A nurse is planning to assign care activities to nursing assistive personnel (NAP) on her team. Which of the following activities can the nurse assign to the NAP? [SELECT ALL THAT APPLY]
Accompany a client who has depression to occupational therapy.
Initiate soft wrist restraints on a client who is at risk for self-harm.
Sit with a client who has alcohol use disorder and whose last drink was five days ago.
Set limits with a client who has mania.
Work a jigsaw puzzle with a client who has dementia.
Assess a client who has hypomania for exhaustion.
Correct Answer : A,E
A. This is a routine task that can be safely delegated to a NAP. It does not require complex decision- making or assessment skills.
B. This task requires the ability to assess the client's condition and determine the appropriate level of restraint. It is a task that should be performed by an RN or licensed practical nurse (LPN).
C. While this may seem like a simple task, it requires the ability to monitor the client for signs of withdrawal and to intervene if necessary. It is a task that should be performed by an RN or LPN.
D. This task requires the ability to assess the client's behavior and to intervene if necessary. It is a task that should be performed by an RN or LPN.
E. This is a therapeutic activity that can be delegated to a NAP. It can help to stimulate the client's cognitive function and provide social interaction.
F. This task requires the ability to assess the client's condition and identify potential complications. It is a task that should be performed by an RN or LPN.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A client's address is indeed considered personally identifiable information (PII) under HIPAA, which protects an individual's health information that can be used to identify them.
B. This statement is true. HIPAA is a federal law that sets standards for the protection of health information. However, state laws can provide additional protections but cannot be less stringent than HIPAA.
C. This statement indicates a need for further teaching. Under HIPAA, health information can only be disclosed to family members if the client has given consent or if it is in the best interest of the client (such as in emergencies). Without patient authorization, healthcare providers cannot disclose information freely.
D. This statement is accurate. HIPAA indeed regulates how individually identifiable health information is managed and protected, regardless of the format in which it is stored or communicated (verbal, electronic, or written).
Correct Answer is ["B","D","F"]
Explanation
A. While nonsteroidal anti-inflammatories (NSAIDs) are commonly used medications, they do not typically have a high potential for abuse or addiction. Monitoring these medications for diversion is generally not a primary concern compared to other classifications.
B. Opioids are one of the most commonly abused medication classes due to their pain-relieving properties and high potential for addiction. They are frequently monitored closely for signs of diversion and theft in healthcare settings.
C. Although some antidepressants may have mild abuse potential, they are not generally associated with the same level of diversion or abuse as opioids, benzodiazepines, or stimulants. Therefore, they are not typically monitored as closely.
D. Benzodiazepines are known for their sedative effects and potential for dependency and abuse. They are often misused for their calming effects, making them a priority for monitoring in medication inventories.
E. Anticholinergics are not commonly associated with abuse or diversion. They are used primarily for specific medical conditions and do not have a high potential for addiction, so monitoring these medications is not a primary focus.
F. Central nervous system (CNS) stimulants, such as those used to treat ADHD, have significant potential for abuse and dependency. These medications can lead to feelings of euphoria and are often misused, making them important to monitor closely for diversion.
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