A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

Confirming that a client appears competent to consent to a surgical procedure.

Verifying that a client voluntarily gave consent to a surgical procedure.

Witnessing a client consent for a surgical procedure.

Explaining the steps of a surgical procedure to a client.

Answer and Explanation

The Correct Answer is D

A.   This is a professional and important action. Ensuring that a client is competent to consent means that the nurse is verifying that the client understands the nature, purpose, risks, and benefits of the procedure. Competence to consent is a legal and ethical requirement, and it is part of the nurse’s role to support and facilitate the informed consent process.
B.   This is also a professional and necessary action. It involves checking that the client’s consent is given freely, without coercion or undue pressure. This step ensures that the consent is valid and ethical. It is part of the nurse's responsibility to ensure that the consent process respects the client's autonomy.
C.   The nurse as a witness is there to observe that the consent is signed by the client and that the client understands what they are consenting to. However, the nurse should not be the one explaining the procedure or the risks involved unless they are specifically trained and authorized to do so.
D.   This is generally not considered professional behavior for a nurse unless they have specific training and authorization to provide detailed information about surgical procedures. Typically, detailed explanations of the procedure are provided by the surgeon or a qualified healthcare provider.

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Correct Answer is B

Explanation

A. This statement reflects a misunderstanding of delegation principles. Typically, the original delegating nurse is responsible for ensuring that the task is completed correctly and safely. APs are not authorized to re-delegate tasks to other APs. The nurse must ensure that the task is assigned appropriately and directly to the right individual, considering their qualifications and experience.
B. This statement demonstrates an understanding of proper delegation practices. When delegating tasks, the nurse should indeed consider the AP's level of experience and competence. Delegating tasks based on the AP's skills ensures that the tasks are performed safely and effectively, aligning with the principle that delegation should be based on the qualifications and experience of the person to whom the task is assigned.
C. This statement reflects a misunderstanding of accountability in delegation. When a nurse delegates a task to an AP, the nurse does not relinquish accountability for client outcomes. The nurse remains accountable for ensuring that the task is delegated appropriately and that the care provided meets professional standards.
D. This statement indicates a misunderstanding of the AP’s role. APs typically do not provide client
education, as this requires specialized knowledge and assessment skills that are within the scope of practice of licensed nurses. Client education, especially about self-care, is generally performed by registered nurses who can assess the client’s understanding and provide detailed instructions.

A. Clinical judgement B. Critical thinking C. Concept mapping D. Clinical reasoning

Correct Answer is D

Explanation

A. While clinical judgment is essential in decision-making, it is based on experience and intuition. While valuable, it alone is not sufficient for evidence-based decision-making.
B. Critical thinking is a vital component of clinical decision-making, but it focuses on analyzing information and evaluating options. It's part of the process but doesn't encompass the entire evidence- based decision-making framework.
C. This is a visual tool used to organize information and identify relationships. It's a helpful aid in decision-making but not the core component.
D. This involves using critical thinking, knowledge, and experience to analyze patient data, consider options, and make decisions. It is the process of applying evidence to patient care and is therefore the most accurate answer.

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A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

Which of the following is a component of clinical decision-making that the nurse should use to make an evidence-based decision?

Correct Answer is D

Explanation

A nurse is teaching a class on leadership. The nurse should include that which of the following types of leaders strictly enforce rules to maintain compliance?

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