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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. While concerns about making false reports are understandable, they should not prevent a nurse from reporting suspected abuse. In many jurisdictions, "good faith" reporting protects individuals who report suspected abuse from liability, even if the report turns out to be false.
B. A nurse does not need concrete evidence to report suspected child abuse. The law typically requires that suspicion alone is sufficient to warrant a report. Nurses are encouraged to report any suspicion of abuse to ensure that the appropriate authorities can investigate.
C. Commitment from a potential abuser to stop the abuse does not negate the responsibility to report. Mandatory reporting laws require that any suspicion of child abuse be reported to the appropriate authorities, regardless of the abuser's intentions.
D. This statement accurately reflects the legal obligation of health care professionals. If a nurse has any suspicion of child abuse, they are mandated to report it to the appropriate authorities. This ensures that investigations can occur and that children are protected from potential harm.

A. The nurse is likely not liable because surgery is beyond the nurse's scope of practice. B. The nurse is not likely liable because the signature only specifies that the nurse witnessed the client signing the consent form. C. The nurse may be liable because cosigning the consent form makes the nurse an equal member of the surgical team. D. The nurse is liable because cosigning the consent form confirms that the client fully understood the risks of surgery

Correct Answer is B

Explanation

A. While it’s true that surgery itself is beyond the nurse's scope of practice, liability can still arise from the actions taken in relation to the consent process. The issue is not about the surgery itself but about the responsibility associated with witnessing the consent.
B. The nurse’s role in this context is to witness the client’s signature, not to guarantee the client’s understanding of the procedure or the risks involved. The witness signature generally indicates that the nurse observed the client signing the document but does not imply that the nurse ensured the client understood all aspects of the surgery.
C. Cosigning a consent form does not make the nurse an equal member of the surgical team in terms of decision-making or responsibilities. The nurse's role as a witness is limited to observing the signing process.
D. The nurse’s signature does not imply that they confirmed the client's understanding of the risks involved. The responsibility for explaining the risks and ensuring the client’s understanding typically falls to the physician or surgeon.

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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]

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates an understanding by the newly licensed nurse?

Correct Answer is D

Explanation

The preoperative admitting nurse witnessed a client sign an operative consent form. The nurse then cosigned the same document as a witness. The client suffered an injury during surgery and names the nurse in the suit because the nurse witnessed the consent form. What is the most likely outcome?.

Correct Answer is B

Explanation

The busy emergency department at a hospital has experienced a sharp increase in negative outcomes among clients with heart conditions in the past month. Which of the following actions should the nursing staff take to improve client outcomes?

A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete which priority assessment?

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

A nurse is caring for a client who has sickle cell anemia. The client asks. "Why do I feel so tired and fatigued all of the time?" Which of the following information should the nurse provide?

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available is morphine 10 mg/mL. Which of the following actions should the nurse take?

What is the most likely reason a patient would discontinue their prescribed hydroxyurea?