The registered nurse, prior to the delegation of tasks to other members of the nursing care team, evaluates the ability of staff members to perform assigned tasks for the position as based on which legal consideration?

Correct Answer: C

Rationale: In the context of delegating tasks in nursing care, evaluating staff members' ability to perform assigned tasks based on state statutes is crucial for legal compliance and patient safety. State statutes outline the scope of practice for healthcare professionals, including nurses, and specify the tasks they are allowed to perform based on their education, training, and licensure. By following state statutes, nurses ensure that delegated tasks are within the legal boundaries of each team member's role, minimizing the risk of errors or unauthorized practice. Option A, the American Nurses Association's Scopes of Practice, provides guidelines for nursing practice but does not have the force of law. Option B, the American Nurses Association's Standards of Care, sets forth expectations for nursing practice but does not specifically address legal considerations related to delegation. Option D, Federal law, may have some relevance to nursing practice, but in the context of delegation, state statutes take precedence as they govern the licensure and practice of healthcare professionals at the state level. Understanding the legal considerations in delegation is essential for nurses to provide safe and effective care within the boundaries of their licensure. By adhering to state statutes, nurses uphold legal and ethical standards while promoting quality patient care through appropriate delegation practices.

Correct Answer: A

Rationale: The correct answer is A) Ensured the client's safety which is a high patient care priority. By loosely applying a bed sheet around the client's waist to prevent a fall from the chair, you have taken a proactive measure to ensure the client's safety, which is a fundamental aspect of providing family-centered care. Option B) Violated Respondeat Superior is incorrect because Respondeat Superior is a legal doctrine holding an employer liable for the actions of an employee performed within the scope of their employment, which does not apply in this scenario. Option C) Violated the client's right to dignity is incorrect because ensuring safety does not inherently violate a client's dignity, especially in the context of preventing a fall and maintaining their physical well-being. Option D) Committed a crime is incorrect as there is no indication of any criminal act being committed in this scenario. In an educational context, it is crucial for healthcare providers to prioritize patient safety while upholding their dignity and rights. Understanding the balance between safety measures and respecting the client's autonomy is key in providing effective family-centered care.

Correct Answer: B

Rationale: In the context of family-centered care, the lack of necessary supplies and equipment to adequately and safely care for patients is an example of a system variance. System variances refer to deviations from expected standards in the organizational processes, resources, or structures that can impact patient care. In this scenario, the lack of supplies is not due to individual provider error (Provider variance) but rather a systemic issue within the healthcare facility. Option A, a sentinel event, typically refers to a serious adverse event that results in harm to a patient. It is not directly related to the lack of supplies but rather to significant patient safety incidents. Option C, an adverse effect, refers to a negative outcome resulting from medical treatment or healthcare management, not specifically related to the lack of supplies. Therefore, it is not the best choice in this context. Educationally, understanding the concept of system variances is crucial in promoting a culture of safety and quality improvement in healthcare. By recognizing and addressing system issues like the lack of necessary supplies promptly, healthcare providers can enhance patient outcomes and experiences within a family-centered care framework. It underscores the importance of effective resource management and organizational support to deliver optimal care to patients and their families.

Correct Answer: D

Rationale: In the context of family-centered care, utilizing the Dimensions Model of Health to assess community health is vital. The correct answer, option D, The Health Systems Dimension, is not an element of this model. This dimension typically focuses on the organizational structures, policies, and resources within the healthcare system rather than individual or community health aspects. Option A, The Biophysical Dimension, is a key element in assessing physical health status. This dimension includes factors like genetics, nutrition, exercise, and physical environment which directly impact health. Option B, The Psychological and Emotional Dimension, is crucial in understanding mental health, emotional well-being, coping mechanisms, and stressors within a community, all of which significantly influence overall health. Option C, The Spiritual Dimension, addresses beliefs, values, and practices that provide individuals and communities with a sense of purpose, hope, and connection, which are essential for holistic health assessment. Educationally, understanding these dimensions equips nurses to conduct comprehensive health assessments, tailor interventions to specific needs, and promote overall well-being within communities they serve. By grasping these distinctions, nurses can provide more effective and individualized care in diverse settings.

Correct Answer: D

Rationale: In this scenario, the most appropriate nursing diagnosis for the client who continues to use illicit amphetamines because they "suffer and feel lousy" when they try to stop is option D) Physical dependence secondary to amphetamine use. This choice is correct because physical dependence refers to the physiological adaptation that occurs when a person's body becomes accustomed to the presence of a substance like amphetamines. When the substance is removed, withdrawal symptoms, such as feeling lousy and suffering, manifest due to the body's reliance on the drug. Option A) Psychological dependence secondary to amphetamine use is incorrect because psychological dependence primarily involves emotional and mental reliance on the substance for various reasons, rather than the physical symptoms experienced upon withdrawal. Option B) Substance abuse secondary to amphetamine use is not the most appropriate diagnosis in this case as it focuses more on the pattern of harmful use rather than the physiological dependence leading to withdrawal symptoms. Option C) Addiction secondary to amphetamine use is also not the best option here because addiction encompasses a complex set of behaviors, including compulsive drug-seeking and use despite negative consequences, whereas the client's primary concern in this scenario is the physical discomfort experienced when trying to stop using the drug. Educationally, understanding the distinction between physical dependence, psychological dependence, substance abuse, and addiction is crucial for nurses when assessing and caring for clients with substance use issues. Recognizing the underlying reasons for continued drug use can guide appropriate interventions and support for individuals struggling with illicit drug dependence.