A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
"The higher the score, the higher the pressure injury risk."
"The scale measures six elements."
"The client's age is part of the measurement."
"Each element has a range from one to five points."
The Correct Answer is B
B. The Braden scale is an evidence-based tool used in healthcare to assess a patient's risk for developing pressure injuries. It evaluates six factors: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.
A. The higher the score, the lower the risk of pressure injury.
C. the client's age is not part of the measurement
D. Each element is rated from 1 to 4, not 1 to 5.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Negligence refers to the failure to act with the level of care that a reasonably prudent person would exercise in similar circumstances, resulting in harm to another person. Administering a medication without first identifying the client breaches the duty of care owed by the nurse to the client. Verifying the client's identity is a crucial safety measure to prevent medication errors and ensure that the right medication is given to the right patient.
B. describes a situation where the assistive personnel prevent a client from leaving the facility. While this may involve issues related to patient rights or improper restraint, it does not directly fit the definition of negligence unless harm results from the action.
C. involves starting a blood transfusion without obtaining consent from the client, which is a violation of the client's rights and ethical principles. However, it is not necessarily an example of negligence unless harm results from the lack of consent.
D. describes a breach of confidentiality by discussing client care in a public area with visitors present. While this is a violation of the client's privacy rights and facility policies, it does not directly fit the definition of negligence unless harm results from the disclosure of confidential information.
Correct Answer is B
Explanation
B. When the client believes that learning how to self-administer daily low-dose heparin injections will meet their needs, such as improving their health, managing their condition effectively, or promoting independence, they are more likely to be motivated to engage in the learning process.
A. Understanding the importance of education is crucial, but it may not directly impact the client's motivation unless it is coupled with other factors.
C. While seeking family approval may be a motivating factor for some clients, it may not necessarily be the most significant factor in increasing motivation to learn.
D. Empathy from the nurse can create a positive learning environment and foster trust between the nurse and client, which can indirectly contribute to the client's motivation. However, the client's motivation is primarily influenced by their own beliefs, needs, and perceived benefits of education.
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