NSG 100 A nurse is working on the medical/surgical unit. The nurse knows that which of the following tasks should NOT be delegated to nursing

Question Answered step-by-step NSG 100A nurse is working on the medical/surgical unit. The nurse knows that which of the following tasks should NOT be delegated to nursing assistive personnel?Select one:a. Setting up a meal tray for a 75 year old client with Alzheimer’s diseaseb. Transferring a 70 year old client awaiting discharge from the bed to a wheelchair.c. Assessing a newly postoperative client’s pain level.d. Setting up a water basin for a 45 year old client who wishes to shave at the bedside.A patient is extremely upset and mentions something about a work-related issue that the nurse cannot understand. Whichof the following is the nurse’s best response?Select one:a. “Your job must be very important to you.”b. “Calm down so I can understand what you are saying.”c. “I’m not quite sure I heard what you said about your work.”d. “It’s natural to worry about your job.”A patient is to have arthroscopic surgery of the knee to repair a torn tendon. The patient says, “I don’t know if I’ll make it through this surgery.” Which response by the nurse will encourage further communication by the patient?”Select one:a. “You are not going to die.”b. “The type of surgery you are having is minor.”c. “Everything will be all right.”d. “Surgery often can be frightening.”A well-known actor has been admitted to an ambulatory surgical unit. The nurse notices a staff member who is not involved in the client’s care reading his medical record. The nurse knows she should FIRST do which of the following?Select one:a. Inform the staff member that without legitimate need for the information, staff should not be reading the medical record.b. Nothing. The staff member has a hospital ID badge and is authorized to read the medical record.c. Tell the client his medical records have been read by an unauthorized individual.d. Page the physician and ask if it’s acceptable for the staff member to access the medical records.’A woman is admitted to the hospital with high risk pregnancy. A laparotomy is scheduled. Preoperatively, which of the following goals is MOST important for the nurse to include on the client plan of care?Select one:a. Emotional supportb. Respiratory therapyc. Fluid replacementd. Pain relief’An elderly client is hospitalized with Alzheimer’s disease. His daughter tells the nurse that caring for him is too hard, but that she feels guilty placing him in a nursing home. Which of the following statements by the nurse would be MOST appropriate?Select one:a. “Don’t feel guilty. The only solution is to place your father in a nursing home.”b. “Would you like me to help you find a nursing home that is not too expensive?”c. “I think I would feel guilty too if I had to place my father in a nursing home.”d. “It is hard to be caught between taking care of your needs and your father’s needs.”Like first stop the person from reading, before deciding to go tellA nurse is caring for a client who states, “I have to check with my wife and see if she thinks I am ready to go home.” The nurse replies, “How do you feel about going home today?” Which clarifying technique is the nurse using to enhance communication with the client?Select one:a. Restatingb. Pacingc. Reflectingd. ParaphrasingA nurse is caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. Which of the following statements should the nurse make? (Select all that apply)Select one or more:a. “Your daily routines will be different when you get home.” b. “You will do great! You just have to get used to it.” c. “Tell me about your support system you’ll have after you leave the hospital.” d. ” Why are you worried about going home?”A nurse is caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. Which of the following statements should the nurse make? (Select all that apply)Select one or more:a. “Your daily routines will be different when you get home.” b. “You will do great! You just have to get used to it.” c. “Tell me about your support system you’ll have after you leave the hospital.” d. ” Why are you worried about going home?”Which of the following strategies should a nurse use to establish a helping relationship with a client?Select one:a. Allow communication to occur spontaneously throughout the nurse-client relationship b. Make sure the communication is equally reciprocal between the nurse and the client. c. Encourage the client to communicate his thoughts and feelings.d. Give the nurse-client communication no time limits.The nurse is admitting a client who is jaundiced due to pancreatic cancer. The nurse should give the HIGHEST priority to which of the following needs?Select one:a. Nutritionb. Urinary Eliminationc. Skin Integrityd. Self-ImageThe nurse is caring for a client hospitalized for observation after a fall. The client states, “My friend fell last year, and no one thought anything was wrong. She died 2 days later!” Which of the following responses by the nurse is BEST?Select one:a. “Don’t up think I’m taking good care of you?”b. “This happens to quite a few people.”c. “We are monitoring you, so you’ll be okay.”d. “You’re concerned that it might happen to you?”‘The nurse is caring for a famous basketball player who may have sustained a career changing injury. When asked by co-workers about the status of the client, she responds that she is not able to discuss her client. Which of the following ethical principles BEST supports her statement?Select one:a. Accountabilityb. Justicec. Beneficenced. ConfidentialityThe nurse is caring for a terminal cancer client at home. The nurse knows that which of the following ethical principles BEST supports keeping the client and family care consistent with the nurse’s professional code of ethics?Select one:a. Virtuesb. Fidelityc. Justiced. BeneficenceThe nurse is conversing with a young adult client regarding an ordered blood transfusion. It is clear to the nurse that the client does not understand the risks involved with the procedure. Which of the following statements BEST describes the nurse’s role regarding informed consent for this procedure?Select one:a. The nurse has someone else witness the signature on the consent.b. The nurse tells the client not to worry because