How can a nurse promote patient safety when using a bedside commode?

Correct Answer: D

Rationale: Ensuring the bedside commode is properly positioned and stable promotes safety by preventing tipping or falls, critical for patients with limited mobility. Out-of-reach placement hinders access, risking unsafe attempts. Unassisted use invites accidents if strength fails. A filled bucket destabilizes and spills, creating hazards. Nurses place it close, lock wheels, and assist as needed, guaranteeing a secure setup for toileting, blending accessibility with protection in daily care.

Correct Answer: C

Rationale: Providing assistance with foot care as needed ensures proper hygiene for a mobility-impaired patient by washing and inspecting feet, preventing infections or sores tailored to their limits. Weekly care risks buildup daily or as soiled is better. Ignoring hygiene invites discomfort from neglect, not care. Lotion between toes fosters fungal growth drying is key. Nurses soak, clean, and dry gently, supporting circulation and health, a critical detail in immobility care.

Correct Answer: A

Rationale: Drawing blood is not a health care aide's role it's a clinical skill for licensed staff like phlebotomists or nurses, requiring training beyond an aide's scope. Following care plans, reporting, and recording observations (e.g., appetite changes) are core duties, focusing on support and communication, not invasive procedures. Aides enhance care by noting trends, not performing medical tasks. This boundary protects clients and aides, ensuring safety and legal compliance missteps here could harm trust or outcomes, reinforcing their assistive, not technical, position.

Correct Answer: D

Rationale: A care plan is the assessment determining a client's needs and ADL assistance, unlike a resident sheet for daily logs, admissions form for entry data, or unique number for identification. It outlines tailored care e.g., bathing help based on evaluations, guiding PSWs daily. Mislabeling it risks disjointed care; without a plan, tasks lack focus, potentially neglecting client needs. For PSWs, it's a roadmap ensuring consistency across shifts, integrating observations into actionable steps, critical for personalized support and team communication, unlike static records or identifiers.

Correct Answer: D

Rationale: Empathy seeing another's viewpoint isn't listed; confidentiality is privacy, enthusiasm is zeal, sympathy is pity, and 'none' fits as correct. PSWs use empathy e.g., understanding a client's frustration to tailor care, unlike sympathy's distance. Misnaming it could weaken rapport; empathy drives connection, not just feeling sorry. This skill enhances PSW effectiveness, ensuring client emotions guide care decisions, a subtle but critical distinction in their compassionate role.