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 C

Explanation

A. The "right person" refers to ensuring that the task is delegated to an individual who has the appropriate skills, knowledge, and training for the task. While important, this does not directly address the ongoing monitoring of task completion.
B. The "right communication" involves providing clear, concise instructions about the task, including what needs to be done, how it should be done, and any specific expectations. Although communication is essential for effective delegation, checking in throughout the shift pertains more to the oversight and monitoring of the task.
C. The "right supervision" involves providing appropriate oversight and monitoring of the tasks delegated. This includes checking on the progress and ensuring that the tasks are being completed as expected. When the nurse checks with assistive personnel throughout the shift to determine if tasks are being completed, they are demonstrating the "right supervision."
D. The "right circumstances" involves ensuring that the situation is appropriate for delegating the task, including the conditions and context in which the task is performed. This right addresses the appropriateness of the delegation based on the current environment and patient needs, but it does not specifically relate to monitoring or following up on task completion.

A. Confirming that a client appears competent to consent to a surgical procedure. B. Verifying that a client voluntarily gave consent to a surgical procedure. C. Witnessing a client consent for a surgical procedure. D. Explaining the steps of a surgical procedure to a client.

Correct Answer is D

Explanation

A. This is a professional and important action. Ensuring that a client is competent to consent means that the nurse is verifying that the client understands the nature, purpose, risks, and benefits of the procedure. Competence to consent is a legal and ethical requirement, and it is part of the nurse’s role to support and facilitate the informed consent process.
B. This is also a professional and necessary action. It involves checking that the client’s consent is given freely, without coercion or undue pressure. This step ensures that the consent is valid and ethical. It is part of the nurse's responsibility to ensure that the consent process respects the client's autonomy.
C. The nurse as a witness is there to observe that the consent is signed by the client and that the client understands what they are consenting to. However, the nurse should not be the one explaining the procedure or the risks involved unless they are specifically trained and authorized to do so.
D. This is generally not considered professional behavior for a nurse unless they have specific training and authorization to provide detailed information about surgical procedures. Typically, detailed explanations of the procedure are provided by the surgeon or a qualified healthcare provider.

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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 checks with assistive personnel on the unit throughout the shift to determine if they are completing tasks. The nurse is demonstrating which of the following rights of delegation?

Correct Answer is C

Explanation

A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

Correct Answer is D

Explanation

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