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The nurse is caring for an elderly male client, who will be discharged from the hospital with new medications.
The nurse begins discharge teaching about the new medications.
The patient seems to be disinterested and states, "Please share this information with my wife.
She knows all my medications.”. What action would the nurse take?

Remind the patient that he needs to be in charge of knowing about his own medications as it is not his wife's responsibility.

Document the patient stated "Please share all this information with my wife.

Continue to teach the patient as he is the one being discharged and avoid teaching the wife.

Ask the patient, "Why does your wife know about your medications instead of you?".

Answer and Explanation

The Correct Answer is C

Choice C rationale:

In this situation, the nurse should continue to teach the patient about his medications despite his disinterest. It is essential for the patient to be knowledgeable about his own medications, as he will be responsible for taking them once discharged. While involving family members in the teaching process can be beneficial, the primary responsibility lies with the patient. Documenting the patient's request is also important for the record, but it does not replace the need for the patient to be informed about his medications.

Choice A rationale:

Reminding the patient of his responsibility is a good initial approach, but it should be followed by continued teaching to ensure the patient understands his medications thoroughly.

Choice B rationale:

Documenting the patient's request is important, but it does not address the patient's lack of interest in learning about his medications. The nurse should still provide education to the patient.

Choice D rationale:

Asking the patient why his wife knows about his medications is confrontational and may not be well-received by the patient. It does not address the primary issue, which is the patient's disinterest in learning about his medications.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Choice A rationale:

Statements provided by the patient's family are not a reliable defense against nursing negligence. While family statements can offer context, they may not always be accurate or objective. Legal defenses require concrete evidence and accurate documentation.

Choice B rationale:

Accurate documentation by the nurse is the best defense against allegations of nursing negligence. Thorough and precise documentation provides a clear account of the patient's condition, the care provided, and the patient's response. Proper documentation is essential for legal and ethical reasons and serves as a valuable defense in case of legal disputes.

Choice C rationale:

Testimony of other nurses may support the case but may not be as reliable as accurate documentation. Nurse testimony can be subjective and may vary, making it less robust as a defense compared to comprehensive and detailed documentation.

Choice D rationale:

Inclusion of expert witnesses can be helpful, but their testimony is most effective when combined with accurate documentation. Expert witnesses can provide specialized knowledge and opinions, but their credibility is enhanced when supported by thorough and precise nursing documentation.

A. Extension. B. Abduction. C. Flexion. D. Adduction.

Correct Answer is C

Explanation

Choice A rationale:

Extension refers to the straightening of a joint and is the opposite of flexion. It is not the correct term for the described hand movement.

Choice B rationale:

Abduction is the movement of a body part away from the midline of the body. It does not describe the specific movement of the patient's hand toward the inner aspect of the forearm.

Choice C rationale:

Flexion is the bending of a joint, decreasing the angle between two body parts. When the nurse moves the patient's hand toward the inner aspect of the forearm, it is a flexion movement of the wrist.

Choice D rationale:

Adduction is the movement of a body part toward the midline of the body. It is not the correct term for the described hand movement.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The student nurse is reviewing topics related to laws that apply to nursing care.The student nurse is correct in stating which one is the nurse's best defense if a patient alleges nursing negligence?

Correct Answer is B

Explanation

The nurse moves the patient's hand toward the inner aspect of the patient's forearm.This range of motion exercise would be documented as what of the wrist?

Correct Answer is C

Explanation

Which nursing action should be implemented first when assisting the patient to a lateral position for placement of a bedpan?

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The nurse is implementing interventions to reduce the number of falls in the health care facility.What action is best for the nurse to implement?

The nurse is reviewing research articles about 'sentinel events' in health care.Which is an example of a 'sentinel event?".

What actions taken by a newly licensed nurse are appropriate when documenting on paper? Select all that apply.

The nurse is performing discharge teaching for a patient who has had major abdominal surgery. Which statement or question by the nurse would be appropriate?

A facility is moving from paper to electronic charting.The nurse manager explains what to be the advantages of electronic charting? Select all that apply.

The nurse reviews the providers notes that are written in the SOAP format.Which entry represents the "P" portion of the note?