The nurse is providing education to the staff about delirium.

Which statement made by a staff member indicates a need for further education?

“An infection’s resolution can reverse delirium.”.

“Delirium and dementia cannot coexist.”.

“Sleep deprivation can lead to delirium.”.

“Frequent reality orientation should be used with delirium.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale
An infection’s resolution can indeed reverse delirium. Delirium is often caused by a physical or mental illness, such as an infection.
Choice B rationale
The statement “Delirium and dementia cannot coexist” is incorrect and indicates a need for further education. Delirium and dementia can coexist.
Choice C rationale
Sleep deprivation can lead to delirium. This is a correct statement and does not indicate a need for further education.
Choice D rationale
Frequent reality orientation should be used with delirium. This is a correct statement and does not indicate a need for further education.

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Correct Answer is D

Explanation

Choice A rationale
Using white out to remove incorrect documentation and writing the correct information over the white out is not an acceptable practice according to CMS guidelines. This method does not allow for the original documentation to be seen, which is a requirement for making corrections to documentation.
Choice B rationale
Using a permanent marker to eliminate all incorrect documentation from view and initialing the mistake is also not an acceptable practice according to CMS guidelines. This method completely obscures the original documentation, which goes against the CMS requirement that all original content must be clearly identifiable.
Choice C rationale
Crossing out the error with a double line so the original documentation may be seen and dating the new entry is not specifically mentioned in the CMS guidelines. While this method does allow for the original documentation to be seen, it’s not clear whether it adheres to all CMS guidelines.
Choice D rationale
According to CMS guidelines, when making corrections to documentation, the nurse should cross out the error with a single line so the original documentation can be seen and sign and date the correction. This method ensures that all original content is clearly identifiable, which is a requirement for making corrections to documentation.

A. Justice. B. Accountability. C. Confidentiality. D. Fidelity.

Correct Answer is B

Explanation

Choice A rationale
Justice refers to fairness and equality in healthcare. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.
Choice B rationale
Accountability is the ethical standard that compels a nurse to report missing medication. Nurses are accountable for their actions and are responsible for reporting any discrepancies or issues that could impact patient safety26.
Choice C rationale
Confidentiality refers to the protection of patient information. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.
Choice D rationale
Fidelity refers to the commitment to fulfill promises and obligations. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.

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The nurse is providing education to the staff about delirium. Which statement made by a staff member indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in a care area that uses paper charting notices an error when recording a patient’s vital signs in the patient record. Which option adheres to The Centers for Medicare & Medicaid Services (CMS) guidelines for making corrections to documentation?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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The nurse is providing education to the staff about delirium.

Which statement made by a staff member indicates a need for further education?