VERIFIED MASTER FILE
◉ A nurse manager is planning staff development activities for the
unit's new UAP. Which of the following activities should the nurse
manager perform first?
A. determine the learning needs of the UAPs
B. admin a skills pretest to the new UAPs
C. provide the new UAP's w/ a performance checklist
D. ask the UAPs about any weaknesses they may have. Answer: A.
determine the learning needs of the UAPs
Rationales..
The nurse should apply the nurseing process priority-setting
framework to plan pt care & prioritize nursing actions. Assessing or
collecting additional data will provide the nurse w/ the knowledge
to make an appropriate decision
,◉ A nurse is caring for a pt who is dying & unstable to make
decisions for himself. The pt's adult kids disagree about his code
status. Which of the following sources should the nurse depend on
for decisions regarding the pt's end of life care?
A. the pt's oldest child
B. the attending provider
C. the pt's health care proxy
D. the facility's ethics committee. Answer: C. the pt's health care
proxy
Rationales..
If the pt connot speak for himself, the nurse should follow the
directions of the pt's health care proxy, as this is the person the pt
chose to make decisions under these circumstances
A. if the pt does not have advance directives / has not named a
health care proxy, the family may be asked to make end of life
decisions
B. the attending provider may offer suggestions on end of life care,
but the pt or the pt's health care proxy directs treatment
,D. in the absence of advance directions, the facility's ethics
committee may be called upon to intervene if a conflict occurs
regarding end of life decisions
◉ A charge nurse is planning a department in-service training
session about radioactive implants for a group of staff nurses. Which
of the following points should the charge nurse include in the
presentation? SATA
A. pts should be places in a private room
B. throw away an implant that has fallen out in the pt's trash can
C. staff members should wear a dosimeter badge when caring for the
pt
D. pts should be on bed rest
E. children over the age of yrs can visit if they are accompanied by an
adult. Answer: A. pt's should be placed in a private room
C. staff members should wear a dosimeter badge when caring for the
pt
D. pt's should be on bed rest
Rationales..
Pt/s should be placed in a private room to avoid exposing other pt's
to radiation from the implant. The nurse should follow the principles
, of time, distance, and shielding when working w/ a pt who is
recieving internal radiation therapy.
Health care providers should wear a dosimeter badge. This badge
measures & records a staff member's amount of exposure to
radiation. Pt's who have a radioactive implant should remain on bed
rest while the implant is in place to prevent dislodgement.
B. the nurse should pick up a radioactive implant that has fallen out
w/ forceps & place it in a lead container
E. children under the age of 16 yrs & women who are pregnant are
prohibited from visiting a pt who has a radioactive implant
◉ A nurse is discussing palliative care w/ the family of a pt who is
terminally ill. Which of the following should the nurse include as the
purpose of palliative care?
A. curing the disease
B. producing remission
C. hastening death
D. providing comfort measures. Answer: D. providing comfort
measures