The nurse is preparing to administer ibuprofen to a client for pain relief. The client is diagnosed with a bleeding disorder. What should the nurse do?

Correct Answer: C

Rationale: The correct answer is C: Contact the healthcare provider (HCP). Administering ibuprofen to a client with a bleeding disorder can worsen the bleeding due to its antiplatelet effects. The nurse should contact the HCP to discuss alternative pain relief options that are safe for the client. Administering the medication (A) is not safe in this situation, administering with food (B) will not mitigate the risk, and asking the client if the medication is desired (D) does not address the potential harm it can cause. Contacting the HCP ensures the client's safety and appropriate care.

Correct Answer: D

Rationale: The correct answer is D) Nursing standards may be incorporated into practice if the nurse chooses to do so. This statement warrants further education because it reflects a misunderstanding of the role of nursing standards. Nursing standards are not optional guidelines that nurses can choose to follow or ignore based on personal preference. They are established guidelines that outline the expected level of care and ethical conduct that all nurses must adhere to in order to ensure safe and quality patient care. Option A, B, and C are incorrect because they all correctly describe the purpose and function of nursing standards. Nursing standards do serve as a framework for providing safe, quality care, align with the overarching principles of the nursing profession, and articulate the expectations and ethical conduct required of nurses. These options demonstrate a sound understanding of the importance of nursing standards in guiding nursing practice. In an educational context, it is crucial to emphasize to nursing students the mandatory nature of nursing standards. Nurses are accountable for upholding these standards to ensure the well-being of their patients and to maintain the integrity of the nursing profession. By clarifying this misconception, students can better grasp the significance of adhering to nursing standards in their future practice.

Correct Answer: C

Rationale: Rationale: The correct answer is C) shaping the approach to patient care. Nursing theory serves as the foundation of nursing practice by providing a framework that guides nurses in understanding and delivering patient care. These theories help nurses comprehend the rationale behind their actions, make informed clinical decisions, and improve patient outcomes. Nursing theories influence how nurses assess, diagnose, plan, implement, and evaluate patient care. They shape the overall approach to patient care by emphasizing holistic care, individualized interventions, and evidence-based practice. Option A) providing hands-on clinical experience is incorrect because nursing theory is the theoretical framework that underpins clinical practice, whereas hands-on clinical experience is gained through practical application of that theory. Option B) guiding patient communication is not the foundational role of nursing theory, though effective communication is a crucial aspect of nursing care. Nursing theory focuses more on the principles and concepts that guide clinical practice rather than specifically on communication. Option D) offering administrative insights is not the primary purpose of nursing theory. While nursing theories can inform administrative decisions to some extent, their primary role lies in guiding clinical practice and shaping the delivery of patient care. In an educational context, understanding the foundational role of nursing theory is essential for nursing students as it helps them develop a strong theoretical basis for their practice. By grasping how nursing theories shape the approach to patient care, students can better appreciate the significance of theory in informing their clinical decision-making processes and enhancing the quality of care they provide to patients.

Correct Answer: D

Rationale: Functional nursing is a task-oriented approach where different nursing team members are assigned specific tasks based on their skills and competencies. The correct answer, D) Concentrates on tasks and activities, is the most fitting description of functional nursing because it highlights the division of labor and focus on completing tasks efficiently. Option A, One-to-one nurse patient ratio, is incorrect because functional nursing typically involves one nurse overseeing a specific task for multiple patients rather than a one-to-one ratio. Option B, Provides continuous, coordinated and comprehensive nursing services, is incorrect as functional nursing is criticized for potentially leading to fragmented care due to the division of tasks among team members. Option C, Emphasize the use of group collaboration, is incorrect because functional nursing can sometimes result in less collaboration and communication among team members compared to other care delivery models. In an educational context, understanding the principles and characteristics of different nursing care delivery models like functional nursing is crucial for nursing students to grasp the complexities of healthcare systems. By knowing the strengths and limitations of each model, nurses can make informed decisions about which approach best suits the needs of their patients and healthcare settings.

Correct Answer: A

Rationale: The correct answer is A) Autocratic. In a task-oriented and directive leadership style, like the one described at the trauma center, decisions are made centrally with little to no input from the team. This aligns with an autocratic leadership style where the leader retains full control over decision-making and the team's actions. Option B) Laissez-faire is incorrect because this style is characterized by a hands-off approach, where the leader provides minimal guidance and allows the team to make their own decisions. This contrasts with the task-oriented and directive approach mentioned in the scenario. Option C) Democratic is incorrect because in a democratic leadership style, decisions are made collectively with input from team members. This differs from the centralized decision-making of an autocratic style. Option D) Situational is incorrect as this style suggests that leadership behaviors should be adapted based on the circumstances. While situational leadership may incorporate aspects of both task-oriented and relationship-oriented approaches, the scenario specifically mentions a task-oriented and directive style. In an educational context, understanding different leadership styles is crucial for nurses as they may encounter various leadership approaches in different healthcare settings. Recognizing the characteristics of each style can help nurses adapt to different environments and work effectively with diverse leadership teams.