: The correct answer is A: total patient care. In this nursing delivery system, nurses are responsible for providing comprehensive care to assigned patients, including personal hygiene, medication administration, education, and emotional support. They have full autonomy and accountability for the patient's care throughout their stay. This system ensures continuity, individualized care, and a strong nurse-patient relationship.
Summary of other choices:
B: Team nursing involves a team of healthcare professionals working collaboratively to provide care. It does not assign individual nurses to specific patients for comprehensive care.
C: Functional nursing divides tasks among different nursing staff based on their expertise. It focuses on efficiency but lacks continuity and individualized care for each patient.
D: Partnership nursing involves collaboration between nurses and patients in decision-making and care planning. It emphasizes shared responsibility but does not assign individual nurses to provide total care to specific patients.
When considering factors like high risk for falls, infection protocols, and special communication needs to determine the mix and number of staff needed on a telemetry unit, what is being utilized?
- A. diagnostic related groups
- B. clinical pathways
- C. case management
- D. Patient classification system
Correct Answer: D
Rationale: The correct answer is D: Patient classification system. This system is used to determine the appropriate mix and number of staff needed on a telemetry unit based on factors such as high risk for falls, infection protocols, and special communication needs of patients. It categorizes patients according to their care requirements, allowing for efficient allocation of resources.
Incorrect choices:
A: Diagnostic related groups are used for billing purposes and grouping patients with similar diagnoses for reimbursement.
B: Clinical pathways are structured multidisciplinary care plans that outline the sequence of interventions for a particular diagnosis.
C: Case management involves coordinating care and resources for individual patients to ensure optimal outcomes.
While supervising the care of several clients, which action requires intervention by the charge nurse?
- A. A nurse photocopies a client's diagnostic test results.
- B. An assistive personnel documents the client's vital signs on the client's paper-based graphic record.
- C. The unit secretary faxes a client's laboratory results to the provider.
- D. An RN stays with a client to discuss her understanding of her vital signs that were requested.
Correct Answer: A
Rationale: The correct answer is A because photocopying a client's diagnostic test results without proper authorization violates the client's privacy and confidentiality. It is a breach of HIPAA regulations.
- Choice B is correct as assistive personnel can document vital signs on the client's record under supervision.
- Choice C is acceptable as long as the unit secretary is authorized to fax the client's results.
- Choice D is appropriate as it involves educating the client about her vital signs, promoting client understanding and autonomy.