C. When giving patient discharge instructions B. There is no right solution to an ethical dilemma an ethical dilemma is a problem without a satisfactory resolution, Which of the following is considered a medical diagnosis? Respect for person K(s) + O$_2$(g) $\longrightarrow$. The right task, the right circumstances, the right person, the right competency, and the right supervision or feedback She has been too weak to get out of bed for the past 3 days. B. D. Clinical ethics, A. Although it is desirable for managers to be good leaders, there are leaders who are not managers and, more frequently, managers who are not leaders! Nursing delegation can begin anytime after the RN has assessed the patient, and after the condition and needs of the patient have been considered. Change bed sheets. The advocator role helps protect the client's human and legal rights and provide assistance in asserting these rights if the need arises. The patient expressed to the nurse that he does want his family to know his medical diagnosis. 2. right circumstance B. B. Advocacy. C. State statutes This is an example of which ethical principle? Entrepreneur. -Proficient - Intuitive thinking increases with experience Symptom control, comfort status, and spiritual health are all NOC outcomes for this diagnosis. C - Personal Evaluation: were goals met, ** NCLEX QUESTION: D. Respect for persons, The physician asks the nurse to witness an informed consent. Coordinator of care he was in a rush and told the nurse to witness the consent for surgery. Helping the patients with bathing and hygiene F. Beneficence, You tell and patient you are going to bring them a box of tissues and you bring them a box of tissues Which activities should the nurse instruct the parents to perform in order to provide security for the child? - communication Etiology: anxiety and stress Select all that apply. Risk for Overweight: Risk factor: concentrating food at the end of the day. Effective delegating distributes tasks in a way that best advances the company ' s goals and capitalizes on each team member ' s strengths. D. Fidelity B. Ensure that the person delegated has the necessary knowledge and skills. dynamic, patient-centered, holistic view, decision making, collaborative. In the manager role, the nurse coordinates the activities of members of the nursing staff and has personnel, policy, and budgetary responsibility for a specific nursing unit or agency. As the rule title indicates, Rule 224 Delegation of Nursing Tasks by Registered Professional Nurses to Unlicensed Personnel for Clients with Acute Conditions or in Acute Care . A. problem? A. Assessment A doctor asks a nurse to collect the medical history of a client. A. In the evaluation phase, the nurse reassesses the patient and determines if goals and outcomes are being met or if the care plan needs to be modified. Critical thinking, problem-solving, and communication skills are necessary to work in this phase. Right Task Appropriate tasks should be chosen based on state and facility-specific rules. Respect for persons To apply wet dressings to the skin Do not make decisions concerning the management of care issues based on resolutions you may have witnessed during your clinical experience in the hospital or clinic setting. D. Measuring and recording the patients' vital signs 1. Formal--> administrative/ management position This is an example of which ethical principle? handicap Activities can be assigned only to someone who has the required skill, knowledge, and judgment as well as legal authority for that scope of practice. C. Professional ethics What is a nurses role in care coordination? Examples include transporting stable patients for testing, delivering . -identify key themes in the discussion c. record objective information using accurate terminology. Administer oral meds, IM, or SQ * Patient teaching * * Apply cold or war. A. love/belonging C. Narrative Involves a holistic view C. marginalizing B - Ethical dilemma What is the ultimate goal of communication ? C - Acting within the Nurse Practice Act Metacommunication is 1 of 3 categories of communication.it is the context of the message B. Nurses can obtain information about the patient by implementing the following objectives. As an advocate, the nurse would seek out resources and people, such as the facility's ethicist or the ethics committee, to resolve this ethical dilemma. In team care, UAPs are expected to perform many low risk nursing care tasks under the direction of a RN. R=3,K=30,N0=0R=3, K=30, N_{0}=0R=3,K=30,N0=0. This phase of the nursing process has the following objectives. Correct Response: A E. Nonmaleficence B. Acceptable nursing diagnosis? The assessment phase is a critical component of the nursing process. Advocacy Exceptional health, dental, vision and prescription drug insurance plans. Licensed practical nurses, licensed vocational nurses, and unlicensed nursing personnel are the delegatees and do not manage the delegation process. (Remember ABC's come firstask yourself who is going to die first). c. Hawaiian This step involves prioritizing patient needs, identifying expected outcomes, establishing nursing interventions, and identifying patient-centered goals. The nurse interviews a client about a current health problem. 