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 A
Explanation
A. Negligence occurs when a person fails to perform their duties to the standard expected of a reasonable professional, leading to harm or potential harm. In this scenario, leaving a shift early without permission could be considered a breach of professional duty. Although the clients are stable, the action of leaving early without proper handoff could potentially create risks or gaps in care.
B. Battery involves the intentional and unauthorized physical contact with another person that causes harm or offense. This legal tort does not apply to the situation described because leaving a shift early does not involve physical contact or harm to the clients. Battery is more related to physical acts rather than administrative or procedural issues.
C. Libel refers to defamation through written statements that harm a person's reputation. This tort does not apply to the situation of leaving a shift early. Libel is concerned with false statements published in writing that damage someone's reputation, which is unrelated to the issue of leaving a shift early without notification.
D. Slander involves verbal defamation that harms a person's reputation. Like libel, slander is concerned with damaging someone’s reputation through spoken false statements. The scenario of leaving a shift early does not involve verbal defamation or reputational harm, so slander is not applicable here.
Correct Answer is A
Explanation
A. This client needs IV pain medication, which requires advanced skills and knowledge to manage and administer safely. This situation involves complex and sensitive care, including pain management and end-of-life issues. RNs are typically responsible for administering IV medications, especially in critical or end-of-life situations.
B. A client who is 3 days postoperative and needs a dressing change generally requires a level of care that may be suitable for LPNs. LPNs are trained to perform dressing changes and manage postoperative wounds. However, if there are complications or concerns about the wound or the client’s condition, the RN should oversee or handle the situation.
C. Frequent ambulation can be managed by assistive personnel (AP) under the supervision of the RN. This task typically involves supporting and assisting the client with walking, which is within the scope of AP duties. LPNs can also assist with ambulation, but it is generally a task appropriate for APs when performed as part of routine care.
D. A client in protective isolation requires careful attention to infection control practices to protect them from infections. While the RN is responsible for ensuring adherence to isolation protocols and assessing the client’s needs, the day-to-day care tasks might be managed by LPNs and APs, provided they are trained in infection control procedures.
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