A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP Indicates a need for assistance in establishing priorities?
"I have my assignment and will start with room 1, then work my way to room 10."
"After breakfast, I will pack the belongings of clients who will be discharged this morning."
"I will start by providing partial baths before breakfast."
"I will give this client his meal tray first, as he is going early to physical therapy."
The Correct Answer is A
Rationale:
A. Starting with room 1 and working to room 10 suggests a lack of prioritization based on client needs, which is important for efficient and effective care.
B. Packing belongings after breakfast is a reasonable plan, assuming it fits within the priorities of the shift.
C. Providing partial baths before breakfast might be acceptable depending on the client’s needs and the urgency of the task.
D. Giving a client their meal tray first based on their scheduled physical therapy is an example of prioritizing care based on client needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Ask the AP about her concerns with the assignment is appropriate as it allows the nurse to understand and address any potential issues or reasons for refusal.
B. Report the AP to the charge nurse should only be done if the refusal cannot be resolved through discussion.
C. Take the specimen to the laboratory should be done if needed, but it is important to first understand why the AP refused.
D. Complete an incident report might be premature without understanding the reason behind the refusal.
Correct Answer is A
Explanation
Rationale:
A. Set a target date is crucial during the moving stage to create a timeline for implementation and facilitate progress towards the change.
B. Use tactics to alert staff nurses that a change is needed is part of the earlier stage of planning and communicating the need for change, not specifically the moving stage.
C. Evaluate the effectiveness of the change occurs after the change has been implemented, not during the moving stage.
D. Assess the problem is part of the initial stage of change, not the moving stage.
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