An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?

The client who is actively dying and requires IV pain medication

The client who is 3 days postoperative and requires a dressing change

The client who requires frequent ambulation

The client who is in protective isolation

Answer and Explanation

The Correct Answer is A

A.   This client needs IV pain medication, which requires advanced skills and knowledge to manage and administer safely. This situation involves complex and sensitive care, including pain management and end-of-life issues. RNs are typically responsible for administering IV medications, especially in critical or end-of-life situations.
B.   A client who is 3 days postoperative and needs a dressing change generally requires a level of care that may be suitable for LPNs. LPNs are trained to perform dressing changes and manage postoperative wounds. However, if there are complications or concerns about the wound or the client’s condition, the RN should oversee or handle the situation.
C.   Frequent ambulation can be managed by assistive personnel (AP) under the supervision of the RN. This task typically involves supporting and assisting the client with walking, which is within the scope of AP duties. LPNs can also assist with ambulation, but it is generally a task appropriate for APs when performed as part of routine care.
D.   A client in protective isolation requires careful attention to infection control practices to protect them from infections. While the RN is responsible for ensuring adherence to isolation protocols and assessing the client’s needs, the day-to-day care tasks might be managed by LPNs and APs, provided they are trained in infection control procedures.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Synthesis involves combining different pieces of information and knowledge to form a coherent whole. In nursing, this means integrating data from various sources (e.g., patient history, physical examination, lab results) to create a comprehensive understanding of the patient's condition and develop appropriate care plans.
B. Intuition refers to the ability to understand or know something without the need for conscious reasoning. While intuition can play a role in clinical practice, especially with experienced nurses who have developed a strong sense of clinical judgment, it is not considered a formal critical thinking skill.
C. Evaluation involves assessing the credibility and significance of information, including the effectiveness of interventions and the accuracy of assessments. In nursing, evaluation is crucial for determining whether the care provided is achieving the desired outcomes and for making necessary adjustments
D. Interpretation involves understanding and explaining the meaning of data or information. In nursing, this means making sense of clinical findings, patient symptoms, and diagnostic results to guide decision- making. Effective interpretation helps nurses accurately understand patient conditions and plan appropriate interventions.
E. Analysis involves breaking down complex information into smaller, manageable parts to understand it better. In nursing, this skill is used to evaluate and understand patient data, identify patterns, and assess the relevance of information to make informed decisions.

A. Transactional leader B. Laissez-faire leader C. Transformational leader D. Bureaucratic leader

Correct Answer is A

Explanation

A. Transactional leaders use a system of rewards and punishments to manage and motivate their team. They focus on maintaining normal operations and achieving set goals through a clear structure where performance is rewarded. For example, a transactional leader might use bonuses or other incentives to encourage staff to meet specific performance targets.
B. Laissez-faire leaders adopt a hands-off approach, allowing team members considerable freedom to make decisions and manage their work. This style does not typically involve the use of rewards to achieve goals but rather depends on the autonomy and self-regulation of team members.
C. Transformational leaders inspire and motivate their team by creating a vision for the future and encouraging personal and professional growth. They focus on changing and improving the organization through innovation and inspiration. Transformational leaders aim to foster a sense of purpose and commitment rather than relying primarily on rewards.
D. Bureaucratic leaders follow established procedures and rules strictly. They emphasize adherence to policies and protocols and ensure that the work environment is orderly and predictable. Bureaucratic leadership may be effective in highly regulated environments but does not primarily involve motivational rewards.

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An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is planning a presentation for staff nurses on improving critical thinking skills. Which of the following critical thinking skills should the nu manager include in the presentation? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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Correct Answer is A

Explanation

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