A nurse is reviewing the medical record of a client who has moderate Alzheimer's disease.
To effectively manage the provider prescriptions, which of the following tasks should the nurse assign to an assistive personnel (AP)?
Record strict nutritional content.
Administer memantine.
Perform neurological checks.
Continue bowel training program.
The Correct Answer is A
Choice A rationale
The task of recording strict nutritional content is within the scope of practice for an assistive personnel (AP). The AP can keep track of the client’s food and fluid intake and report this information to the nurse. This is important in this case as the client has not been eating and the provider has prescribed a regular tray with finger foods at each meal. The nurse can then use this information to assess the client’s nutritional status and make necessary adjustments to the care plan.
Choice B rationale
Administering medication, such as memantine, is not within the scope of practice for an AP. This task requires knowledge and skills related to pharmacology, assessment, and evaluation that are beyond the training of an AP. Therefore, this task should be performed by a licensed nurse.
Choice C rationale
Performing neurological checks is also not within the scope of practice for an AP. These checks involve assessing the client’s level of consciousness, orientation, and neurological function, which require advanced assessment skills. Therefore, this task should be performed by a licensed nurse.
Choice D rationale
Continuing the bowel training program could potentially be within the scope of practice for an AP, depending on the specific tasks involved. However, in this case, the family member has reported that the client is having more difficulty staying focused, which suggests that the bowel training program may need to be adjusted. This requires nursing judgment and therefore should be performed by a licensed nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A democratic leadership style, while effective in many situations, may not be the best approach during a code blue. This style often involves group decision-making, which can be time-consuming.
Choice B rationale
An authoritarian leadership style is often most effective during a code blue. This style involves clear, direct communication and quick decision-making, which are crucial in emergency situations.
Choice C rationale
A laissez-faire leadership style involves a hands-off approach, which is not appropriate during a code blue. Quick decision-making and direct leadership are needed in these situations.
Choice D rationale
While a transformational leadership style can be effective in motivating and inspiring staff, it may not be the best approach during a code blue. This style often involves big-picture thinking and long-term goals, which are not the focus during an emergency situation.
Correct Answer is C
Explanation
Choice A rationale
While followers demonstrating high critical thinking are valuable, passive contribution may not be as beneficial to a nurse leader’s performance. Active participation is often more beneficial in a healthcare setting, as it allows for the exchange of ideas and collaborative problem-solving.
Choice B rationale
Followers who are dependent and passive when they disagree may not contribute effectively to the team’s performance. Constructive disagreement can lead to better decision-making and innovation. Therefore, passive disagreement may not be the most beneficial trait for a nurse leader.
Choice C rationale
Followers who are active contributors and participate in developing and analyzing ideas are highly beneficial to a nurse leader’s performance. Active participation fosters a collaborative environment, encourages the exchange of ideas, and leads to innovative solutions. This type of follower can significantly enhance the performance of a nurse leader and the overall team.
Choice D rationale
While participation in developing and analyzing ideas is important, not being an active contributor can limit the effectiveness of this participation. Active contribution is key to fostering a collaborative and innovative environment.
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