A nurse is working on a medical-surgical unit that uses the total patient care delivery method. For each shift, the nurse should plan to take which of the following actions?
Delegate low-skilled tasks to assistive personnel.
Receive cross-training in multiple departments
Perform a specific nursing task for a group of clients.
Provide complete care for a caseload of clients.
Medications scheduled four times a day are administered 2 hr after the scheduled time.
The Correct Answer is D
A. Delegate low-skilled tasks to assistive personnel.
Delegating low-skilled tasks to assistive personnel is not consistent with the total patient care delivery method. In this model, the nurse assumes responsibility for providing comprehensive care to a smaller number of patients rather than delegating tasks to others. The nurse remains directly involved in all aspects of patient care, including assessment, planning, implementation, and evaluation.
B. Receive cross-training in multiple departments
Receiving cross-training in multiple departments may be beneficial in some healthcare settings but is not a characteristic of the total patient care delivery method. This model focuses on nurses providing individualized care to a specific group of patients within their assigned unit. Cross-training in multiple departments would not align with this model, as it could lead to divided attention and potentially compromise the quality of care provided.
C. Perform a specific nursing task for a group of clients.
Performing a specific nursing task for a group of clients is not consistent with the total patient care delivery method. In this model, the nurse is responsible for providing comprehensive care to a smaller number of patients, rather than focusing on specific tasks for multiple patients. Each patient's care is individualized and encompasses all aspects of nursing care, not just specific tasks.
D. Provide complete care for a caseload of clients.
Providing complete care for a caseload of clients is characteristic of the total patient care delivery method. In this model, the nurse assumes responsibility for the holistic care of a smaller number of patients during each shift. This approach allows for continuity of care, fosters therapeutic nurse-patient relationships, and promotes better patient outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Use diluted bleach to clean soiled equipment: This is the correct answer. Clostridium difficile is a bacterium that can form spores, which are resistant to many common disinfectants. Diluted bleach (sodium hypochlorite) is effective in killing C. difficile spores, making it an essential part of infection control protocols for clients with C. difficile infection. It is recommended to use a dilution of 1:10 bleach to water for environmental cleaning.
B) Provide a room with negative-pressure airflow: While negative-pressure rooms may be used for clients with certain airborne infections to prevent the spread of pathogens, it is not typically necessary for clients with C. difficile infection. Standard precautions, including meticulous hand hygiene and appropriate environmental cleaning, are the primary measures for preventing transmission.
C) Wear an N95 respirator when caring for the client: N95 respirators are recommended for healthcare workers caring for clients with airborne infections such as tuberculosis or certain respiratory viruses. C. difficile is transmitted primarily through contact with contaminated surfaces or feces, so standard precautions, including gloves and gowns, are sufficient for preventing transmission.
D) Disinfect hands using an alcohol-based waterless antiseptic: While alcohol-based hand sanitizers are effective against many types of bacteria and viruses, they may not be sufficient for eliminating C. difficile spores. Handwashing with soap and water is preferred for removing C. difficile spores from hands.
Correct Answer is D
Explanation
A) Determine possible alternatives:
After identifying the ethical problem, determining possible alternatives comes later in the ethical reasoning process. This step involves brainstorming potential courses of action or solutions to address the ethical dilemma.
B) Examine the outcomes:
Examining the outcomes occurs after identifying possible alternatives. In this step, the nurse evaluates the potential consequences or outcomes of each alternative to determine which course of action aligns best with ethical principles and achieves the desired goals.
C) Develop a plan of action:
Developing a plan of action is a subsequent step in the ethical reasoning process, following the identification of the problem and consideration of possible alternatives. Once the nurse has evaluated the outcomes of various options, they can formulate a plan that outlines the chosen course of action and its implementation steps.
D) Identify the problem:
Identifying the problem is the first step in the ethical reasoning process. This involves recognizing the presence of an ethical dilemma or issue that requires resolution. By clearly defining the problem, the nurse can begin to explore relevant ethical principles, values, and considerations to guide decision-making and problem-solving.
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