A newly licensed nurse tells a charge nurse that they are unsure about accepting telephone medication prescriptions. Which of the following providers should the charge nurse identify as having the legal ability to give telephone medication prescriptions? (Select all that apply.)

Anesthesiologists

Physician assistants

Facility pharmacists

Mental health technicians

Nurse practitioners

Answer and Explanation

Correct Answer : A,B,E

A. Anesthesiologists: Anesthesiologists have full prescriptive authority as licensed physicians, allowing them to provide telephone medication orders. Their prescribing rights apply in various healthcare settings, following institutional policies and legal guidelines.

B. Physician assistants: Physician assistants have prescriptive authority under physician supervision and can give telephone medication orders where permitted. Their prescribing ability depends on state regulations and facility policies but generally includes routine and emergency prescriptions.

C. Facility pharmacists: Facility pharmacists dispense medications and provide guidance on drug therapy but do not have the legal authority to prescribe. While they collaborate with providers, they cannot issue telephone medication prescriptions.

D. Mental health technicians: Mental health technicians assist with patient care in psychiatric settings but lack the training and licensure required to prescribe medications. Their responsibilities focus on supportive tasks, and they cannot give telephone medication prescriptions.

E. Nurse practitioners: Nurse practitioners have independent or collaborative prescriptive authority depending on state regulations. They can provide telephone medication orders within their scope of practice, ensuring timely medication management for patients.

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Correct Answer is A

Explanation

A. A client awaiting a screening colonoscopy later that day: This client is appropriate for early discharge. As the procedure is non-invasive and not urgent, the client can be discharged and return for the scheduled screening without compromising their health. This decision allows for the efficient use of hospital resources following a mass casualty event.

B. A client whose discharge was cancelled the prior day because they developed respiratory distress: Recommending discharge for this client is not advisable, as their recent respiratory distress indicates ongoing health issues that require monitoring and care. Early discharge could jeopardize their safety and recovery.

C. A client who is 6 hr postoperative following an open cholecystectomy: This client is not a suitable candidate for early discharge. Postoperative patients typically require observation and care to monitor for complications, such as infection or bleeding, in the hours following surgery. Early discharge could put this client's recovery at risk.

D. A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity: This client should not be recommended for early discharge, as they require ongoing treatment and monitoring for aspirin toxicity. Discharging this client prematurely could lead to serious health complications and does not ensure their safety and well-being.

A. "Do you spend more time thinking about the past, present, or future?" B. "Who makes most of the decisions in your family group?" C. "What do you think you can do to affect your health status?" D. "Can you list any diseases that your parents or siblings have had?"

Correct Answer is C

Explanation

A. "Do you spend more time thinking about the past, present, or future?": This question focuses on the client's perspective of time rather than their beliefs about environmental control. While it may provide insight into the client's worldview, it does not directly address how they perceive their ability to influence their health or environment.

B. "Who makes most of the decisions in your family group?": This question may provide some understanding of family dynamics and authority but does not directly assess the client's beliefs regarding their control over their health or environment. It may highlight cultural aspects but lacks a direct connection to environmental control beliefs.

C. "What do you think you can do to affect your health status?": This question directly addresses the client's beliefs about their ability to exert control over their health and environment. It encourages the client to reflect on their agency and the actions they believe they can take to influence their well-being, making it the most relevant choice for assessing environmental control.

D. "Can you list any diseases that your parents or siblings have had?": While understanding the family medical history is important, this question focuses on genetics and familial health rather than the client’s beliefs about their ability to control their environment or health. It does not provide insight into how the client views their role in managing their health.

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A newly licensed nurse tells a charge nurse that they are unsure about accepting telephone medication prescriptions. Which of the following providers should the charge nurse identify as having the legal ability to give telephone medication prescriptions? (Select all that apply.)

Nursing Test Bank

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Explanation

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Correct Answer is C

Explanation

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