A nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?
Collect and organize client data.
Critically analyze client data to determine priorities.
Determine effectiveness of interventions.
Set client-centered, measurable and realistic goals.
The Correct Answer is A
A. Collect and organize client data: The first step in the nursing process involves gathering and organizing data about the clients, which is essential for making informed decisions and planning care.
B. Critically analyze client data to determine priorities: Analysis of data and setting priorities come after the initial collection and organization of client data.
C. Determine effectiveness of interventions: Evaluating the effectiveness of interventions occurs after implementing the care plan and is not the first step in the process.
D. Set client-centered, measurable and realistic goals: Goal-setting follows the collection and analysis of data and is part of the planning phase in the nursing process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Documents medication administration prior to administering it: This is incorrect practice. Medication administration should be documented only after it has been given to ensure accuracy and accountability.
B. Checks the provider's orders and confirmed dosage in a medication reference guide: This is a correct practice to ensure that the medication order and dosage are accurate.
C. Scans the bar code on the medication administration record and the client's arm band: This is a correct practice to verify the medication and patient identity, enhancing safety.
D. Verifies the medication against the prescription and medication label: This is a correct practice to confirm that the correct medication and dosage are administered.
Correct Answer is D
Explanation
A. "HIPAA is a federal law, not a state law": This statement is correct. HIPAA is indeed a federal law that sets standards for the protection of health information.
B. "A client's address would be an example of personally identifiable information": This statement is correct. A client's address is considered personally identifiable information under HIPAA.
C. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form": This statement is correct. HIPAA regulates the privacy and security of health information in all forms.
D. "Information about a client can be disclosed to family members at any time": This statement indicates a need for further teaching. HIPAA restricts the disclosure of client information and requires consent or authorization before disclosing information to family members, unless there is a specific exception such as in emergency situations or where the client has consented.
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