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- ADLs - bathing - grooming - dressing - ambulating -
What can be delegated to Assistive personnel (AP)? feeding (w/o swallow precautions) - positioning - bed
making - specimen collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift
report and will care for 4 clients. Which of the following
clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with
aspiration pneumonia C. Reapplying a condom catheter for a client who has
B. Reinforcing teaching with a client who is learning to urinary incontinence
walk with a quad cane
C. Reapplying a condom catheter for a client who has
urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
A nurse is delegating the ambulation of a client who
had knee arthroplasty 5 days ago to an AP. Which of the
following info should the nurse share with the AP?
Select all:
B. The client ambulates with his slippers on over his
A. the roommate is up independently
antiembolic stockings
B. The client ambulates with his slippers on over his
C. The client uses a front wheeled walker when ambulat-
antiembolic stockings
ing
C. The client uses a front wheeled walker when ambulat-
D. The client had pain meds 30 minutes ago
ing
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning
An RN is making assignments for client care to an LPN at
the beginning of the shift. Which of the following assign-
ments should the LPN question? D. Replacing the cartridge and tubing on a PCA pump
A. Assisting a client who is 24 hr postop to use an incentive
spirometer
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B. Collecting a clean catch urine specimen from a client
who was admitted on the previous shift
C. providing nasopharyngeal suctioning for a client who
has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
A nurse is preparing an inservice program about delega-
tion. Which of the following elements should she identify
when presenting the 5 rights of delegation. Select all:
B. Right supervision/evaluation
A. Right client
C. Right direction/communication
B. Right supervision/evaluation
E. Right circumstances
C. Right direction/communication
D. Right time
E. Right circumstances
A nurse manager of a med surge unit is assigning care
responsibilities for the oncoming shift. A client is waiting
transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign
the client? B. RN
A. Charge nurse
B. RN
C. LVN
D. AP
What is the study of conduct and character? Ethics
What are the values and beliefs that guide behavior and
Morals
decision making?
What is the right to make ones own personal decisions,
even tho those decisions might not be in the persons best Autonomy
interest
What are positive actions to help others Beneficience
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What is an agreement to keep promises Fidelity
What is fairness in care delivery and use of resources Justice
What is avoidance of harm or injury Non-maleficence
A nurse is caring for a client who decides not to have
surgery despite significant blockages in his coronary ar-
teries. The nurse understands that this clients choice is an
example of what principles?
A. Fidelity
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience
A nurse offers pain meds to a client who is postop prior
to ambulation. The nurse understands that this aspect
of care delivery is an example of which of the following
ethical principles?
D. Beneficence
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence
A nurse is instructing a group of nursing students about
the responsibilities involved with organ donation and pro-
curement. When the nurse explains that all clients waiting
for a kidney transplant have to meet the same qualifica-
tions, the students should understand that this aspect of
C. Justice
care delivery is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
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A nurse questions a med prescription as too extreme and
light of the clients advanced age and unstable status. The
nurse understands that this action is an example of which
ethical principle
D. Nonmalificence
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence
Which of the following situations can be identified as an
ethical dilemma?
A. A nurse on a med surge unit demonstrates signs of
chemical impairment
B. A nurse over hears another nurse telling an older adult C. A family has conflicting feelings about the initiation of
client that if he doesn't stay in bed she will restrain him enteral tube feedings of their father who is terminally ill
C. A family has conflicting feelings about the initiation of
enteral tube feedings of their father who is terminally ill
D. A client who is terminally ill hesitates to name her
spouse on her durable power of attorney form
Most managers can be categorized as authoritative, democratic, and laissez faire
makes decisions of the group
motivates by coercion
communication occurs down the chain of command Authoritative
Work output by the staff is usually high-good for crisis
situations and bureaucratic settings
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of com-
Democratic
mand
Work output by staff is usually of good quality-good when
cooperation and collaboration is necessary
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