When making shift assignments, which patient is most appropriate for a nursing assistant?

A patient who needs help with bathing

A post-op laparotomy patient who needs education.

A newly admitted patient with a seizure disorder.

A dehydrated patient with an electrolyte imbalance.

Answer and Explanation

The Correct Answer is A

A. A patient who needs help with bathing: Nursing assistants are trained to assist with activities of daily living (ADLs), such as bathing.
B. A post-op laparotomy patient who needs education. Education and postoperative teaching require the skills and knowledge of a licensed nurse.
C. A newly admitted patient with a seizure disorder. Newly admitted patients with complex conditions need thorough assessment and monitoring by a licensed nurse.
D. A dehydrated patient with an electrolyte imbalance. Managing dehydration and electrolyte imbalances requires clinical judgment and interventions that should be handled by a licensed nurse.

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Correct Answer is C

Explanation

A. Right Task: The right task refers to ensuring the task is appropriate to delegate. This situation is more about monitoring the task.
B. Right Communication: The right communication involves clear, concise instructions. This scenario involves oversight rather than instruction.
C. Right Supervision: Right supervision involves monitoring the task and providing guidance and feedback. Observing the UAP and ensuring the correct cuff size is being used demonstrates appropriate supervision.
D. Right Circumstance: The right circumstance refers to ensuring the client’s condition is appropriate for delegation. This situation is about supervising the task.

A. "I think you should talk with your family about your anger B. "You are probably very depressed, which is understandable with such a diagnosis." C. "Tell me more about how you are feeling" D. "Why haven't you shared your feelings with your family?"

Correct Answer is C

Explanation

A. "I think you should talk with your family about your anger." This response shifts the focus to action without first exploring the client's feelings, which may not be therapeutic initially.
B. "You are probably very depressed, which is understandable with such a diagnosis." This response labels the client's emotions and may not be helpful in allowing the client to explore their feelings further.
C. "Tell me more about how you are feeling." This response uses therapeutic communication by encouraging the client to express feelings and concerns, providing emotional support and validation.
D. "Why haven't you shared your feelings with your family?" This response can sound accusatory and may not encourage open communication.

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When making shift assignments, which patient is most appropriate for a nursing assistant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse delegates to an assistive personnel. During the delegation the nurse observes the UAP using the large cuff on a client who is overweight. The nurse is demonstrating which of the following rights of delegation?

Correct Answer is C

Explanation

A client diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?

Correct Answer is C

Explanation

The nursing is checking the client's blood sugar after administering insulin to a diabetic client. Which part of the nursing process is being fulfilled?

A nurse is planning a community diabetes mellitus management program. Which of the following SMART goals should the nurse include for the client?

A nurse is teaching a client who wishes to stop smoking. Which of the following teaching methods uses the affective domain of learning?

A nurse is responding to a call light of a newly diagnosed diabetic. The client states she is ready for learning. The nurse recognizes this as which learning domain?

The nurse is providing morning care to a client with right arm hemiparesis. Which nursing action demonstrates use of the Self Care Model when planning care?

A nurse on a medical surgical unit has received report on four clients. Which of the following clients should the nurse assign to the NA?

A nurse is caring for a group of clients on a medical surgical unit. For which of the following care needs should the nurse initiate a referral for a speech therapist?

A nurse at the clinic is teaching a client with diabetes the importance of monitoring their blood sugar. The nurse is implementing what level of preventative care?