A nurse is working on a medical-surgical unit that uses the total patient care delivery method. For each shift, the nurse should plan to take which of the following actions?
Delegate low-skilled tasks to assistive personnel.
Receive cross-training in multiple departments
Perform a specific nursing task for a group of clients.
Provide complete care for a caseload of clients.
Medications scheduled four times a day are administered 2 hr after the scheduled time.
The Correct Answer is D
A. Delegate low-skilled tasks to assistive personnel.
Delegating low-skilled tasks to assistive personnel is not consistent with the total patient care delivery method. In this model, the nurse assumes responsibility for providing comprehensive care to a smaller number of patients rather than delegating tasks to others. The nurse remains directly involved in all aspects of patient care, including assessment, planning, implementation, and evaluation.
B. Receive cross-training in multiple departments
Receiving cross-training in multiple departments may be beneficial in some healthcare settings but is not a characteristic of the total patient care delivery method. This model focuses on nurses providing individualized care to a specific group of patients within their assigned unit. Cross-training in multiple departments would not align with this model, as it could lead to divided attention and potentially compromise the quality of care provided.
C. Perform a specific nursing task for a group of clients.
Performing a specific nursing task for a group of clients is not consistent with the total patient care delivery method. In this model, the nurse is responsible for providing comprehensive care to a smaller number of patients, rather than focusing on specific tasks for multiple patients. Each patient's care is individualized and encompasses all aspects of nursing care, not just specific tasks.
D. Provide complete care for a caseload of clients.
Providing complete care for a caseload of clients is characteristic of the total patient care delivery method. In this model, the nurse assumes responsibility for the holistic care of a smaller number of patients during each shift. This approach allows for continuity of care, fosters therapeutic nurse-patient relationships, and promotes better patient outcomes.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Reinforcing teaching with a client about stool specimen collection:
This task involves providing education to the client, which requires nursing knowledge and judgment. It is not appropriate to delegate to assistive personnel, as they may not have the necessary training or expertise to provide accurate and comprehensive teaching.
B) Collecting a urine specimen from a client who is experiencing dysuria:
Collecting a urine specimen from a client who is experiencing dysuria is an appropriate task to delegate to assistive personnel. This task involves following a standard procedure for specimen collection and does not require specialized nursing judgment or assessment skills.
C) Taking the vital signs of a client who is experiencing acute angina:
Assessing vital signs, especially in a client experiencing acute angina, requires nursing judgment and the ability to recognize and respond to changes in the client's condition. This task should not be delegated to assistive personnel, as they may not have the training to recognize signs of deterioration or respond appropriately.
D) Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure:
Providing information over the phone regarding NPO (nothing by mouth) status involves assessing the client's specific situation, understanding the procedure's requirements, and potentially making clinical decisions based on the client's condition. This task requires nursing judgment and should not be delegated to assistive personnel.
Correct Answer is B
Explanation
A) Informed consent:
While informed consent documents provide information about the proposed surgical procedure, they typically do not include information about organ donation. Informed consent focuses on the risks, benefits, and alternatives of the procedure being performed, as well as the client's agreement to undergo the procedure.
B) Advance directives:
Advance directives, such as a living will or healthcare proxy, can contain information about a client's preferences regarding organ donation. These documents specify the client's wishes regarding medical interventions, including organ donation, in the event that they become incapacitated and unable to make decisions for themselves. Advance directives guide healthcare providers and family members in honoring the client's preferences regarding end-of-life care and organ donation.
C) Do-not-resuscitate order:
A do-not-resuscitate (DNR) order instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. While organ donation preferences may be discussed in the context of end-of-life care decisions, a DNR order specifically pertains to resuscitative measures and does not provide information about organ donation.
D) Provider's prescription:
A provider's prescription typically pertains to specific medications or treatments ordered by the healthcare provider for the client's care. It does not typically contain information about organ donation. Organ donation preferences are typically documented in advance directives or other specific forms related to donation programs.
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