A nurse is meeting with a client who has been treated at a substance use disorder clinic for three months. The client has had two follow up appointments at the clinic since their first visit, has attended a community-based peer support group twice weekly, and has taken their prescribed medication as directed. The nurse is discussing the effectiveness of these interventions with the client. The nurse is completing which of the following phases of the nursing process?

Analysis/diagnosis

Evaluation

Implementation

Planning

Answer and Explanation

The Correct Answer is B

A. Analysis/diagnosis involves identifying health problems based on assessment data.
B. Evaluation involves assessing the effectiveness of the interventions and progress towards goals, which is what the nurse is doing.
C. Implementation refers to carrying out the plan of care.
D. Planning involves setting goals and determining the best interventions, which precedes implementation and evaluation.

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Correct Answer is D

Explanation

A. Right communication involves clear, concise instructions and feedback.
B. Right circumstances refer to appropriate setting and resources for delegation.
C. Right person involves ensuring the delegatee is qualified to perform the task.
D. Right supervision includes monitoring, evaluating, and providing feedback, which the nurse is doing by checking on the tasks.

A. Confrontation B. Providing information C. Clarification D. Summarizing

Correct Answer is C

Explanation

A. Confrontation involves addressing discrepancies or conflicts directly, which is not what the nurse is doing here.
B. Providing information involves giving facts or details, which is not the primary focus of the nurse's question.
C. Clarification is used to ensure understanding, which the nurse is seeking by confirming the client's feelings.
D. Summarizing involves briefly restating the main points, which is not what the nurse is doing in this instance.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse checks with assistive personnel on the unit throughout the shift to determine if they are completing tasks. The nurse is demonstrating which of the following rights of delegation?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

A nurse is delegating client care assignments for the shift. Which of the following teks should the nurse delegate to an assistive personnel (AP)?

A nurse is caring for a client who has a mental health disorder. The client asks about his medications and their effects. The nurse asks the client why he needs to know this. Which of the following nontherapeutic communication techniques is the nurse using?

An on-duty nurse discovers that a colleague is stealing medicines. According to the Nurse Practice Acts, what should the nurse do?

A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure." Which of the following actions should the nurse take?

A client refuses to have pain medication administered by injection. The nurse states, "If you don't let me give you the shot, I will get help to hold you down and give it." What tort may the nurse be committing?

A nurse is trying to encourage a client with paraplegia who is depressed and not adhering to the treatment program to join a support group. Which statement by the nurse is most appropriate?

Which nursing activity reflects secondary prevention?