A nurse manager has asked other nurses to contribute to the performance appraisal of a newly licensed nurse.

Exhibits

For each assessment finding, click to specify if the finding is consistent with the need for further nurse development related to Time Management, Delegation, or Professional Behavior. Each finding may support more than 1 assessment finding.

Frequent trips to supply room when doing bedside care such as wound care.

Notes on clients written on multiple small pieces of paper.

Does not take breaks.

Coming early and staying late to chart.

Frequent personal phone calls during shift.

Covering other nurses' clients for breaks.

Missed prescriptions in the EHR.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A,C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"B"},"G":{"answers":"A,C"}}

Time Management: Concerns related to how the nurse manages their time, including the efficiency of their work and how they handle their responsibilities (e.g., frequent trips to the supply room, notes written on small pieces of paper, coming early and staying late to chart).

Delegation: Issues related to the nurse's ability to delegate tasks effectively (e.g., covering other nurses' clients for breaks, which could suggest issues with delegation).

Professional Behavior: Concerns related to the nurse's conduct and adherence to professional standards (e.g., frequent personal phone calls during shifts, not taking breaks, missed prescriptions, covering other nurses' clients without taking breaks).

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Rationale:

A. Hospice care focuses on comfort and quality of life, not on curing the illness. Therefore, the oncologist would typically shift focus to palliative care.

B. Managing symptoms such as dyspnea is a primary aspect of hospice care, aimed at improving the quality of life.

C. Hospice care is usually for patients with a prognosis of six months or less, not for those with indefinite life expectancy.

D. Hospice care can be provided in various settings, including the patient’s home, not just long-term care facilities.

A. Nonmaleficence B. Veracity C. Autonomy D. Fidelity

Correct Answer is A

Explanation

A. Nonmaleficence: By completing a critical care and emergency nursing course before transferring to the ICU, the nurse is ensuring they are adequately prepared to care for critically ill clients. This action minimizes the risk of harm caused by a lack of knowledge or skill, demonstrating adherence to the principle of nonmaleficence.

B. Veracity: Veracity refers to truthfulness and honesty in interactions with clients and colleagues. While important, this scenario does not focus on providing truthful information.

C. Autonomy: Autonomy refers to respecting a client's right to make decisions about their care. This scenario does not involve supporting or promoting client decision-making.

D. Fidelity: Fidelity refers to being faithful to commitments and promises made to clients or the profession. While the nurse is demonstrating professional responsibility, this scenario aligns more closely with nonmaleficence than fidelity.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care?

Correct Answer is B

Explanation

A nurse on a medical-surgical unit has accepted a transfer to the Intensive care unit (ICU). Prior to transfer to the ICU, the nurse completes an online critical care and emergency nursing course. The nurse is demonstrating which of the following ethical principles?

Correct Answer is A

Explanation

A nurse asks the assistive personnel (AP) to take a specimen to the laboratory and the AP refuses. Which of the following actions should the nurse take?

A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?

A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?

A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?

A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?

A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse include in the incident/variance report? (Select all that apply.)

A nurse is supervising a newly licensed nurse who is caring for a client on a behavioral health unit. Exhibits Complete the following sentence by using the list of options. The nurse should instruct the newly licensed nurse to first dropdown then dropdown.