A nurse is reviewing room assignments for a group of clients. Which of the following clients should the nurse assign to a room that is near the nurses' station?
(Select all that apply.)
A client who is easily distracted during art therapy
A client who has frequent anger outbursts
A client who was admitted for threatening to kill themselves
A client who has engaged in cutting behaviors
A client who cannot sit still at breakfast
Correct Answer : B,C,D
A. A client who is easily distracted during art therapy may benefit from being near the nurses' station if their distraction could lead to issues with concentration or focus that might impact their therapy.
However, this is less of a priority compared to clients with higher risks related to safety or behavioral issues. This client’s needs are more about support and engagement in therapy rather than immediate safety monitoring.
B. Clients with frequent anger outbursts can pose a risk to themselves and others. Having them in a room near the nurses' station allows for closer monitoring and quick intervention if their behavior escalates. This placement helps ensure safety and provides immediate access to staff if the client becomes agitated or poses a threat.
C. A client who has threatened to kill themselves requires close observation to ensure their safety and prevent self-harm. Placing this client in a room near the nurses' station allows for constant monitoring and immediate intervention if the client’s condition worsens or if they attempt self-harm. This is a high priority for safety and supervision.
D. A client who has engaged in cutting behaviors is at risk for self-harm. Placing this client near the nurses' station is important for ensuring close observation and timely intervention to prevent further self-injury. This helps in providing a safer environment and immediate support if the client shows signs of distress or attempts self-harm.
E. A client who cannot sit still at breakfast might need supervision to ensure they eat properly and safely. However, this need is less critical compared to clients with high risks of self-harm or aggressive behaviors. While this client may benefit from being in a more monitored area, it is not as urgent as the needs of clients with significant safety concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Advocacy involves protecting the client's rights and interests. While the nurse is acting in the client's best interest by assessing and reporting the error, the primary action here is taking responsibility.
B. Accountability is taking responsibility for one's actions and their consequences. By admitting the medication error, assessing the client, notifying the provider, and completing an incident report, the nurse is demonstrating accountability for their actions.
C. Confidence is believing in one's abilities. While confidence is important in nursing, it is not the primary characteristic displayed in this scenario.
D. Fairness involves treating everyone equally. This is not directly related to the nurse's actions in this case.
Correct Answer is B
Explanation
A. While having a good rapport with clients is important for effective care, it is not one of the five rights of delegation. Rapport affects client interactions and overall satisfaction but does not directly impact the appropriateness of delegating a specific task.
B. This is a critical consideration under the "Right Person" component of the five rights of delegation. The nurse must ensure that the AP has the appropriate knowledge, skills, and competencies to perform the delegated task safely and effectively. This ensures that the task is performed correctly and reduces the risk of errors.
C. The ability of the AP to complete the task without assistance is related to the "Right Person" and "Right Task" components. However, it is not always necessary for the AP to complete the task independently, as some tasks may require supervision or periodic check-ins.
D. While the AP’s ability to prioritize tasks can be valuable, it is not one of the five rights of delegation. The nurse should provide clear instructions and prioritize tasks as part of effective delegation, but the specific ability of the AP to prioritize independently is not a primary factor in the delegation process.
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