A nurse on a hospice unit is planning care for 5 clients after receiving change-of-shift report.
Client 5
Client 1
Client 4
Client 3
Client 2
Correct Answer : D,E
A. Client 5 requires pain assessment and medication review, which are nursing responsibilities and not delegable.
B. Client 1’s care involves teaching family and administering pain medication, both nursing responsibilities.
C. Client 4 requires assessment and care planning, which must be performed by a nurse.
D. Tasks for Client 3, such as repositioning every 2 hours, personal hygiene, and linen changes, are appropriate to delegate to an assistive personnel (AP).
E. Postmortem care for Client 2 can also be safely delegated to an AP.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clients have the right to withdraw consent and refuse treatment at any time, even after initially agreeing to a procedure. This reflects an understanding of autonomy and informed decision-making.
B.Clients are not required to complete a living will upon admission. They should be offered the opportunity to do so, but it is voluntary.
C.A confused client’s ability to refuse restraints depends on their mental capacity. If the client lacks decision-making capacity and poses a safety risk, restraints may be used as a last resort with appropriate justification and documentation.
D.In emergency situations where delaying treatment would pose a threat to life or safety, informed consent is not required—treatment may proceed under implied consent.
Correct Answer is A
Explanation
A. The first step in the quality improvement process is to assessthe problem by identifying possible causes or contributing factors. This ensures that any interventions are targeted and effective.
B.Establishing a control criteria standard is part of setting benchmarks but comes after the problem is clearly understood.
C.Creating a plan is a later step, done afterassessment and analysis.
D.Analyzing data is important, but it follows the identification of what specific factors should be evaluated. Identifying contributing factors comes first.
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