4. B. E. Nonmaleficence Which actions should the nurse perform while collecting subjective date from a client during a focused urinary assessment? lowest to highest The following are a few challenges nurses may face when in the evaluation phase. A. Respect for persons Autonomy Respect for persons -understaffing Document in the patient record in a timely, accurate and concise manner. Therefore, the RN delegates the tasks such as assistance with feeding, bathing, and oral hygiene to a UAP. Which feature distinguish nursing diagnoses from medical diagnoses? Organization ethics Human flouishing A nurse who organizes and establishes a political action committee (PAC) in their local community to address issues relating to the accessibility and affordability of healthcare resources in the community is serving in which capacity and role of the registered nurse? Central Broad-leaved The nurse has developed a rapport with the patients mother and asked the nurse to tell her what is wrong with her son. You refuse to take the assignment. Find the population sizes for t = 1, 2, . For example, the registered nurse may assign the licensed vocational . Problem focused diagnosis/two-part Which of the following clients should the nurse asses first? ****Ideally the etiology (r/t statement), or cause, of the nursing diagnosis is something that can be treated It requires careful consideration of the patients individual problems, situation, and needs to develop appropriate nursing diagnoses. Instead, evaluation should be an ongoing process carried out in daily nursing activities that ensures quality nursing interventions and the effectiveness of those interventions. F. Beneficence, provides interventions designed to assist the patient to achieve the higest level of functioning E. Evaluating. D. Unlicensed nursing personne, the study or examination of morality through a variety of different approaches, ______________is concerned with treating people equitably, fairly, and appropriately. B. Select all that apply. B. Intuitive B. Anxiety -Advanced Beginner - Can recognize common patterns and develops professional habits B. Helping the patient with bathing and measuring and recording vital signs are routine tasks that can be performed without advanced nursing education and training, and thus can be delegated to the UAP. C. Symptom, Impaired skin integrity R/T physical immobilization. There are five principles of delegation in nursing: 1. Mind RN keywords Etiology: unfamiliarity with information about the nursing process 3. C. Justice It occurs due to difference in opinions with others. C. Professional ethics 3. to the right person Ethical dilemma, A dying patient asks to not reveal the diagnosis of cancer to the family members. 35 year old women who is depressed B. Nursing Process Includes. Nursing tasksare those activities that constitute the practice of nursing as a licensed nurse and may include, but are not limited to, assistance with activities of daily living that are performed to maintain or improve the patient's well-being, when the patient is unable to perform that activity for him or herself. The RN provides written delegation of the nursing act. self-actualization, ***NCLEX QUESTION Who functions as a liaison between team leaders and other healthcare providers? D. Caregiver, Which critical thinking skill in nursing practice requires the nurse to possess knowledge and experience for choosing care strategies for clients? D. Clinical ethics, A. A nurse is assessing different situations on the basis of Maslow's hierachy of needs. The assessment phase of the nursing process involves gathering information about the patient which is used to guide planning care, setting goals for recovery, and evaluating patient progress. C. 50 year old women who doesn't speak english C. Planning nursing actions for patient care A. general public C. CEO What is another name for the integrated model and give examples, holistic model 1. Unlicensed assistive staff member like a nursing assistant cannot under any circumstances be certified" by the employing agency to insert a urinary catheter or insert a urinary catheter because this is a sterile procedure and, legally, no sterile procedures can be done by an unlicensed assistive staff member like a nursing assistant. C. Retake the temperature in half an hour Helping the patients with bathing and hygiene The client may discuss termination during the working phase; however, the subject should initially be discussed during the orientation phase. Psychomotor tasks are the common characteristics and essential components that a nurse should possess to provide client care. Looking out the window, "Difficulty breathing when walking short distances" SUBJECTIVE Here are a few examples of challenges that may occur during the diagnosis phase of the nursing process and some suggestions on how to overcome them. A. Autocratic behavior Client advocate organize the flow or nursing care and produce individualized plan of care for all patients across a lifespan. Right Circumstance C. Humility Evaluation is the final phase of the nursing process. Problem The evaluation process consists of seven steps, as follows. -requires reasoning and interpretation of data A. E. C & D, Which of the following is considered a NADA diagnosis? Licensed vocational nurse -sort out the issues B. You decide to report the incident to the nurse manager because you know this type of behavior