blood transfusions are very common.c. The nurse informs the ordering physician that the client does not understand the risks and will need further explanation.d. The nurse describes alternative treatments.The nurse is preparing a client for surgery. When obtaining informed consent, the nurse should INITIALLY do which of the following?Select one:a. Assess whether the client’s understanding of the procedure is sufficient to give consent.b. Witness the client’s signature.c. Explain the risks, benefits, and alternatives of the procedure.d. Tell the client that obtaining the signature is routine for all surgeries.The nurse is preparing to perform an admission assessment on a 28 year old man being admitted for Crohn’s disease. The nurse knows that according to the Patient’s Bill of Rights, this client is responsible for which of the following?Select one:a. Providing accurate information about medication and past illnessb. Providing information about personal relationshipsc. Providing proof of insuranced. Consenting to treatmentThe nurse is present during an informed consent discussion between the client and the physician regarding recommended surgery. The physician discusses the risks, benefits and alternatives of the procedure with the client. The nurse knows that the client’s decision whether or not to have the surgery is based on which of the following ethical principles?Select one:a. Nonmaleficenceb. Beneficencec. Autonomyd. CapacityTo better answer NCLEX style questions, the student should consider the correct order of the nursing process and:Select one:a. Evaluate and then planb. Assess and then implementc. Document and then implementd. Implement and then assess.What is the first step a student should take in actively developing a personal foundation for nursing practiceSelect one:a. Identify a personal ethical foundationb. Identify ethical issues in the clinical setting.c. Examine personal values and beliefs.d. Read articles about ethical decision-making.A nurse is using an interpreter to communication with a client. Which of the following actions should the nurse use when communicating with a client and his family? (Select all that apply.)Select one or more:a. Send at text message to the clientb. Ask the family one question at a time.c. Send an Instagram photo to help explain the situation.d. Do not interrupt the family and interpreter at they talk.e. Use lay terms if possibleWhich of the following is an example of a critical ethical and legal patient oriented issue?Select one:a. Individualized meal timesb. Rationing of carec. Access to home cared. The size of patient roomsWhich of the following is the correct order for prioritizing needs according to Maslow’s Hierarchy of Needs?Select one:a. Creative activities, feelings of accomplishment, friendsb. Psychological, basic, self-fulfillment needsc. Friends, security, safetyd. Physical, safety, psychological needsWhich organization is responsible for ensuring the quality and integrity of baccalaureate, graduate, and residency programs in nursing through the process of accreditation?Select one:a. ANAb. Sigma Theta Tauc. CCNEd. NLNWhich statement describes the following proverb: What you do speaks so loudly, I cannot hear what you say.Select one:a. When people talk too loudly it is hard to understand what is being said.b. Hearing ability is an important factor in communicating.c. Listening to what people say requires attention to what is being said.d. Nonverbal messages are often more meaningful than words.A nurse is caring for a client who is a Jehovah’s Witness and is scheduled for surgery as a result of a motor vehicle crash. The surgeon tells the client that a blood transfusion is essential. The client tells the nurse that based on his religious values and mandates, he cannot receive a blood transfusion. Which of the following responses should the nurse make ?Select one:a. “I know your family would approve of your decision to have a blood transfusion.”b. “Let’s discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution.”c. ” I believe in this case you should really make an exception and accept the blood transfusion.”d. “Why does your religion mandate that you cannot receive any blood transfusions?”The nurse is caring for a terminal cancer client at home. The nurse knows that which of the following ethical principles BEST supports keeping the client and family care consistent with the nurse’s professional code of ethics?Select one:a. Virtuesb. Fidelityc. Justiced. BeneficenceThe nurse is admitting a client who is jaundiced due to pancreatic cancer. The nurse should give the HIGHEST priority to which of the following needs?Select one:a. Nutritionb. Urinary Eliminationc. Skin Integrityd. Self-ImageA mother whose young daughter has died of leukemia is crying and is unable to talk about her feelings. Which is the best response by the nurse?Select one:a. “She put up a good fight but now is out of pain and in heaven.”b. “It must be hard to deal with such a precious loss.”c. “Everyone will remember her because she was so cute. She was one of our favorites.”d. “As hard as this is, it is probably for the best because she was in a lot of pain.”A 58 year old Spanish-speaking woman is being discharged after having a central venous access device placed. Which of the following BEST describes the nurse’s role in advocating for her client?Select one:a. The nurse provides both written and verbal discharge instructions.b. The nurse uses a translator when she provides the client with discharge instructions.c. The nurse provides discharges instructions in a private room.d. The nurse ensures the client has transportation home upon discharge.A client is admitted to the hospital with a diagnosis of Bipolar disorder. The man approaches the nurse and says, “Hi baby,” and opens his robe, under which he is naked. Which of the following comments by the nurse would be MOST appropriate?Select one:a. “This is inappropriate behavior. Please close your robe and return to your room.”b. “I am offended by your behavior and I will report you.”c. “Please dress in your clothes and then join us for lunch in the dining room.”d. ” Oh my, you’re naked, do you need some assistance dressing today?” Health Science Science Nursing NSG 100 Share QuestionEmailCopy link Comments (0)