At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment, the RN assumes:

sole responsibility and accountability for the patient's wellbeing.

responsibility for their tasks, but accountability lies with the charge nurse.

accountability for their tasks, but overall responsibility lies with the charge nurse.

neither responsibility nor accountability for the patient's wellbeing.

Answer and Explanation

The Correct Answer is C

A. While the RN is responsible for the care of the patients, the charge nurse also retains overall responsibility, making this statement inaccurate.
B. The RN does have responsibility for their specific tasks, but the accountability remains shared, particularly for the overall patient care.
C. The RN is accountable for their tasks and patient outcomes, while the charge nurse maintains overall responsibility for the unit's operations and patient care.
D. The RN assumes both responsibility and accountability to some extent, especially in their assigned patient care.

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Correct Answer is D

Explanation

A. While explaining risks and benefits can be useful, the client's decision to withdraw consent takes precedence, and they should not be pressured to continue with the procedure.
B. Discussing alternatives is unnecessary if the client has already decided against the procedure, as their autonomy should be respected.
C. Reminding the client about the signed consent form is not appropriate, as informed consent can be withdrawn at any time prior to the procedure.
D. Informing the provider that the client is withdrawing consent is essential, as it ensures that the client's wishes are respected and prevents the procedure from proceeding against the client’s current decision.

A. sole responsibility and accountability for the patient's wellbeing. B. responsibility for their tasks, but accountability lies with the charge nurse. C. accountability for their tasks, but overall responsibility lies with the charge nurse. D. neither responsibility nor accountability for the patient's wellbeing.

Correct Answer is C

Explanation

A. This option suggests that the RN is solely responsible and accountable, which is not accurate in a team setting where oversight exists.
B. This option incorrectly places accountability solely with the charge nurse, whereas the RN also has accountability for the care provided to their assigned patients.
C. The RN assumes accountability for the specific tasks assigned to them while understanding that overall responsibility for patient safety and outcomes remains with the charge nurse. This reflects the collaborative nature of nursing practice.
D. This option suggests that the RN has neither responsibility nor accountability, which contradicts the professional role of a nurse who must always maintain a level of accountability for their actions and decisions regarding patient care.

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At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment, the RN assumes:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure." Which of the following actions should the nurse take?

Correct Answer is D

Explanation

At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment the RN assumes:

Correct Answer is C

Explanation

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