When making shift assignments, which patient is most appropriate for a nursing assistant?
A patient who needs help with bathing
A post-op laparotomy patient who needs education.
A newly admitted patient with a seizure disorder.
A dehydrated patient with an electrolyte imbalance.
The Correct Answer is A
A. A patient who needs help with bathing: Nursing assistants are trained to assist with activities of daily living (ADLs), such as bathing.
B. A post-op laparotomy patient who needs education. Education and postoperative teaching require the skills and knowledge of a licensed nurse.
C. A newly admitted patient with a seizure disorder. Newly admitted patients with complex conditions need thorough assessment and monitoring by a licensed nurse.
D. A dehydrated patient with an electrolyte imbalance. Managing dehydration and electrolyte imbalances requires clinical judgment and interventions that should be handled by a licensed nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Principles of nursing practice: While important, the principles of nursing practice are more general and do not specifically address confidentiality as comprehensively as the Code of Ethics.
B. Nursing Scope and standards of practice: These outline the expectations for professional practice but are not as focused on confidentiality as the Code of Ethics.
C. American Nurses Association posting statements: This is not a recognized document for guiding professional standards related to confidentiality.
D. Code of Ethics for Nurses from the ANA: The Code of Ethics for Nurses from the American Nurses Association (ANA) provides guidelines on maintaining patient confidentiality and professional conduct.
Correct Answer is B
Explanation
A. Speak loudly and use simple words: Speaking loudly may be perceived as shouting and can increase agitation. Using simple words is appropriate, but volume should be normal and calm.
B. Address the client by name and reorient client: Addressing the client by name and reorienting him is effective because it respects his dignity and helps him understand his current situation, reducing confusion and agitation. This approach is clear, respectful, and supportive.
C. Challenge the client to refocus his attention when he becomes agitated: Challenging the client can be confrontational and may escalate agitation. It is better to use a calm, reassuring approach.
D. Ask the client a series of questions without allowing time for the client to answer: This can overwhelm and frustrate the client, leading to increased agitation.
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