A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse’s signature on the form confirms which of the following requirements? (Select all that apply.)

The client speaks the same language as the nurse.

The client signed in the nurse’s presence.

The client was not coerced.

The client has legal authority to do so.

The client does not have a mental health condition.

Answer and Explanation

Correct Answer : B,C,D

Choice A Reason:

The requirement that the client speaks the same language as the nurse is not a standard criterion for informed consent. While effective communication is crucial, the presence of an interpreter can facilitate understanding if there is a language barrier. The nurse’s signature does not confirm the language spoken by the client.

Choice B Reason:

The nurse’s signature on the informed consent form confirms that the client signed the document in the nurse’s presence. This is a standard practice to ensure that the consent was given voluntarily and that the client was present at the time of signing. It helps in verifying the authenticity of the consent.

Choice C Reason:

The nurse’s signature also confirms that the client was not coerced into signing the consent form. Informed consent must be given voluntarily, without any form of pressure or coercion. This ensures that the client’s decision is made freely and with full understanding of the procedure or treatment.

Choice D Reason:

The nurse’s signature confirms that the client has the legal authority to give consent. This means that the client is of legal age and has the mental capacity to understand the information provided and make an informed decision. It is essential to ensure that the client is legally competent to consent to the treatment or procedure.

Choice E Reason:

The requirement that the client does not have a mental health condition is not a standard criterion for informed consent. Clients with mental health conditions can still provide informed consent if they have the capacity to understand the information and make a decision. The nurse’s signature does not confirm the mental health status of the client.

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Correct Answer is B

Explanation

Choice A Reason: Physical therapist

Physical therapists primarily focus on improving a patient’s physical function, mobility, and strength. They work on activities such as walking, balance, and coordination1. While they play a crucial role in the rehabilitation of clients with traumatic brain injuries, their expertise is not specifically centered on activities of daily living (ADLs) like using eating utensils.

Choice B Reason: Occupational therapist

Occupational therapists specialize in helping clients regain the ability to perform ADLs, which include tasks such as eating, dressing, and bathing. They use therapeutic techniques to improve fine motor skills, coordination, and cognitive function, which are essential for relearning how to use eating utensils. Their goal is to enhance the client’s independence and quality of life by enabling them to perform everyday activities.

Choice C Reason: Speech-language pathologist

Speech-language pathologists focus on communication disorders and swallowing difficulties. They work with clients to improve speech, language, and cognitive-communication skills. While they are essential for addressing issues related to speech and swallowing, they do not typically focus on the motor skills required for using eating utensils.

Choice D Reason: Social worker

Social workers provide support and resources to help clients and their families cope with the emotional, social, and financial aspects of a traumatic brain injury. They assist with discharge planning, accessing community resources, and providing counseling. However, they do not provide direct rehabilitation services related to the use of eating utensils.

A. Rotate the swab over necrotic tissue. B. Obtain the sample from the outer edge of the wound. C. Apply sterile gloves to remove the outer dressing. D. Crush the transport medium after obtaining the specimen.

Correct Answer is C

Explanation

c. Apply sterile gloves to remove the outer dressing.

Choice A Reason:

Rotating the swab over necrotic tissue is not recommended because necrotic tissue does not provide an accurate representation of the microorganisms present in the wound. Necrotic tissue is dead tissue, and culturing it can lead to misleading results, as it may not reflect the current state of infection or the microorganisms causing the infection.

Choice B Reason:

Obtaining the sample from the outer edge of the wound is also not ideal. The outer edge of the wound may be contaminated with skin flora or other external contaminants, which can lead to inaccurate culture results. The sample should be taken from clean, viable tissue within the wound bed to ensure accurate identification of the microorganisms present.

Choice C Reason:

Applying sterile gloves to remove the outer dressing is the correct action. This step is crucial to maintain aseptic technique and prevent contamination of the wound and the specimen. Sterile gloves help ensure that the nurse does not introduce any external microorganisms into the wound while handling the dressing.

Choice D Reason:

Crushing the transport medium after obtaining the specimen is a necessary step to activate the medium and preserve the specimen during transport to the laboratory. However, this step comes after the specimen has been collected and does not directly relate to the technique of obtaining the specimen.

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A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse’s signature on the form confirms which of the following requirements? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?

Correct Answer is B

Explanation

A nurse is obtaining a specimen for a wound culture from a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assessing a client’s abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A nurse is caring for a client who has a new diagnosis of insulin-dependent diabetes mellitus. The client states, “I am concerned about being able to monitor my blood glucose regularly due to my busy schedule.” Which of the following responses should the nurse make?

A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?

A nurse is planning care for a client who has a seizure disorder. Which of the following actions should the nurse include in the client’s plan of care?

A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the following statements by the client indicates an understanding of the use of the supplements?

A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)

A nurse is planning care for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take?

A nurse is preparing to obtain a blood sample from an adult client for a capillary blood glucose test. Which of the following sites should the nurse select?