During a busy shift, a registered nurse directed an unlicensed care provider to change a dressing and perform wound care on an older adult client's surgical incision. This action exists outside of the unlicensed care provider's scope of practice. Which concept would apply to this situation?

The nurse can be held liable for the actions of the unlicensed care provider.

The unlicensed care provider is solely responsible for the inappropriate practice.

Liability rests with the company that owns the healthcare facility.

In the absence of documented harm to the client, the action is legally permissible.

Answer and Explanation

The Correct Answer is A

A. The nurse can be held liable for the actions of the unlicensed care provider.

In healthcare settings, registered nurses are responsible for delegating tasks to unlicensed care providers within their scope of practice. If a registered nurse directs an unlicensed care provider to perform a task outside of their scope of practice, the nurse can be held liable for any resulting harm to the patient. It's essential for nurses to delegate tasks appropriately and ensure that unlicensed personnel are only assigned tasks that they are trained and authorized to perform.

B. The unlicensed care provider is solely responsible for the inappropriate practice.

While unlicensed care providers must also adhere to their scope of practice, it is ultimately the responsibility of the registered nurse to ensure that tasks are delegated appropriately. If the registered nurse directs the unlicensed care provider to perform tasks beyond their scope, both parties may be held accountable, but the nurse has a higher level of responsibility due to their licensure and authority.

C. Liability rests with the company that owns the healthcare facility.

While the healthcare facility may have some level of responsibility for ensuring appropriate staffing and training, in this scenario, the immediate accountability lies with the registered nurse who directed the unlicensed care provider to perform tasks outside of their scope of practice.

D. In the absence of documented harm to the client, the action is legally permissible.

Performing tasks outside of one's scope of practice is never legally permissible, regardless of whether harm occurs. Nurses and other healthcare providers must adhere to professional standards and regulations regarding delegation and scope of practice to ensure patient safety and quality care.

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Correct Answer is B

Explanation

A. Request volunteers for the ethics committee: While having a diverse representation on the ethics committee is important, it may not directly address the need for cultural competence among the nursing staff.

B. Develop nurses' cultural competence: This choice directly addresses the need to prepare nurses for providing care to a more diverse population of older adults. Cultural competence training helps nurses understand and respect the cultural backgrounds of their patients, improving communication and the quality of care.

C. Teach nurses about a variety of religious practices: While understanding religious practices is part of cultural competence, focusing solely on religion may not adequately prepare nurses for the broader spectrum of cultural diversity they may encounter in caring for older adults.

D. Recruit multilingual nurses: While having multilingual nurses can be beneficial for communication, it may not fully address the need for cultural competence. Additionally, recruitment efforts alone may not provide a timely solution to the immediate need for providing culturally competent care to a more diverse population of older adults.

A. Hope for the future B. Coping strengths C. Empowerment D. Cope with past challenges E. Reminiscence of the past

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Hope for the future

Engaging in spiritual beliefs and practices can provide individuals, including older adults, with a sense of hope and purpose. Spiritual beliefs often offer a framework for understanding life's challenges and uncertainties, and they may provide comfort and assurance about the future.

B. Coping strengths

Spirituality can serve as a source of coping strength for individuals facing difficulties or challenges. By drawing upon their spiritual beliefs and practices, older adults may find resilience, inner strength, and a sense of peace amidst adversity.

C. Empowerment

Actively participating in spiritual beliefs and practices can empower older adult clients by giving them a sense of control, meaning, and connection to something greater than themselves. This sense of empowerment can contribute to their overall well-being and quality of life.

D. Cope with past challenges

Spirituality often provides a framework for understanding and making meaning of past experiences, including challenges or traumas. Engaging in spiritual practices may offer older adults opportunities for reflection, forgiveness, and healing as they come to terms with their past and integrate those experiences into their life narratives.

E. Reminiscence of the past

Spiritual beliefs and practices can evoke memories and facilitate reminiscence of the past for older adults. Engaging in rituals, traditions, or spiritual activities that they are familiar with may trigger memories of significant life events, relationships, or moments of spiritual significance, fostering a sense of continuity and connection across the lifespan.

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During a busy shift, a registered nurse directed an unlicensed care provider to change a dressing and perform wound care on an older adult client's surgical incision. This action exists outside of the unlicensed care provider's scope of practice. Which concept would apply to this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager works in a setting where projections for the future include a more diverse ethnic mix of older adults. Which action will the nurse manager take?

Correct Answer is B

Explanation

A nurse working at a long-term care facility encourages older adult clients to engage in spiritual beliefs and practices that they are familiar with. The nurse encourages this activity to promote which effect? (Select All that Apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

An 82-year-old client has always lived independently in the house that he and his late spouse purchased over 50 years ago. The client has few health problems, but has experienced two falls recently. Which action, by the nurse, is the priority action?

A nurse is providing care for an older adult client who has been admitted to the hospital with cirrhosis. The client has expressed that the details of the current condition and treatment remain confidential. Which response by the nurse would be appropriate?

During a busy shift, a registered nurse directed an unlicensed care provider to change a dressing and perform wound care on an older adult client's surgical incision. This action exists outside of the unlicensed care provider's scope of practice. Which concept would apply to this situation?

A nurse is educating an older adult client about the role of the immune response and autoimmune activity in the aging process. Which statement by the nurse leads to effective teaching?

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A gerontological nurse is conducting a program for a group of nurses who work with older adults. During the program, one of the nurses asks, "Everybody gets old. Why do we need to understand the aging process?" Which response by the nurse would be appropriate?