A newly licensed nurse is planning care for a group of
clients. Prior to delegating tasks to various team
members, which of the following actions should the
nurse make?
A) ask each team member which tasks they would like
to perform
B) perform competency checks on each of the team
members
C) review the job descriptions of various team
members
D) discuss prior performance of the team members
with other nursing staff - ...ANSWER...C) review the
job descriptions of various team members
Rationale:
Asking team members about tasks they want to
perform is unreliable. Performing competency checks
is the responsibility of the health care organization.
Discussing team members with others on the nursing
staff is unreliable, the nurse should evaluate the
abilities of the team member prior to delegation.
Reviewing the job descriptions will help the nurse
know which team members are competent for
delegation certain tasks.
A clinical nurse leader is part of a health care team on
an acute care unit. Which of the following tasks is the
role of the clinical nurse leader?
A) develop a fiscal-year budget for the unit
B) conduct annual performance appraisals for each
unit staff member
C) intervene when there is conflict between clients
and nursing staff
D) gather research-based data to develop clients plan
of care - ...ANSWER...D) gather research-based data
to develop clients plan of care
Rationale:
Developing a fiscal year budget, conducting annual
performance appraisals, and intervening where there
is a conflict between clients and nursing staff are the
responsibilities of the unit nurse manager.
A charge nurse is instructing a staff nurse who is
caring for clients who each have a health care
surrogate. The nurse indicates understanding when he
contacts the health care surrogate to obtain consent
for which of the following client situations?
A) An adult client who is experiencing confusion
following a head injury and refuses a CT scan
B) a client who has terminal illness and requests a
DNR prescription
C) an adult client who has major depressive disorder
and refuses electroconvulsive therapy
D) an older adult client who is scheduled for surgery
and does not speak in the same language as the nurse
- ...ANSWER...A) An adult client who is experiencing
confusion following a head injury and refuses a CT
scan
Rationale:
A client with a head injury can have an impaired
judgement due to injury and is a situation where a
health care surrogate can give consent. A client with
terminal illness is competent, thus is able to make
own healthcare decisions. It is the right of the patient
to have the ability to refuse medications. When a
client and the nurse do not speak the same language
an interpreter should be utilized.
A nurse is preparing to discharge a client from a
medical unit to a rehab facility. Which of the following
information should the nurse plan to include on the
transfer form?
A) discontinued medications
B) scheduled consultations
C) treatments completed while hospitalized
D) time of clients last shower - ...ANSWER...B)
scheduled consultations
Rationale:
The transfer form should include current medications,
treatments that need to be continued, as well as
ati ati comprehensive predictor ati pharmacology proctored community health comprehensive fundamentals health care health care / nursing health care/ nursing healthcare hesi hesi rn exit leadership maternal newborn med surg medical surgical mental health nurs nursing nursing & health nutrition pediatrics pharmacology test bank tncc
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