Chapter 14 Implementing

Chapter 14  Implementing

Complete Chapter Questions And Answers
 

Sample Questions

1.
A client being prepared for discharge to his home will require several interventions in the home environment. The nurse informs the discharge planning team, consisting of a home health care nurse, physical therapist, and speech therapist, of the client’s discharge needs. This interaction is an example of which professional nursing relationship?
A)
Nurse-health care team
B)
Nurse-patient
C)
Nurse-patient-family
D)
Nurse-nurse
Ans:
A

Feedback:

A nurse-health care team professional relationship occurs when the nurse coordinates the input of the multidisciplinary team into a comprehensive plan of care. The nurse may also serve as a liaison between the client and family and the health care team, as necessary.

2.
A graduate nurse recently attended a conference on acute coronary syndrome. In preparing a plan of care for a client admitted with acute coronary syndrome, the nurse considers the information she learned at the conference. Which nursing variable is the nurse utilizing in the development of the plan of care?
A)
Research findings
B)
Resources
C)
Current standards of care
D)
Ethical and legal guides to practice
Ans:
A

Feedback:

Nurses concerned about improving the quality of nursing care use research findings to enhance their nursing practice. Reading professional journals and attending continuing education workshops and conferences are excellent ways to learn about new nursing strategies that have proved effective.

3.
The American Nurses Association recommends adherence to defined principles when delegating care tasks to unlicensed assistive personnel. According to these principles, who is responsible and accountable for nursing practice?
A)
The registered nurse
B)
The American Nurses Association
C)
The nurse manager
D)
The unit’s medical director
Ans:
A

Feedback:

It is the registered nurse who is responsible and accountable for nursing practice.

4.
An older adult client is receiving care on a rehabilitative medicine unit during her recovery from a stroke. She complains that the physical therapist, occupational therapist, neurologist, primary care physician, and speech language pathologist “don’t seem to be on the same page” and that “everyone has their own plan for me.” How can the nurse best respond to the client’s frustration?
A)
Facilitate communication between the different professionals and attempt to coordinate care.
B)
Educate the client about the unique scope and focus of each member of the healthvcare team.
C)
Modify the client’s plan of care to better reflect the commonalities between the different disciplines.
D)
Arrange for each professional to perform bedside assessments and interventions simultaneously rather than individually.
Ans:
A

Feedback:

Nurses play a pivotal role in the coordination of care and often need to facilitate communication between members of different disciplines. Educating the client about the role of each professional may be useful, but it does not achieve coordination of care. Similarly, amending the client’s plan of care will not create unity and collaboration. It is unrealistic to expect each member of the care team to always visit simultaneously.

5.
A male client 30 years of age is postoperative day 2 following a nephrectomy (kidney removal) but has not yet mobilized or dangled at the bedside. Which of the following is the nurse’s best intervention in this client’s care?
A)
Educate the client about the benefits of early mobilization and offer to assist him.
B)
Respect the client’s wishes to remain in his bed and ask him when he would like to begin mobilizing.
C)
Show the client the expected outcomes on his clinical pathway that relate to mobilization.
D)
Document the client’s noncompliance and reiterate the consequences of delaying mobilization.
Ans:
A

Feedback:

Educating the client about the benefits of mobilizing, and offering to assist combines teaching with the promotion of self-care. It is likely premature to label the client as noncompliant, and showing him the expected outcomes on his clinical pathway is unlikely to motivate him if he is reluctant. It is appropriate for the nurse to educate and encourage the client rather than simply accepting his refusal and providing no other interventions.