A nurse is teaching a newly licensed nurse about the purpose of interdisciplinary conferences. The nurse should identify that which of the following clients needs an interdisciplinary conference?

A client who had a recent stroke and is showing manifestations of depression

A client whose provider is unhappy with the nursing care

A client whose MRI results have not been made available after 2 days

A client whose partner requests that the client be moved to a private room

Answer and Explanation

The Correct Answer is A

Choice A reason: A client who had a recent stroke and is showing manifestations of depression needs an interdisciplinary conference because they require a comprehensive and coordinated plan of care that involves multiple disciplines, such as physical therapy, occupational therapy, speech therapy, social work, and mental health services.

Choice B reason: A client whose provider is unhappy with the nursing care does not need an interdisciplinary conference, but rather a feedback and evaluation session with the nurse manager and the provider to address the issues and improve the quality of care.

Choice C reason: A client whose MRI results have not been made available after 2 days does not need an interdisciplinary conference, but rather a follow-up with the radiology department and the provider to expedite the results and adjust the treatment plan accordingly.

Choice D reason: A client whose partner requests that the client be moved to a private room does not need an interdisciplinary conference, but rather a discussion with the admission office and the partner to explore the availability and cost of a private room and the benefits and risks of transferring the client.

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Correct Answer is D

Explanation

Choice A reason: Beneficence is the ethical principle of doing good or acting in the best interest of others. While this is an important principle for nurses to follow, it does not directly apply to the situation of reporting the truth about the incident.

Choice B reason: Nonmaleficence is the ethical principle of avoiding harm or minimizing the risk of harm to others. This principle is relevant to the prevention of falls and the use of gait belts, but it does not address the issue of honesty in documentation.

Choice C reason: Fidelity is the ethical principle of being faithful or loyal to one's commitments and responsibilities. This principle relates to the nurse's duty to provide safe and competent care to the client, but it does not specify the obligation to report the facts accurately.

Choice D reason: Veracity is the ethical principle of telling the truth or being truthful. This principle is the most appropriate for the charge nurse to follow in this case, as it requires the nurse to report the incident honestly and completely, including the omission of the gait belt. This is essential for quality improvement, legal protection, and ethical accountability.

A. Withholding fluids until the end of the meal B. Elevating the head of the client's bed to 30 degrees during mealtime C. Providing a 10-minute rest period prior to meals D. Instructing the client to place her chin toward her chest when swallowing

Correct Answer is D

Explanation

Choice A reason: This is not a correct technique for feeding a client who has dysphagia. Withholding fluids until the end of the meal can increase the risk of dehydration and aspiration. Fluids should be offered throughout the meal to help moisten and thin the food.

Choice B reason: This is not a correct technique for feeding a client who has dysphagia. Elevating the head of the client's bed to 30 degrees during mealtime is not enough to prevent aspiration. The client should be in an upright position, preferably at 90 degrees, to facilitate swallowing and gravity.

Choice C reason: This is not a correct technique for feeding a client who has dysphagia. Providing a 10-minute rest period prior to meals is not necessary and may delay the feeding. The client should be fed when they are alert and hungry, and not too tired or sleepy.

Choice D reason: This is a correct technique for feeding a client who has dysphagia. Instructing the client to place her chin toward her chest when swallowing can help close the airway and prevent food from entering the lungs. This can reduce the risk of aspiration and choking.

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A nurse is teaching a newly licensed nurse about the purpose of interdisciplinary conferences. The nurse should identify that which of the following clients needs an interdisciplinary conference?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is supervising an assistive personnel (AP) who is feeding a client who has dysphagia. Which of the following actions by the AP should the nurse identify as correct technique?

Correct Answer is D

Explanation

A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?

A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?

A nurse is participating in an interdisciplinary conference for a client who has heart failure, reports limited resources, and lives alone. Which of the following actions is the nurse's responsibility?

A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure?

During a staff meeting, a unit manager reviews the results for documenting client education and finds that they are below the benchmark. Which of the following strategies should the nurse manager implement first?

A charge nurse is planning to evacuate clients on the unit because there is a fire on another floor. Which of the following clients should the nurse evacuate first?

A nurse is speaking with a visitor who asks a question about the status of a relative who is a client on the unit. Which of the following responses by the nurse is appropriate?

A nurse has just completed assessment charting on the electronic record for an assigned client. An assistive personnel (AP) who just measured the client's vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?