could impact the safety of the patients on the unit. -working with unethical or impaired colleagues, Example of ethics that will be seen in the clinical setting this semester, Issues such as abortion, embryonic stem cell research, and physician assisted suicide, are all example of what type of ethics? C. Justice An unlicensed staff member who has been "certified" by the employing agency to monitor telemetry can monitor cardiac telemetry; they cannot, however, interpret these cardiac rhythms and initiate interventions when interventions are indicated. educator D. All of the above, the process of interaction between people in which symbols are used to create, exchange, and interpret messages about ideals, emotions, and mind states, True or False: -is a circular process The RN will prioritize the patient's needs based on their condition, and differentiate between nursing and non-nursing tasks. give meaning/ achieve therapeutic communication (powerpoint), Which is an examples of non verbal communication -Actively adopt a PI B. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. B. A. Compassion C. Nonmaleficence -interpreting B. B. chief nurse executive Delegation involves at least two individuals: the delegator, and the delegatee. Analysis faith The American Nurses Association's Standards of Care acceptable B. Implementing: action Medicine Nursing Nursing Questions #1 5.0 (2 reviews) Term 1 / 44 The nurse is working with a family of a child who has self-esteem issues. The planning phase of the nursing process is the stage where nursing care plans that outline goals and outcomes are created. expert, ______________ is probably the only role about which there is agreement as to what it means and how we do it. The Five Rights of Delegation include the right task, the right circumstances, the right person, the right direction or communication, and the right supervision or feedback. B. environment stimuli B. Nurses must have strong critical thinking skills, as they must weigh the risks and consequences of each intervention. -likely to have significant physical or psychosocial problems, Which factor is known to threaten the nurse's ability to triage and prioritize client care accurately? Only the nurse can perform these roles. 3. D. Risk nursing diagnosis/ three-part, "Activity intolerance r/t imbalance between oxygen supply and demand aeb verbal reports of fatigue, exertional dyspnea, and abnormal heart rate in response to activity" Autonomy c. I will instruct the delegate to monitor and evaluate the client appropriately, Julie S Snyder, Linda Lilley, Shelly Collins, For each of the following sets of volume/temperature data, calculate the missing quantity after the change is made. D. Termination phase, when discharge plans are being made, B. Which member of the health care team is accountable for initial assessment and ongoing evaluation of client care? Delegation is an essential nursing skill that RNs use to maximize the nursing care that clients receive. C. Working phase, when the client shows some progress situation E. Providing patient education about the prevention of disease. C. Explanation Ethical dilemma, Respect for persons and peers, A nurse on the night shift asks a co worker to punch out to punch out for her because she has to leave early is an example of ? -weight the consequences, When is ISBARR used? Teaching done by the registered nurse can be reinforced by a licensed practical nurse or a vocational nurse. A. Assessing The most frequently used clinical skills for patient assessment are inspection, percussion, palpation, and auscultation. The employer/nurse leader must outline specific responsibilities that can be delegated and to whom these responsibilities can be delegated. C. both A&B The patient does not have an order for Tylenol. Sanitizing and clean patients' areas. After reviewing the data collected in the assessment phase of the nursing process, the nurse determines which type of diagnosis is appropriate and moves to the planning phase. ", B. It is also designated by the American Nurses Association as the second Standard of Practice. Nurses must recognize barriers that could impede the assessment phase and find ways to overcome them. Evaluation occurs NOT only at the end of the nursing process, but throughout the process. Which example indicates that the nurse is following evidence based practice? Readiness for enhanced Nutrition aeb expresses willingness to change eating pattern and eat healthier foods. Julie S Snyder, Linda Lilley, Shelly Collins, Principles and Foundations of Health Promotion and Education. Charge nurse Symptom control The family members are worries and ask whats going on . which client need should the nurse prioritize while providing care? B. -Categorizing data "Delegation is the process for the nurse to direct another person to perform nursing tasks. C. Advocacy Diagnosing to reduce barriers for vulnerable patients, elderly E. Acute renal failure. Which patient situations support the need for care coordination? C. people with complex conditions or life situations elevating the likelihood of a negative outcome -housing and transportation services The fetus is also at high risk for death. Nursing diagnoses should be prioritized first by immediate needs based on _____________________. 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