Nurses who assist clients to deal holistically with their health care needs at the end of their lives work primarily in which health care delivery system?

Hospice

Primary Care

Rehabilitation

Acute Care

Answer and Explanation

The Correct Answer is A

A. Hospice: Hospice provides holistic care focused on comfort and quality of life for clients with terminal illnesses, addressing physical, emotional, spiritual, and psychosocial needs at the end of life. It supports both patients and their families through symptom management and counseling.

B. Primary Care: Primary care focuses on general health maintenance, prevention, and management of chronic conditions, not specifically end-of-life care. It plays a key role in health promotion and disease prevention across the lifespan.

C. Rehabilitation: Rehabilitation aims to restore function and independence after illness or injury, rather than providing end-of-life support. Therapy in this setting is goal-directed and focuses on improving physical or cognitive abilities.

D. Acute Care: Acute care delivers short-term treatment for urgent or severe medical conditions, prioritizing stabilization over holistic end-of-life care. This setting often involves intensive monitoring and interventions to manage life-threatening issues.

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Correct Answer is A

Explanation

A. Sign each entry: Proper documentation requires each entry to be signed or initialed by the nurse to verify accountability and provide a clear record of who performed the care. This is essential for legal and professional standards.

B. Leave blank spaces in charting: Leaving blank spaces can lead to unauthorized additions or confusion and is discouraged. Documentation should be continuous and clear without gaps to maintain accuracy and integrity.

C. Identify each entry with AM/PM instead of military time (2400 hour cycle): Military time is a standard and accepted practice in healthcare settings for clarity and to avoid confusion between AM and PM. Changing to AM/PM is unnecessary and may increase error risk.

D. Use different color of ink to highlight medication administration: Using different ink colors is not a standard requirement and could complicate documentation consistency. Clear, legible, and accurate entries are more important than color coding.

A. Break needles on syringes before placing in sharps container. B. Replace sharps containers when they are 3/4 full. C. Dispose of used razors in wastebaskets D. Use two hands to recap a needle after administering a medication

Correct Answer is B

Explanation

A. Break needles on syringes before placing in sharps container: Breaking or manipulating needles increases the risk of injury and is strictly discouraged. Needles should be disposed of intact in approved sharps containers immediately after use.

B. Replace sharps containers when they are 3/4 full: To prevent overfilling and potential needlestick injuries, sharps containers should be replaced when they reach three-quarters full. This ensures there is adequate space for safe disposal and minimizes handling risks.

C. Dispose of used razors in wastebaskets: Used razors are considered sharps and must be discarded in a designated sharps container. Placing them in regular trash exposes others to potential injury and contamination.

D. Use two hands to recap a needle after administering a medication: Recapping needles is generally avoided to reduce the risk of needlestick injuries. If absolutely necessary, a one-handed scoop technique should be used, never two-handed recapping.

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Nurses who assist clients to deal holistically with their health care needs at the end of their lives work primarily in which health care delivery system?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The new nurse works at a hospital that uses paper records. The nurse writes a narrative note about administration of a pain medication, pictured below. Based on documentation guidelines, what is one suggestion that would improve the nurse's charting? Exhibits

Correct Answer is A

Explanation

A nurse is teaching a newly licensed nurse about preventing puncture injuries. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

The correct progression of steps of the nursing process is:

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