A nurse is implementing direct nursing care for a group of clients in an acute care facility. Which of the following actions by the nurse is considered an indirect nursing care activity?
Assigning tasks to an assistive personnel (AP)
Providing anticipatory guidance to a client in crisis
Determining the client's length of stay
Establishing the client's secondary medical diagnoses
The Correct Answer is A
A. "Assigning tasks to an assistive personnel (AP)": Assigning tasks to AP is considered indirect care because it involves delegation and coordination of care rather than direct interaction with the client.
B. "Providing anticipatory guidance to a client in crisis": Providing anticipatory guidance is a direct nursing care activity because it involves direct interaction and support for the client.
C. "Determining the client's length of stay": Determining the length of stay is typically a decision made by the healthcare team based on the client’s condition, but it is not a direct nursing care activity.
D. "Establishing the client's secondary medical diagnoses": Establishing diagnoses is a clinical decision made by the healthcare provider, not a nursing action, and it is not considered indirect care.
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Related Questions
Correct Answer is B
Explanation
A. "Documentation allows providers to monitor the nurse's activities.": While documentation includes details of nursing activities, its primary purpose is to communicate the client's condition and care, not to monitor the nurse's actions.
B. "Documentation is a communication tool for the interprofessional health care team.": Documentation serves as a means of communication among all members of the healthcare team, ensuring continuity of care and the sharing of important information about the client’s condition and treatment.
C. "Documentation provides information to the client about financial charges for care provided.": While billing and financial information may be part of the health record, the primary purpose of documentation is to provide a clear, accurate record of the client's care.
D. "Documentation provides information for a client audit.": While documentation may be reviewed in audits, the main purpose is to ensure accurate, effective communication regarding the client’s care.
Correct Answer is B
Explanation
A. Planning: The planning phase involves setting goals and determining interventions based on the information gathered in the assessment phase. Asking about allergies happens during the assessment phase.
B. Assessment: The assessment phase is when the nurse gathers information about the client’s health history, including potential allergies. This information is essential for ensuring the safety of diagnostic tests and treatments.
C. Evaluation: The evaluation phase occurs after interventions have been implemented and involves determining the effectiveness of the care provided. Asking about allergies is part of the assessment, not evaluation.
D. Implementation: The implementation phase involves carrying out the planned interventions. Asking about allergies should be done during the assessment phase before any interventions are implemented.
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