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.
Nursing Test Bank
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","C","D"]
Explanation
"Gather enough supplies to last for 2 weeks": This information is essential for disaster preparedness. During emergencies, such as natural disasters or pandemics, access to resources may be limited for an extended period. Having a sufficient supply of food, water, medications, and other essentials for at least two weeks ensures that older adults can sustain themselves until assistance becomes available.
C) "Have a backup supply of nonprescription medications": It is crucial for older adults to have a backup supply of nonprescription medications, such as pain relievers, antacids, or allergy medications, in case they are unable to access pharmacies during a disaster. Having these medications readily available can help manage common health issues that may arise during emergencies.
D) "Stock 2 liters of water per person per day": Adequate hydration is essential for maintaining health, especially during emergencies when access to clean water may be disrupted. Older adults are particularly vulnerable to dehydration, so having a sufficient supply of water—approximately 2 liters per person per day—for drinking, cooking, and hygiene purposes is critical for their well-being.
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