The nursing process ensures that nurses are patient centred rather than task cantered. Rather than simply approaching a patient to take vital signs, the nurse thinks 'How is Ms. WK today? Are our nursing actions helping her to achieve her goals? How can we better help her?' This demonstrates which characteristic of the nursing process?

Correct Answer: B

Rationale: This scenario highlights the nurse's focus on the patient's individual needs and goals, reflecting the interpersonal nature of the nursing process.

Correct Answer: B

Rationale: LPNs are trained to administer medications, including via PEG tubes. Admission assessments, teaching, and evaluating conditions require the advanced skills of a registered nurse (RN).

Correct Answer: B

Rationale: Having an open posture and leaning forward, establishing and maintaining eye contact, and responding positively when giving feedback are ways the nurse can demonstrate active listening. Writing down everything the client says will interfere with the nurse's ability to maintain eye contact and an open posture. Nodding in agreement throughout is not intended to indicate attending to what was being said.

Correct Answer: D

Rationale: Assessment of peripheral vascular system should include skin color, skin temperature, capillary refill, and edema. Determining range of motion will assess joint function. Inspecting for skin lesions is a routine included in the skin assessment.

Correct Answer: C

Rationale: A simultaneous use of apical and radial sites would be used in a 76-year old client showing tachycardia and an irregular rhythm to assess for pulse deficit and determine the severity of the irregularity.