A nurse is considering the delegation of administering medications to an unskilled assistant. What is the first question the nurse must ask herself before doing so?

Correct Answer: C

Rationale: The correct answer is C: Is the delegated task permitted by law? This is the first question the nurse must ask before delegating medication administration to an unskilled assistant. The rationale is that delegation must comply with legal regulations to ensure patient safety and avoid legal implications. If the task is not permitted by law, the nurse should not delegate it. Choice A (Has the assistant been trained to perform the task?) is important but comes after ensuring the task is legally permitted. Choice B (Have I evaluated the patients response to this task?) is about patient assessment, not legality. Choice D (Is appropriate supervision available?) is relevant but should come after confirming the task's legality.

Correct Answer: D

Rationale: The correct answer is D because discharge planning aims to ensure that the patient and their family's needs are consistently met post-discharge. This process involves assessing the patient's health status, identifying resources for continued care, and creating a plan to support the patient's transition from the healthcare facility to the home environment. By addressing the physical, emotional, and social needs of the patient and family, healthcare providers can enhance continuity of care, reduce readmission rates, and improve overall patient outcomes. Choice A is incorrect because discharge planning focuses on the post-acute care setting, not the acute care setting. Choice B is incorrect as documenting nursing care is part of the overall patient care process but not the primary rationale for discharge planning. Choice C is incorrect as discharge planning involves assessing available resources and support systems, which may or may not involve family members providing home care.

Correct Answer: C

Rationale: The correct answer is C because it follows the recommended guidelines for documenting data by being factual, objective, and specific. It includes a clear cause and effect relationship between the intervention (oxygen administration) and the outcome (vital signs returning to baseline). This type of documentation is essential for accuracy, continuity of care, and legal purposes. A, B, and D are incorrect because they contain subjective interpretations, lack specificity, and do not provide clear cause-effect relationships. A is subjective, B lacks specificity, and D involves subjective interpretation of patient behavior. Such entries can lead to miscommunication, misunderstanding, and compromised patient care.

Correct Answer: C

Rationale: The correct answer is C: Individualize it to the specific patient. This is important because standardized plans of care are generic and need to be tailored to the patient's unique needs and condition for effective implementation. By personalizing the plan, the nurse ensures that it addresses the specific health concerns, preferences, and goals of the individual. This step is crucial in providing patient-centered care and promoting better outcomes. Choices A and B are incorrect because simply dating or signing the plan without individualizing it does not address the patient's specific needs. Choice D is also incorrect as using the plan as printed, based on common needs, may not adequately address the patient's unique situation.

Correct Answer: A

Rationale: Rationale: A: Health as a state of optimal functioning encompasses physical, mental, and social well-being, aligning with WHO's definition. It focuses on overall wellness rather than just the absence of illness. B: Health is not merely the absence of illness but a holistic well-being. C: Health is subjective and can vary based on individual perceptions and experiences. D: The patient's actions, lifestyle, and environment play a crucial role in determining their health status.