A resident in a skilled nursing facility for a short term rehabilitation following a hip replacement says to the nurse, "I don't want to have you draw any more blood for those useless tests." When the nurse fails to convince the patient to have the blood drawn, the most appropriate documentation would be:
"Refuses to have blood drawn. Doctor notified."
Doctor notified of failure to draw ordered blood work.
"Blood not drawn because tests are no longer desired by patient."
"Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
The Correct Answer is D
A. "Refuses to have blood drawn. Doctor notified."
This option documents the patient's refusal but lacks specific information about the patient's reason for refusal, which is important for the care team to understand the context.
B. "Doctor notified of failure to draw ordered blood work."
This option focuses more on the failure to draw blood than on the patient's specific refusal and reasoning. It lacks information about the patient's perspective, which can be crucial for understanding their decision-making process.
C. "Blood not drawn because tests are no longer desired by the patient."
This choice provides a clear reason for not drawing blood (the patient's refusal) and includes the patient's perspective on the tests being 'useless.' However, it does not mention the action taken, such as informing the doctor, which is important for continuity of care.
D. "Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
This option combines both the patient's refusal and their reason ('useless' tests) for refusing. Additionally, it includes the action taken, which is informing the doctor. This choice offers a comprehensive and informative description of the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Here's the breakdown of each step:
Assessment: This is the first step in the nursing process. It involves gathering information about the patient's health status. Assessment can include collecting data through interviews, physical examinations, and reviewing medical records.
Nursing Diagnosis: After assessing the patient, the nurse analyzes the data to identify nursing diagnoses or issues. Nursing diagnoses are clinical judgments about individual, family, or community responses to actual or potential health problems or life processes.
Planning: Based on the nursing diagnosis, the nurse develops a plan of care. This plan outlines the goals and outcomes the nurse hopes to achieve. It also includes interventions, which are the actions the nurse will take to address the nursing diagnoses.
Implementation: During this phase, the nurse puts the plan into action. This can include administering medications, providing treatments, educating patients, and other nursing interventions.
Evaluation: Evaluation is the final step. The nurse assesses the patient's response to nursing interventions and determines if the goals and outcomes have been met. If the goals have not been met, the nurse may need to revise the plan of care.
Correct Answer is C
Explanation
A. Memorizing class notes for tests and studying all night for big tests:
This approach focuses on memorization and last-minute cramming for exams, which doesn't necessarily develop critical thinking skills. It's more about rote learning.
B. Questioning every statement made by instructors to be sure of its correctness:
Questioning and seeking clarification are essential parts of developing critical thinking skills. It's important to question and analyze information critically to ensure its accuracy and relevance.
C. Listening attentively and focusing on the speaker's words and meaning:
Active listening and focusing on understanding the meaning behind what's being said are important aspects of developing critical thinking. It's about comprehending the context and depth of information.
D. Working with an inexperienced nurse:
Working with experienced professionals, even if they're inexperienced nurses, can provide opportunities for real-world problem-solving and critical thinking. In healthcare, learning often occurs through hands-on experience and mentorship.
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