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A nurse is planning to delegate a task to an assistive personnel (AP). Which of the following actions should the nurse plan to take?

Determine the social skills of the AP.

Assess the AP's ability to follow the client's teaching plan.

Provide a clear description of the task to the AP.

Evaluate the ability of the AP to work with peers.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Determining social skills is not directly related to task delegation.

B. Assessing ability to follow the client's teaching plan is beyond the scope of AP duties.

C. Providing a clear description of the task ensures that the AP understands what is expected, which is essential for effective delegation.

D. Evaluating ability to work with peers is important but not the primary focus for task delegation.

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Correct Answer is ["A","B","C","D"]

Explanation

The nurse's documentation of the client being "inappropriate" is vague and unprofessional. Additionally, using the term "huge fall risk" without a specific assessment or plan to mitigate the risk (e.g., implementing fall precautions) is not adequate documentation. Further, the nurse’s reliance on physical or chemical restraints without exploring alternative interventions suggests a need for education on restraint use and patient safety practices.

The nurse's notes reflect a subjective description of the client's behavior as 'inappropriate' and 'complaining or arguing,' which is not objective or professional. It is important for nursing documentation to remain objective and to describe observed behaviors rather than labeling them. The statement that the client is "medically stable" should be supported by objective data rather than subjective observation, and it is important to note that mental health stability is also a crucial aspect of overall health.

A. Withholding a dose of narcotic pain medication when the client has respiratory depression B. Discussing advance directives with the client and the client's family C. Providing comfort care measures to the client D. Allowing the client's family unlimited visitation at the time of death

Correct Answer is A

Explanation

Rationale:

A. Withholding a dose of narcotic pain medication when there is respiratory depression aligns with nonmaleficence, as it prevents further harm by not exacerbating the client's respiratory issues.

B. Discussing advance directives is important but is more related to autonomy and respect for the client’s wishes rather than nonmaleficence.

C. Providing comfort care is a supportive measure but does not specifically address nonmaleficence in terms of preventing harm.

D. Allowing unlimited visitation respects family wishes but does not directly relate to the principle of nonmaleficence regarding the client’s immediate medical needs.

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A nurse is planning to delegate a task to an assistive personnel (AP). Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions?

Correct Answer is A

Explanation

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