A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty completing care for his assigned clients. Which of the following interventions is appropriate?

Recommend that he take time to plan at the beginning of his shift.

Offer to provide care for his clients while he takes a break.

Advise him to complete less time-consuming tasks first.

Ask other staff members to take over some of his tasks.

Answer and Explanation

The Correct Answer is A

A.   Recommending that the newly licensed nurse take time to plan at the beginning of the shift can help improve focus and organization, allowing for better task completion.
B.   Offering to take over care while he takes a break might provide immediate relief but doesn't address the underlying issue of focus and task completion.
C.   Advising to complete less time-consuming tasks first might not necessarily address the root cause of the difficulty in focusing.
D.   Asking other staff members to take over tasks doesn't encourage skill development or help the newly licensed nurse develop coping strategies for focus and task completion.

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Correct Answer is C

Explanation

A. While religious beliefs may influence a client's decision, they are not the deciding factor. Clients have the right to refuse treatment regardless of the reason, as long as they are competent and informed.

B. The partner’s role as the durable power of attorney for health care is only relevant if the client is unable to make decisions due to incompetence or incapacitation. If the client is competent, their decision takes precedence over the wishes of their partner or any legal proxy.

C. Ensuring the client understands the risks of refusing the procedure is the deciding factor. A competent client has the right to refuse any medical treatment, including surgery, after being informed of the potential consequences. The nurse and provider must ensure the client’s decision is informed and voluntary.

D. The facility ethics committee may provide guidance in complex cases, but they do not override a competent client’s autonomy. The client’s informed decision is the ultimate determinant in whether the surgery is performed.

A. "You'll be fine. You'll receive a prescription for pain medication." B. "Why didn't you discuss your concerns with your provider?" C. "If you have the procedure now, you won't have to deal with pain and disability later." D. "I understand, and it's not too late to change your mind,"

Correct Answer is D

Explanation

A. Dismissing the client's concerns and suggesting pain medication without addressing the client's worries isn't an empathetic or helpful response.
B. Asking why the client didn't discuss concerns with the provider might make the client feel guilty or judged for their decision.
C. Pressuring the client by suggesting avoiding future pain and disability isn't respectful of the client's current concerns and decision-making.
D. Acknowledging the client's worries and affirming their ability to change their mind is an appropriate and supportive response.

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A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty completing care for his assigned clients. Which of the following interventions is appropriate?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is D

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