A nurse who is precepting a newly licensed nurse is discussing the client assignment for the shift. Which of the following actions should the nurse preceptor take first to demonstrate appropriate time management?

Determine client care goals.

Review the client's new laboratory values.

Complete required tasks.

Document assessment data.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the first action the nurse preceptor should take to demonstrate appropriate time management. By determining the client care goals, the nurse preceptor can prioritize the most important and urgent tasks for each client and delegate appropriately.

Choice B reason: This is not the first action the nurse preceptor should take to demonstrate appropriate time management. Reviewing the client's new laboratory values is an important task, but it should be done after determining the client care goals and before completing the required tasks.

Choice C reason: This is not the first action the nurse preceptor should take to demonstrate appropriate time management. Completing the required tasks is an essential part of nursing care, but it should be done after determining the client care goals and reviewing the client's new laboratory values.

Choice D reason: This is not the first action the nurse preceptor should take to demonstrate appropriate time management. Documenting the assessment data is a vital part of nursing care, but it should be done after completing the required tasks and before the end of the shift.

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Correct Answer is D

Explanation

Choice A reason: This is not the correct choice because this action is not the nurse's responsibility. Coordinating the team and the plan of care is the role of the case manager or the social worker, who can facilitate communication and collaboration among the different disciplines involved in the client's care.

Choice B reason: This is not the correct choice because this action is not the nurse's responsibility. Ordering durable medical equipment for the client's home is the role of the occupational therapist or the physical therapist, who can assess the client's functional needs and abilities and recommend the appropriate devices.

Choice C reason: This is not the correct choice because this action is not the nurse's responsibility. Helping the client obtain financial assistance is the role of the social worker or the financial counselor, who can identify the client's eligibility and options for funding and insurance coverage.

Choice D reason: This is the correct choice because this action is the nurse's responsibility. Performing a dietary assessment is part of the nursing process and the scope of practice of the nurse, who can evaluate the client's nutritional status and needs and provide education and counseling on diet modifications and interventions.

A. Inform the client that she cannot leave without a discharge prescription from the provider. B. Ask the client if she would like a sedative to help her relax. C. Assign a security officer to the client's room until the provider can speak with the client. D. Have the client sign the Against Medical Advice form.

Correct Answer is D

Explanation

Choice A reason: This is not the correct choice because this action is not legally required or ethically appropriate. The client has the right to refuse treatment and leave the hospital at any time, as long as she is competent and informed of the risks and consequences. The nurse should not coerce or threaten the client to stay against her will.

Choice B reason: This is not the correct choice because this action is not helpful or respectful. The client may have valid reasons for wanting to go home, such as personal or financial issues. The nurse should not assume that the client is anxious or irrational and offer her a sedative, which may impair her judgment and consent.

Choice C reason: This is not the correct choice because this action is not necessary or professional. The client is not a threat to herself or others, and does not need to be restrained or guarded by a security officer. The nurse should not use intimidation or force to prevent the client from leaving.

Choice D reason: This is the correct choice because this action is the best practice and the standard procedure. The nurse should explain to the client the benefits of staying and the risks of leaving, and document the conversation. The nurse should also ask the client to sign the Against Medical Advice form, which states that the client understands the implications of her decision and releases the hospital and the provider from liability.

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A nurse who is precepting a newly licensed nurse is discussing the client assignment for the shift. Which of the following actions should the nurse preceptor take first to demonstrate appropriate time management?

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Naxlex Comprehensive Predictor Exams

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