A nurse is caring for an older patient in the emergency department. What information about the patient will be most helpful in creating a plan of care?
Living conditions and family support
Medications and current medical problems
Results of the Mini Mental State examination
Baseline physical and cognitive functioning
The Correct Answer is D
A. While this information can be helpful in understanding the patient's social context, it does not directly contribute to the development of a plan of care.
B. This information is important for understanding the patient's medical history and identifying any potential risk factors. However, a baseline assessment of physical and cognitive functioning is also essential for developing a comprehensive plan of care.
C. This assessment can be helpful in evaluating the patient's cognitive function, but it does not provide a complete picture of their overall physical and functional status.
D. When caring for an older adult in the emergency department, it is crucial to have a baseline understanding of their physical and cognitive functioning. This information will help the nurse assess the patient's current condition and identify any significant changes that may require intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. This question assesses whether the team member has the appropriate skills, training, and competency to perform the task safely and effectively. Ensuring that the right person is assigned is crucial for quality care and patient safety.
B. This question evaluates whether the task is appropriate to delegate, considering factors such as the complexity of the task, whether it is within the scope of practice for the team member, and if it aligns with the team's responsibilities. Delegating tasks that are outside the scope of the team member’s practice or too complex can lead to errors or suboptimal care.
C. This question examines whether the level of supervision required for the task is appropriate. The nurse must ensure that appropriate oversight is provided to monitor the team member's performance and address any issues that may arise during task execution.
D. This question considers whether the current circumstances or context (such as the patient's condition, the urgency of the task, or environmental factors) are suitable for delegating the task. Certain situations may require direct nursing involvement or special attention, which can affect the appropriateness of delegation.
E. This question evaluates whether the timing of the task is appropriate, considering factors like the urgency of the task, the team member’s current workload, and patient needs. Timing can impact the effectiveness and safety of task completion.
Correct Answer is C
Explanation
A. This action demonstrates a willingness to understand and respect the patient’s cultural beliefs. By asking for more details, the nurse shows interest in the patient's perspective and opens a dialogue to better understand the cultural context of their health beliefs.
B. This action involves the nurse taking the initiative to understand the cultural practices and dietary beliefs of the patient. By researching these beliefs, the nurse can gain insight into how the patient's culture views dietary management and how it might be integrated into their overall care. However, while researching is valuable, it does not directly engage with the patient’s beliefs or preferences in a clinical context.
C. By discussing how to incorporate the patient’s dietary preferences into their treatment plan, the nurse is showing respect for the patient's cultural beliefs while still working within the medical framework. This approach helps to integrate the patient’s cultural practices with conventional medical treatment, fostering a collaborative approach to care.
D. This action is also a good example of cultural accommodation. By involving a registered nutritionist, the nurse is providing the patient with professional guidance that aligns with their cultural beliefs about dietary management. This approach respects the patient’s preferences and provides expert advice on how to incorporate those preferences into a medically sound treatment plan.
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