A nurse is instructing a newly licensed nurse about the scope and standards of nursing practice. Which of the following describes standards of practice?

Provides competencies for the nurses to achieve before licensure.

Establishes a protocol for care to provide for a specific health problem.

Specifies that nurses provide care that reflects current and competent level of behavior when providing client care.

Lists a set of skills that all nurses should be competent in performing, outlines responsibilities that every nurse is expected to provide regardless of their role.

Answer and Explanation

The Correct Answer is C

Choice A reason: Providing competencies for the nurses to achieve before licensure is not a description of standards of practice, but rather a function of the nursing education and accreditation system. Standards of practice are authoritative statements that define the expected level of performance for nurses after they obtain their license.

Choice B reason: Establishing a protocol for care to provide for a specific health problem is not a description of standards of practice, but rather a function of the clinical practice guidelines and evidence based practice. Standards of practice are broader and more general statements that apply to all nurses regardless of their specialty or setting.

Choice C reason: Specifying that nurses provide care that reflects current and competent level of behavior when providing client care is a description of standards of practice, as it captures the essence of what standards of practice are and why they are important. Standards of practice are based on the best available evidence and professional consensus, and they guide nurses in delivering safe, quality, and ethical care to their clients.

Choice D reason: Listing a set of skills that all nurses should be competent in performing, outlining responsibilities that every nurse is expected to provide regardless of their role is not a description of standards of practice, but rather a function of the scope of practice. Scope of practice describes the services that a qualified health professional is deemed competent to perform, and permitted to undertake, in keeping with the terms of their professional license..

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Correct Answer is D

Explanation

Choice A reason: Preventing opioid use is not a benefit of de-escalation techniques. Opioid use is a complex issue that involves biological, psychological, and social factors, and cannot be prevented by simply deescalating emotional situations. De-escalation techniques may help to calm or soothe someone who is experiencing pain or distress, but they do not address the underlying causes or consequences of opioid use.

Choice B reason: Increasing communication is not a benefit of de-escalation techniques, but a means or a strategy to achieve de-escalation. Communication is an essential skill that helps to deescalate emotional situations by listening, validating, empathizing, and problem solving with the other person. Communication can also help to prevent or reduce conflicts, misunderstandings, and aggression. However, communication is not an outcome or a result of de-escalation, but a process or a tool to facilitate de-escalation.

Choice C reason: Decreasing hallucinations is not a benefit of de-escalation techniques. Hallucinations are perceptual disturbances that involve seeing, hearing, feeling, smelling, or tasting things that are not there. Hallucinations can be caused by various factors, such as mental disorders, neurological conditions, substance use, or medication side effects. De-escalation techniques may help to manage or cope with hallucinations, but they do not treat or eliminate them.

Choice D reason: Reducing restraint use is a benefit of de-escalation techniques. Restraint use is a practice that involves restricting the movement or behavior of a person who poses a risk of harm to themselves or others. Restraint use can have negative effects on the physical and psychological wellbeing of the person, such as injuries, infections, agitation, and trauma. De-escalation techniques can help to avoid or minimize the need for restraint use by resolving or calming emotional situations in a safe and respectful manner.

A. Rigid abdomen B. Dehydration C. Hypothermia D. Decreased bowel sounds

Correct Answer is B

Explanation

Choice A reason: This statement is incorrect because a rigid abdomen is not a common finding for a client who has had diarrhea for several days. A rigid abdomen may indicate peritonitis, which is an inflammation of the abdominal lining, usually caused by an infection or a perforation of an organ. A client with peritonitis may also have severe abdominal pain, fever, nausea, and vomiting.
Choice B reason: This statement is correct because dehydration is a common finding for a client who has had diarrhea for several days. Dehydration occurs when the body loses more fluid than it takes in, which can happen with frequent and watery stools. A client with dehydration may also have dry mouth, thirst, decreased urine output, dark urine, low blood pressure, increased heart rate, and confusion.
Choice C reason: This statement is incorrect because hypothermia is not a common finding for a client who has had diarrhea for several days. Hypothermia occurs when the body temperature drops below 35°C (95°F), usually due to exposure to cold environments or inadequate clothing. A client with hypothermia may also have shivering, slow breathing, slow pulse, drowsiness, and loss of consciousness.
Choice D reason: This statement is incorrect because decreased bowel sounds are not a common finding for a client who has had diarrhea for several days. Decreased bowel sounds may indicate ileus, which is a temporary paralysis of the intestinal movement, usually caused by surgery, medication, or inflammation. A client with ileus may also have abdominal distension, constipation, nausea, and vomiting.

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A nurse is instructing a newly licensed nurse about the scope and standards of nursing practice. Which of the following describes standards of practice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is attending training on de-escalation techniques. Which of the following is a benefit of de-escalation techniques?

Correct Answer is D

Explanation

A nurse is collecting data on a client who has had diarrhea for several days. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is reviewing the National Student Nurses Association (NSNA) website. Which of the following values are part of the NSNA code of ethics? (select all that apply)

A nurse is assisting with discharge planning for a client who has a sacral pressure injury and has a prescription for daily dressing changes. Which of the following resource referrals should the nurse anticipate from the provider for this client?

A nurse is discussing advancing interprofessional communication on the unit. Which of the following should the nurse identify as a barrier to this advancement?

A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

A nurse is assisting with teaching a class about categories of nurse sensitive quality indicators. The nurse should instruct the class that which of the following is included in the outcome category?

A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

A nurse is preparing to complete an occurrence report for a client who fell at the facility. Which of the following actions should the nurse take?

A nurse is instructing a newly licensed nurse about the scope and standards of nursing practice. Which of the following describes standards of practice?