A nurse is discussing common models of nursing care with other nurses. Which of the following information should the nurse Include when discussing team nursing?
An RN coordinates the care provided by other team members.
An RN cares for the same clients throughout their hospitalization.
An RN links community resources with clients to ensure quality care.
An RN provides every aspect of care for a group of clients during a shift.
The Correct Answer is A
A. In team nursing, an RN assumes the role of a team leader or coordinator. The RN oversees and coordinates the care provided by other team members, which may include licensed practical nurses (LPNs), nursing assistants, and other healthcare professionals. The team collaborates to meet the needs of a group of clients.
B. Caring for the same clients throughout their hospitalization is more characteristic of primary nursing, where an RN takes primary responsibility for the care of a specific group of clients.
C. Linking community resources with clients to ensure quality care is more aligned with case management or community health nursing, where the focus is on coordinating services across healthcare settings and connecting clients with appropriate resources.
D. Providing every aspect of care for a group of clients during a shift is not consistent with team nursing. In team nursing, the workload is distributed among team members, and an RN typically coordinates and oversees the care provided by the team.
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Correct Answer is D
Explanation
A. Complete medication reconciliation when a client moves to a new room on the same unit:
While it's important to update the client's information when they change rooms, this may not necessitate a full medication reconciliation. Medication reconciliation is typically more comprehensive and involves a thorough review of the client's entire medication regimen.
B. Medication reconciliation should be completed whenever the nurse administers a medication:
While it's important to verify medications before administration, a full medication reconciliation involves a broader review of the client's entire medication history and should not necessarily be done each time a single medication is administered.
C. Medication reconciliation can be delegated to an assistive personnel:
Medication reconciliation is a complex process that involves a thorough review of the client's medication history, and it is generally considered a nursing responsibility. Delegating this task to assistive personnel may compromise accuracy and completeness.
D. Include herbal supplements in the medication reconciliation:
This is the correct answer. Herbal supplements can interact with prescribed medications and may impact the client's overall health. Including them in the medication reconciliation process ensures a comprehensive assessment of the client's medication regimen.
Correct Answer is C
Explanation
The client's provider cannot provide informed consent on behalf of the client. The provider's role is to explain the procedure, its risks and benefits, and answer any questions the client may have to help the client make an informed decision.
The client's mother may have a supportive role in the decision-making process, especially if the client desires their involvement. However, unless the client has been legally deemed unable to make decisions (for example, due to lack of decision-making capacity), the client's consent should be sought directly.
The client is the primary individual who should provide informed consent for their own medical procedure, assuming they have decision-making capacity. They have the right to accept or refuse the treatment after being fully informed about the procedure, risks, benefits, and alternatives.
The client's sibling does not have the authority to provide informed consent for the client's medical procedure unless they have been legally designated as the client's healthcare proxy or legally authorized decision-maker.
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