When the nurse is giving direction to a nursing assistant who is being delegated part of the patient care, the nurse's most effective direction would be:

“Take the vital signs on all the patients in the lounge and tell me whether there are problems."

"Do the morning care first on the patients in 205 and 206 who can't get out of bed."

"Give the patient in 204A a shower after breakfast, and call me to check her feet before you get her dressed."

"You take care of all the patients in 205 and 206. Let me know how you're doing and whether you need any help."

Answer and Explanation

The Correct Answer is C

A. "Take the vital signs on all the patients in the lounge and tell me whether there are problems." This instruction is vague and lacks specific information about what "problems" to look for, which may lead to inconsistent reporting.

B. "Do the morning care first on the patients in 205 and 206 who can't get out of bed." This instruction is clear, but it does not specify important details like the specific type of care expected or additional needs.

C. "Give the patient in 204A a shower after breakfast, and call me to check her feet before you get her dressed." This instruction is specific, clear, and provides a follow-up action (check her feet) which is necessary. It allows the nursing assistant to understand exactly what to do and when.

D. "You take care of all the patients in 205 and 206. Let me know how you're doing and whether you need any help." This instruction lacks specificity and does not outline clear tasks or expectations, which may lead to confusion.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Guarding the confidentiality of the patient record by not leaving the patient screen "on" if he leaves the terminal. Protecting patient confidentiality is essential in electronic charting to prevent unauthorized access.

B. Learning the passwords of the staff nurses and primary care providers so that they can communicate with one another. Sharing or learning others' passwords violates security protocols and confidentiality rules.

C. Choosing whether he will use the computer to help in documentation or continue to use traditional paper documentation. In facilities using electronic charting, all staff are typically required to use the system to maintain consistent, accessible records.

D. Patient education to input information about herself, such as intake and output or symptoms the patient may experience. Patients typically do not have access to chart directly into their medical records.

A. asking probing questions. B. using nonjudgmental remarks. C. changing the subject. D. using clichés. E. giving advice. F. offering hope.

Correct Answer is ["A","C","D","E"]

Explanation

A. Asking probing questions. Probing questions can feel invasive, leading to discomfort or defensiveness from the patient.

B. Using nonjudgmental remarks. Nonjudgmental remarks foster open communication, so this is not a communication block.

C. Changing the subject. Changing the subject shows disregard for the patient’s thoughts or feelings, which can block effective communication.

D. Using clichés. Clichés can make patients feel as though their concerns are not truly heard or understood.

E. Giving advice. Giving advice without patient input can make the patient feel undervalued and less autonomous.

F. Offering hope. Offering realistic hope and encouragement can actually facilitate communication, as long as it’s not false reassurance.

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When the nurse is giving direction to a nursing assistant who is being delegated part of the patient care, the nurse's most effective direction would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

If an agency is using computer-assisted charting, the nurse is responsible for:

Correct Answer is A

Explanation

The nurse is alert to avoid using blocks to effective communication that include: (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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