According to the State Nurse Practice Act, which of the following actions are expectations of a student nurse? (Select all that apply)

A student nurse is expected to know everything that the instructor knows

A student nurse is legally responsible for their own actions or inaction

A student nurse is expected to do as they are told, even if beyond the scope of the nurse

A student nurse is expected to know his/her clinical abilities and check with their instructor if they are concerned about performing a skill

A student is not expected to perform tasks as quickly as the licensed nurse, but is expected to perform tasks safely

Answer and Explanation

Correct Answer : B,D,E

Choice A reason: Student nurses are not expected to know everything the instructor knows. Their role is to learn under supervision, gradually building competence. Expecting them to have full knowledge equal to an instructor is unrealistic and unsafe.

Choice B reason: Student nurses are legally responsible for their own actions or inactions. If they perform a skill incorrectly or fail to act when required, they can be held accountable. This reinforces the importance of practicing within their level of competence and seeking guidance when needed.

Choice C reason: Students are not expected to blindly follow instructions if those instructions exceed their scope of practice. Doing so could result in unsafe care and legal consequences. They must recognize limitations and seek clarification.

Choice D reason: Students must know their clinical abilities and consult with instructors when unsure. This expectation ensures patient safety and supports learning through guided supervision.

Choice E reason: Students are not expected to match the speed of licensed nurses but must perform tasks safely. Accuracy and safety take precedence over speed in clinical practice, especially during training.

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Correct Answer is D

Explanation

Choice A reason: This statement reflects the “Situation” portion of SBAR, where the nurse describes the immediate issue or event. It does not represent the “Recommendation” section.

Choice B reason: This statement reflects the “Assessment” portion of SBAR, where objective data such as vital signs are communicated. It is not the “Recommendation.”

Choice C reason: This statement reflects the “Background” portion of SBAR, where patient history and relevant information are provided. It does not represent the “Recommendation.”

Choice D reason: This is the correct statement because the “Recommendation” portion of SBAR involves suggesting actions or interventions to address the patient’s condition. Recommending a culture and sensitivity test is an appropriate example of a recommendation.

A. The nurse should use one identifier each time she is giving the patient medications B. The nurse should not be concerned about suicide in geriatric populations at all C. The nurse should instruct the UAP (unlicensed assistive personnel) to use extra caution when caring for a patient who takes medications to thin their blood D. The nurse should instruct the UAP to avoid turning and repositioning an elderly patient who is at risk for pressure ulcers during the night so that the patient might sleep better

Correct Answer is A

Explanation

Choice A reason: The Joint Commission’s National Patient Safety Goals emphasize using at least two patient identifiers when administering medications or treatments to ensure accuracy and prevent errors. Using only one identifier increases risk of mistakes. This practice directly supports patient safety.

Choice B reason: Suicide risk must be considered across all populations, including geriatric patients. Ignoring suicide risk in older adults is unsafe and violates safety standards.

Choice C reason: While caution is important when caring for patients on anticoagulants, this is not a specific Joint Commission safety goal. It is part of general nursing vigilance but not a mandated safety practice.

Choice D reason: Avoiding repositioning to allow sleep increases risk of pressure ulcers and is unsafe. The Joint Commission emphasizes prevention of harm, including pressure injury prevention, so this practice contradicts safety goals.

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According to the State Nurse Practice Act, which of the following actions are expectations of a student nurse? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

The nurse is aware that the first “R” in I-SBAR reflects which statement best?

Correct Answer is D

Explanation

In an effort to ensure the safety of all patients, the nurse should incorporate which of these practices according to the Joint Commission’s National Patient Safety Goals?

Correct Answer is A

Explanation

An alert and oriented 70-year-old patient has been admitted to the long-term care facility from home seven days ago and has refused to take a bath since admission. What action will the nurse take initially?

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