A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:

"Come and get me if Mr. Jones has a high heart rate."

“I need to know if Mr. Jones' blood pressure is elevated."

"If Mr. Jones' heart rate is greater than 100, let me know."

“Let me know if Mr. Jones' temperature is high."

Answer and Explanation

The Correct Answer is C

A. "Come and get me if Mr. Jones has a high heart rate." This statement lacks specificity, as “high heart rate” is vague. The assistant may not know what range constitutes “high.”

B. "I need to know if Mr. Jones' blood pressure is elevated."
This statement is also too vague, as the assistant may not understand what is considered "elevated."

C. "If Mr. Jones' heart rate is greater than 100, let me know."
This direction is clear and specific, providing a measurable parameter for the assistant to follow, making it the best option.

D. "Let me know if Mr. Jones' temperature is high."
"High" is vague, as it does not provide a specific value or range for temperature.

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Correct Answer is A

Explanation

A. Follows agency policy for correcting the error.
Following agency policy is the best approach, as it ensures compliance with legal and procedural standards for correcting documentation errors.

B. Whites out the wrong entry and writes the note in the chart of the correct patient. Whiting out errors is not permissible, as it can appear as an attempt to alter records and compromises the integrity of documentation.

C. Removes the page on which the error is located and documents the other correct notes. Removing pages from a medical record is improper and could be considered tampering with documentation.

D. Blacks out the note to protect the confidentiality of the patient about whom it was written and writes in the margin "wrong patient," his signature, and the date and time.
Blacking out notes is not allowed, as it destroys information that should remain legible, even if it was written in error.

A. "I don't feel like walking today either." B. "You have to walk today." C. "Why don't you want to walk today?" D. "You don't want to walk today?"

Correct Answer is D

Explanation

A. "I don't feel like walking today either."
This response shifts the focus from the patient to the nurse and does not encourage further discussion about the patient's reluctance or explore the reasons behind it.

B. "You have to walk today."
This statement sounds forceful and dismissive, and may make the patient feel pressured rather than supported. It does not invite dialogue or provide understanding.

C. "Why don't you want to walk today?"
This question can sound judgmental and may put the patient on the defensive. A more neutral response would help the nurse understand the patient's reluctance without pressure.

D. "You don't want to walk today?"
This response reflects the patient's own words back, validating their feelings and opening up the opportunity for the patient to explain their reasons. It is empathetic and nonjudgmental, which encourages therapeutic communication.

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A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:

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Naxlex Comprehensive Predictor Exams

A nurse enters a notation in a patient's medical record but then discovers that the notation was made in the wrong chart. The nurse correctly:

Correct Answer is A

Explanation

When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:

Correct Answer is D

Explanation

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