A nurse is teaching a class on professionalism. The nurse should include that which of the following is an example of responsibility?

Speaking to a provider on behalf of a client.

Performing hand hygiene before caring for a client.

Contacting a social worker for a client who requires assistance with finances.

Supporting a client's decision to discontinue a treatment.

Answer and Explanation

The Correct Answer is B

A.   Speaking to a provider on behalf of a client can be part of a nurse's advocacy role, but it is not specifically an example of responsibility. Advocacy involves representing the client's needs and preferences, but the action itself is more about advocacy than personal responsibility.

B.   Performing hand hygiene before caring for a client is a fundamental practice that falls under the responsibility of ensuring infection control and maintaining patient safety. It is a key aspect of professional responsibility as it directly impacts the prevention of healthcare-associated infections and upholding high standards of patient care.
C.   Contacting a social worker for a client who needs help with finances is part of the nurse's role in coordinating care and addressing the client's needs holistically. It reflects the nurse’s responsibility to ensure that the client receives comprehensive support, but it is more about care coordination rather than the direct personal responsibility in care delivery.
D.   Supporting a client's decision to discontinue treatment is related to respecting patient autonomy and ethical principles. While it is a critical aspect of patient-centered care, it represents the nurse's role in advocacy and ethical practice rather than a direct example of personal responsibility in routine tasks.

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Correct Answer is B

Explanation

A. According to the National Council of State Boards of Nursing (NCSBN), there are actually 5 rights of delegation. These are the Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation. Each of these rights helps ensure that tasks are delegated appropriately and safely.
B. This statement indicates an understanding of delegation. While the nurse can delegate tasks, they remain accountable for the outcome. This means the delegating nurse must ensure that the task is completed appropriately and the results are satisfactory. The responsibility for the task remains with the nurse, even though the execution is handled by someone else.

C. It is important for the delegate to ask questions if they are unclear about the task or need additional information. Effective communication and clarification are crucial for ensuring that tasks are performed correctly. The delegate has the right and responsibility to seek clarification to ensure safe and effective task performance.
D. While the nurse manager may oversee and support delegation processes, the responsibility for delegating specific tasks generally falls to the registered nurse (RN) who is managing the care for that shift. The RN assesses which tasks can be delegated and to whom, based on the needs of the patients and the skill level of the assistive personnel.

A. "During hospice care services, the client can receive their IV chemotherapy medications." B. "Hospice care services are initiated when the client has less than 2 years to live." C. "During hospice care services, the caregiver receives a break from caring for the client for personal time." D. "Hospice care services keep the family updated on the client's condition."

Correct Answer is C

Explanation

A. Hospice care focuses on providing comfort and quality of life rather than curative treatment. The goal is to manage symptoms and provide supportive care when a cure is no longer possible. Therefore, hospice care typically does not include aggressive treatments.
B. Hospice care is generally initiated when a prognosis indicates that the client is expected to have 6 months or less to live if the illness runs its usual course. The 2-year timeframe mentioned here is too long for standard hospice eligibility, which is based on a more immediate prognosis of terminal illness.
C. Hospice care services often include respite care, which provides caregivers with temporary relief from their caregiving duties. This respite allows caregivers to take personal time, recharge, and manage their own needs, which is an important aspect of supporting those who are caring for terminally ill patients.
D. While hospice care does involve communication with the family about the client's care and condition, the primary focus of hospice care is on providing comfort and support to the patient.

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A nurse is teaching a class on professionalism. The nurse should include that which of the following is an example of responsibility?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

Correct Answer is B

Explanation

A nurse is preparing a presentation about hospice care services. Which of the following statements should the nurse plan to make during the presentation?

Correct Answer is C

Explanation

A nurse is teaching a class on professionalism. The nurse should include that which of the following is an example of responsibility?

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A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?