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

The newly licensed nurse corrects an erroneous written entry using correction fluid.

The newly licensed nurse documents when there is a change in the patient's status.

The newly licensed nurse leaves a line blank so the charge nurse can add additional documentation between the newly licensed nurse's entries.

The newly licensed nurse plans to finish charting the procedure when they return from break.

The newly licensed nurse charts using military (24-hour) time.

Answer and Explanation

Correct Answer : B,E

Choice A rationale:

Using correction fluid to correct an erroneous written entry is not appropriate as it can obscure the information and raise questions about the accuracy of the documentation. It is better to strike through the error with a single line, write the correct information, and sign and date the correction.

Choice B rationale:

Documenting changes in the patient's status is crucial for ensuring continuity of care and keeping all healthcare providers informed about the patient's condition.

Choice C rationale:

Leaving a blank line for the charge nurse to add additional documentation is not recommended. Each entry should be complete and include all relevant information at the time of documentation.

Choice D rationale:

Planning to finish charting the procedure after returning from a break is not appropriate. Charting should be done in real-time to ensure accuracy and timeliness of the information.

Choice E rationale:

Charting using military (24-hour) time is appropriate as it reduces confusion and ensures a standardized way of documenting time across different healthcare settings.

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Correct Answer is C

Explanation

Choice A rationale:

Ethical dilemma involves a situation in which a person is faced with conflicting moral principles, making it difficult to choose the right course of action. In this scenario, the nurse is not dealing with conflicting moral principles but rather providing information about end-of-life care options, demonstrating respect for the patient's autonomy.

Choice B rationale:

Nonmaleficence is the principle of doing no harm. While it is an important ethical principle in nursing, it does not directly apply to the situation described. The nurse is not making decisions that could harm the patient but is instead providing information and support regarding end-of-life care options.

Choice C rationale:

Autonomy refers to the right of individuals to make their own decisions about their own lives and bodies, even if those decisions are not in their best interest according to others. In this scenario, the nurse is respecting the patient's autonomy by providing information and discussing various care options, allowing the patient to make informed decisions about their end-of-life care.

Choice D rationale:

Social justice involves promoting fairness and equity in the distribution of resources and opportunities. While social justice is an important nursing value, it does not directly apply to the situation described. The nurse is primarily focused on respecting the patient's autonomy and providing information about end-of-life care options.

A. "I have talked with your wife and she told me she will be fine.”. B. "Oh, don't worry about that now. C. "Can I get you the sleeping pill your doctor prescribed, so that you can get some rest?". D. "What seems to be concerning you the most?". .

Correct Answer is D

Explanation

Choice A rationale:

Telling the patient that their wife will be fine does not address the patient's concerns and may come across as dismissive. It does not encourage further communication about the patient's fears and worries.

Choice B rationale:

Dismissing the patient's concerns and instructing them to sleep does not address the underlying issue. It fails to acknowledge the patient's emotional distress and may make the patient feel unheard and unsupported.

Choice C rationale:

Offering medication without exploring the patient's concerns further does not address the root cause of the patient's anxiety. It is important to assess the patient's emotional state and concerns before resorting to medication.

Choice D rationale:

Asking the patient, "What seems to be concerning you the most?" demonstrates active listening and empathy. It encourages the patient to express their feelings and fears, allowing the nurse to provide appropriate emotional support and interventions. Open-ended questions like this facilitate therapeutic communication and help establish trust between the nurse and the patient.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a terminally ill patient with questions regarding end-of-life care options.The nurse provides an informational packet to the patient, and discusses the various care options available.The nurse is demonstrating which professional value?

Correct Answer is C

Explanation

A nurse is caring for a terminally ill patient during the 2300 to 0700 shift.The patient says, "I just can't go to sleep.I keep thinking about what my family will do when I am gone.”. What response by the nurse would be most appropriate?

Correct Answer is D

Explanation

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