Hand hygiene should be performed in movements.

Correct Answer: A

Rationale: Hand hygiene should be performed in five movements. This is because the five movements include rubbing the palms together, interlacing the fingers, rubbing the back of the hands, rubbing the fingertips against the palms, and finally, rubbing the thumbs. These movements ensure that all areas of the hands are thoroughly cleaned and help to remove any potential pathogens or contaminants.

Correct Answer: C

Rationale: In the scenario presented, the correct answer is C) Is the delegated task permitted by law? This is the first question the nurse must ask before delegating the task of administering medications to an unskilled assistant. The reason why this is the correct answer is because delegation of tasks in healthcare settings must always comply with legal regulations and guidelines. Medication administration is a highly regulated and sensitive task that can only be delegated to individuals who are legally permitted to perform it. Therefore, ensuring that the delegated task is permitted by law is crucial to maintain client safety and prevent legal repercussions. Option A) Has the assistant been trained to perform the task? While training is important, legal permission to perform the task takes precedence in this scenario. Option B) Have I evaluated the patient's response to this task? is not directly related to the legality of the task delegation. Option D) Is appropriate supervision available? is important but should come after confirming the legal permission for the task. Educationally, this question highlights the importance of legal considerations in healthcare practice, emphasizing the need for nurses to be aware of and adhere to regulatory requirements when delegating tasks to others. It also underscores the significance of ensuring client safety through proper delegation practices.

Correct Answer: D

Rationale: The correct answer is D) Report suspicions about the abuse to proper authorities. This is the legal and ethical obligation of healthcare professionals when they suspect child abuse. Reporting ensures the safety and well-being of the child, as well as complies with legal mandates to protect vulnerable individuals. By reporting, the nurse initiates a process where trained professionals can investigate the situation, provide necessary interventions, and prevent further harm to the child. Option A is incorrect because healthcare professionals are mandated reporters and have a duty to act when abuse is suspected, regardless of where it occurs. Option B is incorrect as referring to a home health nurse does not address the urgency of suspected abuse. Option C is also incorrect as confronting caregivers without following proper reporting procedures can jeopardize the safety of the child and the integrity of the investigation process. In an educational context, it is crucial for healthcare professionals to understand their role and responsibility in identifying and reporting suspected cases of abuse. Training on recognizing signs of abuse, understanding reporting protocols, and the importance of safeguarding vulnerable populations should be a fundamental part of any healthcare provider's education and ongoing professional development. This case highlights the critical need for nurses to advocate for the safety and well-being of their patients, especially when faced with challenging situations like suspected abuse.

Correct Answer: C

Rationale: The correct answer is option C: "I am going to remove all those throw rugs on the floor." This statement indicates successful implementation of a teaching/learning strategy to prevent injury in the home because removing throw rugs reduces the risk of trips and falls, which are common causes of injuries in the home. By recognizing the hazards posed by throw rugs and taking proactive steps to remove them, the patient is demonstrating an understanding of safety measures to prevent accidents. Option A, "I will turn off the outside lights and lock the doors every night," is a good safety practice, but it does not directly address the prevention of injuries within the home environment. Option B, "Do you think it would be best for me to buy a gun?" is not a safe or appropriate measure for preventing injuries in the home. Option D, "Well, I always let the boys play in the bathtub; they love it," poses a significant safety risk as unsupervised play in the bathtub can lead to drowning or injuries. In an educational context, it is crucial for nurses to teach patients about potential hazards in the home and how to mitigate those risks to ensure a safe living environment. By focusing on practical strategies such as removing throw rugs, nurses can empower patients to take control of their safety and well-being at home. This rationale emphasizes the importance of patient education in promoting a safe and healthy living environment.

Correct Answer: C

Rationale: In the context of client safety, understanding ergonomics is crucial as it directly impacts the well-being of both clients and healthcare providers. Option C, "Interaction between individuals at work, the task at hand, and the workplace itself," is the best description of ergonomics. Ergonomics focuses on designing work environments that fit the capabilities and limitations of individuals to optimize safety, efficiency, and well-being. This includes factors such as proper workstation setup, task design, and workflow organization to prevent injuries and enhance productivity. Option A, "Human factors that can produce error like fatigue, anger, hunger," does not accurately describe ergonomics. While these factors can impact performance and safety, ergonomics specifically deals with the physical aspects of the work environment. Option B, "Communication skills and facilities that connect individuals inside the healthcare system," is more related to interpersonal communication within healthcare settings and does not capture the essence of ergonomics. Option D, "Personal training skills and certifications that allow him to practice safely," focuses on individual training and qualifications rather than the broader concept of ergonomics that considers the interaction between individuals, tasks, and the workplace. Educationally, understanding ergonomics is essential for healthcare professionals to create safe and efficient work environments, ultimately enhancing client safety and quality of care. By implementing ergonomic principles, healthcare providers can reduce the risk of musculoskeletal injuries, improve workflow, and promote overall well-being for both themselves and their clients.