While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?

Reinforce the potential consequences of not having this information on record to the nursing staff.

Ask nurses who are caring for clients without this information in the medical record to obtain it.

Meet with nursing staff to review the policy regarding advance directives.

Remind nurses to obtain this information during the admission process.

Answer and Explanation

The Correct Answer is B

A.   Reinforce the potential consequences of not having this information on record to the nursing staff: While reinforcing the importance of advance directives is necessary, the immediate priority is to ensure that missing information is obtained.
B.   Ask nurses who are caring for clients without this information in the medical record to obtain it: This is the correct answer. The priority action is to address the missing documentation by
instructing nurses to obtain advance directive information from clients who lack it in their medical records.
C.   Meet with nursing staff to review the policy regarding advance directives: While policy review may be necessary, it is not the immediate action needed to address the missing documentation.
D.   Remind nurses to obtain this information during the admission process: While obtaining advance directive information during the admission process is important, the priority is to address the missing documentation for current clients.

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Correct Answer is A

Explanation

A. Occupational therapists help clients develop, recover, improve, and maintain the skills needed for daily living and working. Their focus includes activities of daily living (ADLs), which encompass tasks such as grooming, dressing, bathing, and oral hygiene. Therefore, a client requiring assistance with completing oral hygiene would benefit from an occupational therapist’s expertise in promoting independence in daily self-care activities.

B The client expresses the desire to join a support group: This need is better addressed by a social worker or a counselor who can facilitate connections to appropriate support groups and provide psychosocial support.

C The client reports pain when chewing solid foods: This issue may require assessment and intervention by a dentist or a speech therapist (if related to swallowing difficulties), not an occupational therapist.

D The client has difficulty ambulating with a walker: Physical therapists, rather than occupational therapists, typically address issues related to mobility and ambulation aids.

A. Discuss the issue with the AP. B. Reinforce facility protocols at the next staff meeting. C. Notify the unit manager about the incident. D. Alert the infection control department.

Correct Answer is A

Explanation

A. Discuss the issue with the AP: This is the correct answer. Addressing the issue directly with the AP allows for immediate clarification of expectations and correction of behavior. It also provides an opportunity to understand any factors contributing to the deviation from protocol.
B. Reinforce facility protocols at the next staff meeting: While reinforcing facility protocols is important, addressing the issue directly with the individual involved should be the first step to ensure timely resolution and prevent further occurrences.
C. Notify the unit manager about the incident: Notifying the unit manager may be necessary if further action is required or if the issue cannot be resolved at the staff level. However, addressing the issue directly with the AP should be the initial step.
D. Alert the infection control department: Involving the infection control department may be necessary if there are concerns about potential infection control risks. However, discussing the issue with the AP allows for immediate action and clarification of expectations.

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While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse initiates a referral to an occupational therapist for a client with care at the facility. Which of the following client care tasks should the nurse support the need for this referral?

Correct Answer is A

Explanation

A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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