A charge nurse is observing a newly licensed nurse's use of time-management skills. Which of the following actions by the newly licensed nurse indicates effective use of this skill?

Documents client tasks at the end of the shift.

Gathers supplies as needed while completing an activity.

Groups tasks that are in the same location.

Skips breaks throughout the day to complete work on time.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Documenting client tasks at the end of the shift is not the most effective time-management skill. While documentation is important, it should be done in a timely manner to ensure accuracy and continuity of care. Waiting until the end of the shift might lead to missed details or inaccuracies.

Choice B rationale:

Gathering supplies as needed while completing an activity is a reasonable approach to time management. However, it is not the most effective skill listed. It's often more efficient to gather all necessary supplies before starting a task to minimize interruptions and maximize focus on the activity.

Choice C rationale:

This is the correct choice. Grouping tasks that are in the same location allows the nurse to minimize unnecessary movement and maximize efficiency. By completing tasks in close proximity, the nurse can save time and reduce the need for multiple trips back and forth.

Choice D rationale:

Skipping breaks throughout the day to complete work on time is not a recommended time-management strategy. Adequate breaks are essential for nurses to recharge, prevent burnout, and provide safe and effective care. Skipping breaks can lead to decreased performance, increased stress, and potential errors in patient care.

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Correct Answer is C

Explanation

Choice A rationale:

The nurse should not promise that a social worker will address the client's concerns, as this might not be accurate. While a social worker could be involved in the client's care, it's not their sole responsibility to address all concerns. The primary role of a social worker might be to provide emotional support and assistance with psychosocial issues.

Choice B rationale:

Suggesting that the client should plan to go to a skilled nursing facility after discharge might not be appropriate unless it's medically necessary. Terminal illness often requires a focus on palliative and hospice care rather than transferring to another care facility.

Choice C rationale:

This is the correct choice. The case manager plays a key role in coordinating the various resources and services the client will need after discharge. They ensure a smooth transition from the hospital to home, including arranging for home health care, medical equipment, and any other necessary services.

Choice D rationale:

Telling the client that they will need hospice care until they feel stronger is not appropriate. Hospice care is specifically for individuals with terminal illnesses who have a limited life expectancy. It is not about getting stronger but about providing comfort and support during the end-of-life period.

A. Leave the medication on the client's bedside table to take later. B. Return in 1 hr to administer the medication. C. Mix the medication in applesauce to administer to the client. D. Inform the client of the consequences of refusing the medication.

Correct Answer is D

Explanation

Choice A rationale:

Leaving the medication on the client's bedside table is not appropriate because it doesn't address the client's concerns and may result in the client not taking the medication at all. This choice does not promote the client's well-being.

Choice B rationale:

Returning in 1 hour to administer the medication doesn't address the client's immediate concerns and also doesn't provide adequate information about the medication's importance. Delaying the medication administration without proper communication is not ideal.

Choice C rationale:

Mixing the medication in applesauce may be appropriate in some cases, but it doesn't address the client's reluctance to take the medication due to fatigue. Additionally, the client's Crohn's disease might require specific instructions for medication administration that should not be altered without consulting the healthcare provider.

Choice D rationale:

The correct answer. Informing the client of the consequences of refusing the medication is the most appropriate action. The nurse should engage in a therapeutic conversation with the client, explaining the importance of the medication in managing Crohn's disease symptoms and preventing complications. This choice respects the client's autonomy while providing necessary information for an informed decision.

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A charge nurse is observing a newly licensed nurse's use of time-management skills. Which of the following actions by the newly licensed nurse indicates effective use of this skill?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a terminal illness and voices concern about performing self-care after discharge. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

A nurse is preparing to administer medication to a client who has Crohn's disease. The client states, "I want to skip this dose of my medication. I am too tired to take it." Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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