.A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for a high-frequency chest compression vest in response to which of the following parent statements?

"I am concerned about my child's future participation in team sports."

"My child doesn't like to sit still for nebulizer treatments."

"My child has only a small amount of mucus after percussion therapy."

"I think that my child has been running a fever over the last couple of days."

Answer and Explanation

The Correct Answer is C

A. Concerns about participation in team sports are important, but they do not directly warrant a request for a high-frequency chest compression vest.

B. Discomfort with nebulizer treatments suggests the need for alternate therapies but does not specifically indicate a need for the vest.

C. A statement regarding a small amount of mucus after percussion therapy suggests that traditional methods of airway clearance may not be effective enough, indicating a need for a high-frequency chest compression vest to help mobilize mucus.

D. A fever may indicate an infection or exacerbation but does not directly relate to the need for a high-frequency chest compression vest.

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Correct Answer is C

Explanation

A. Comparing the nurse's skills to coworkers may not provide an accurate evaluation as it can vary based on individual roles and responsibilities.

B. While client satisfaction reports can reflect overall performance, they may not specifically address time management skills.

C. Maintaining regular notes about the nurse's time management skills allows for ongoing assessment and provides concrete examples during the appraisal, making it the most effective method.

D. Asking another staff nurse for evaluation can introduce bias and may not provide a comprehensive view of the nurse's time management skills.

A. Assess a client who has hypomania for exhaustion B. Accompany a client who has depression to occupational therapy C. Check the position of a client in soft wrist restraints D. Sit with a client who has alcohol use disorder and whose last drink was five days ago E. Set limits with a client who has mania

Correct Answer is D

Explanation

Assessing a client requires clinical judgment and should not be delegated to an AP.

B. Accompanying a client to occupational therapy is a task that can be safely assigned to an AP as it does not require clinical judgment.

C. Checking the position of a client in soft wrist restraints is a routine task that can be assigned to an AP as long as the AP has been trained in restraint protocols.

D. Sitting with a client who has alcohol use disorder (5 days after their last drink) is a task that an AP can perform, especially if the client does not require close monitoring for medical complications such as delirium tremens.

E. Setting limits with a client requires therapeutic communication skills and clinical judgment, so this should not be delegated to an AP.

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.A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for a high-frequency chest compression vest in response to which of the following parent statements?

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Naxlex Comprehensive Predictor Exams

A nurse manager is preparing a newly licensed nurse's performance appraisal. Which of the following methods should the nurse manager use to evaluate the nurse's time management skills?

Correct Answer is C

Explanation

A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)

Correct Answer is D

Explanation

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