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A charge nurse is working with an assistive personnel (AP) who provides excellent care to clients and is an effective team member. Which of the following actions should the nurse take first to recognize the AP's contributions to client care?

Tell other nurses what an effective team member the AP is.

Detail the AP's contributions to the nurse manager.

Nominate the AP for the Employee of the Month award.

Give positive feedback directly to the AP.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Telling other nurses is useful for team morale but does not directly recognize the AP.

B. Detailing contributions to the manager is valuable but can be done after initial direct recognition.

C. Nominating for an award is an excellent formal recognition but should follow immediate feedback.

D. Giving direct positive feedback immediately acknowledges the AP’s efforts and encourages continued good performance.

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Correct Answer is A

Explanation

A. Nonmaleficence: By completing a critical care and emergency nursing course before transferring to the ICU, the nurse is ensuring they are adequately prepared to care for critically ill clients. This action minimizes the risk of harm caused by a lack of knowledge or skill, demonstrating adherence to the principle of nonmaleficence.

B. Veracity: Veracity refers to truthfulness and honesty in interactions with clients and colleagues. While important, this scenario does not focus on providing truthful information.

C. Autonomy: Autonomy refers to respecting a client's right to make decisions about their care. This scenario does not involve supporting or promoting client decision-making.

D. Fidelity: Fidelity refers to being faithful to commitments and promises made to clients or the profession. While the nurse is demonstrating professional responsibility, this scenario aligns more closely with nonmaleficence than fidelity.

A. "My oncologist will continue to look for a cure for my cancer while I am receiving hospice care." B. "I should expect the hospice team to help me manage my dyspnea." C. "Hospice care services are available to patients who are terminally ill regardless of their life expectancy." D. "I will have to be admitted to a long-term care facility in order to receive hospice care."

Correct Answer is B

Explanation

Rationale:

A. Hospice care focuses on comfort and quality of life, not on curing the illness. Therefore, the oncologist would typically shift focus to palliative care.

B. Managing symptoms such as dyspnea is a primary aspect of hospice care, aimed at improving the quality of life.

C. Hospice care is usually for patients with a prognosis of six months or less, not for those with indefinite life expectancy.

D. Hospice care can be provided in various settings, including the patient’s home, not just long-term care facilities.

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A charge nurse is working with an assistive personnel (AP) who provides excellent care to clients and is an effective team member. Which of the following actions should the nurse take first to recognize the AP's contributions to client care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical-surgical unit has accepted a transfer to the Intensive care unit (ICU). Prior to transfer to the ICU, the nurse completes an online critical care and emergency nursing course. The nurse is demonstrating which of the following ethical principles?

Correct Answer is A

Explanation

A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care?

Correct Answer is B

Explanation

A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following as a triage officer during the time of a disaster?

A nurse manager is preparing an inservice program for the nurses on the unit about the use of a new infusion pump. Which of the following teaching strategies is the most effective way to ensure that the staff can use the device correctly?

A nurse is caring for a group of clients. She plans to delegate obtaining morning vital signs to an assistive personnel (AP) on her team. Which of the following actions should the nurse plan to take?

A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take?

A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?

A nurse is caring for an older adult client who is disoriented and has a history of falls. Which of the following actions should the nurse take? (Select all that apply.)