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1. Which statement indicates that Identifies the basic principles of nursing care through
the nurse is in the advanced begin- careful observation
ner stage of Benner?
Rationale:
Learns about the profession According to the levels of proficiency set forth by Benner,
through a specific set of rules and the nurse in the advanced beginner stage is able to
procedures identify basic principles of nursing care through careful
Identifies the basic principles of observation. A nurse in the novice stage learns about
nursing care through careful ob- the profession through a specific set of rules and pro-
servation cedures. After reaching the competent stage, a nurse
Understands the organization and will be able to understand the organization and specific
specific care required by certain care required by certain clients. A nurse who has reached
clients the proficient stage is able to assess an entire situation
Assesses the entire situation and and transfer knowledge gained from multiple previous
transfers knowledge gained from experiences.
multiple previous experiences
2. How would the nurse prepare a By recording descriptive and objective information of
factual record when performing what he or she sees, hears, feels, and smells
client documentation?
Rationale:
By providing a logical order for the A factual record contains descriptive and objective in-
communication formation about what the nurse sees, hears, feels, and
By using exact measurements for smells. An organized record communicates the infor-
each activity of the client mation in a logical order. The use of exact measure-
By providing complete and appro- ments establishes accuracy. The nurse prepares a com-
priate information in each client plete record by providing a comprehensive record that
record includes all essential information.
By recording descriptive and ob-
jective information of what he or
she sees, hears, feels, and smells
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3. Which point listed about the Unit- The organization has a contract with the federal govern-
ed Network for Organ Sharing ment.
(UNOS) program is accurate?
Rationale:
The organization has a contract The United Network for Organ Sharing (UNOS) has a
with the federal government. contract with the federal government. The National Or-
The donor's estate is protected gan Transplant Act of 1984 protects the donor's estate
from liability for injury or damage. from liability for injury or damage. The United Network
Priority is given to international for Organ Sharing gives priority to clients in their ge-
clients who need organs on an ur- ographical area who need organs on an urgent basis.
gent basis. The National Organ Transplant Act of 1984 provides civil
Civil and criminal immunity is giv- and criminal immunity to the hospital and the healthcare
en to the hospital and the primary provider.
health care provider.
4. Which point listed by the nurs- 'There is an assumption that the care provided to the
ing student is accurate regarding client was negligent.'
the loss of a client's medication
records? Rationale:
In case a client's medical record is lost, there is an as-
'Loss of medical records may lead sumption that the care provided to the client was negli-
to libel charges.' gent. Loss of medical records may lead to a malpractice
'The registered nurse would main- claim. The entire institution is responsible for maintain-
tain accurate nursing records.' ing medical records. Primary health care providers need
'There is an assumption that the to demonstrate why the medical records were lost.
care provided to the client was
negligent.'
'The health care facility needs
to demonstrate why the medical
records were lost.'
5. A written order for restraints is not required.
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Which point requires correction re- Rationale:
garding the use of restraints? Restraints can be used only on the written order of a
health care provider. Restraints can be used when less re-
Less restrictive interventions must strictive interventions are not successful. Restraints may
have been unsuccessful before ap- be used after all available alternatives have been tried
plying restraints. and exhausted. Restraints can be used only to ensure the
All other alternatives must have physical safety of the resident or other residents.
been tried and exhausted before
applying restraints.
Restraints may be applied to en-
sure the physical safety of the res-
ident or other residents.
A written order for restraints is not
required.
6. Arrange the order of critical think- 1. Recognizing the existing issue
ing for an existing problem. 2. Analyzing information about the issue
3. Evaluating the information
Making a conclusion 4. Making a conclusion
Evaluating the information
Recognizing the existing issue Rationale:
Analyzing information about the When a problem exists, the nurse first recognizes the
issue existing issue, then analyzes information about the issue
and evaluates the collected information about the issue.
After evaluating, the nurse would make a conclusion.
7. The nurse is helping a client main- Caregiver
tain and regain health, manage
his or her disease and symptoms, Rationale:
and attain a maximal level of func- As a caregiver, the nurse helps clients maintain and re-
tion and independence through gain health, manage diseases and symptoms, and attain
the healing process. Which role is a maximal level of function and independent through the
healing process. As a manager, the nurse coordinates the