When planning care for a client with vision loss, which of the following interventions should the nurse include in the plan of care to assist the client with feeding?

Correct Answer: A

Rationale: The correct answer is A: Arrange food in a consistent pattern on the client's plate. This intervention is crucial for a client with vision loss as it helps them locate and distinguish different food items more easily. By arranging food in a consistent pattern, the client can use their sense of touch to identify and pick up each item. Thicking liquids (choice B) does not directly address the issue of feeding difficulties due to vision loss. Providing small-handled utensils (choice C) may help with dexterity but does not specifically address the visual impairment. Assigning a staff member to feed the client (choice D) may not promote independence and may not always be feasible.

Correct Answer: D

Rationale: The correct answer is D because asking construction workers to be responsible for the equipment and sharp items used is not within the charge nurse's role or authority. The responsibility for ensuring safety and security in the Emergency Department lies with the healthcare staff (including the charge nurse) and security personnel. Construction workers may not have the training or expertise to handle agitated patients or prevent potential incidents. A: Notifying the nursing supervisor (A) can help escalate the issue and involve higher authority in addressing the safety concern. B: Notifying security (B) is essential to ensure that trained professionals are present to handle security-related issues. C: Having staff check patients (C) is important to verify their safety, but it does not address the primary concern of preventing patients from accessing construction equipment as weapons.

Correct Answer: A

Rationale: The correct answer is A because it prioritizes client autonomy and respects their wishes. By engaging the client and asking why they want to discuss advance directives without their partner present, the nurse acknowledges the client's right to make decisions about their own healthcare. This approach promotes open communication and allows the client to express their concerns and preferences freely. Choice B is incorrect as it assumes the client only needs information and brochures without addressing their specific needs or concerns. Choice C is incorrect as it delays addressing the client's immediate questions and concerns about advance directives. Choice D is incorrect as it disregards the client's request to discuss advance directives and focuses solely on their current feelings.

Correct Answer: D

Rationale: The correct answer is D: Motivation. Individuals who strive to find the best way to do their job are motivated to continuously improve and excel in their work. Motivation drives them to seek out better methods, innovate, and push boundaries for greater efficiency and effectiveness. Punctuality (A) relates more to timeliness, strictness (B) implies rigidity rather than adaptability, and honesty (C) is important but not directly related to the drive for improvement. Overall, motivation is the key factor that propels individuals to constantly seek the best ways to perform their job.

Correct Answer: C

Rationale: The correct answer is C because the patient with hyperosmolar hyperglycemic syndrome showing signs of poor skin turgor and dry oral mucosa is at risk for severe dehydration and potential complications. Assessing this patient first is crucial to address their immediate needs. Choice A is incorrect as the 19-year-old with possible dawn phenomenon can be assessed after the patient with hyperosmolar hyperglycemic syndrome who is at higher risk. Choice B is incorrect as a blood glucose reading of 230 mg/dL in a 35-year-old with type 1 diabetes is high but not indicative of an immediate life-threatening situation compared to severe dehydration. Choice D is incorrect as the 68-year-old with peripheral neuropathy and foot pain, while in discomfort, does not present an immediate threat to their life like severe dehydration does in a patient with hyperosmolar hyperglycemic syndrome.

Correct Answer: A

Rationale: The correct answer is A because the priority in treating diabetic ketoacidosis is fluid resuscitation to address dehydration and electrolyte imbalances. Infusing 1 liter of normal saline per hour helps to restore intravascular volume and corrects electrolyte abnormalities. Choice B (sodium bicarbonate) is not recommended routinely in DKA treatment as it may worsen metabolic acidosis. Choice C (IV push insulin) can lead to hypoglycemia and should not be the initial intervention. Choice D (insulin infusion) is important but should be started after fluid resuscitation to avoid rapid drops in blood glucose levels.

Correct Answer: C

Rationale: The correct answer is C because in a high-volume maternity unit that uses differentiated practice, new graduates can expect their initial level of practice responsibility to be limited. This is because differentiated practice involves assigning tasks based on the individual nurse's skills and experience level. New graduates are typically assigned less complex tasks initially to ensure patient safety. Choice A is incorrect because evidence-based practice and risk management principles are not directly related to the staffing model being used. Choice B is incorrect because client teaching is typically a shared responsibility among all team members, not solely the team leader. Choice D is incorrect because in differentiated practice, client assignments are based on individual skills and competencies, not seniority.

Correct Answer: A

Rationale: The correct answer is A: Arrange food in a consistent pattern on the client's plate. This intervention is crucial for a client with vision loss as it helps them locate and distinguish different food items more easily. By arranging food in a consistent pattern, the client can use their sense of touch to identify and pick up each item. Thicking liquids (choice B) does not directly address the issue of feeding difficulties due to vision loss. Providing small-handled utensils (choice C) may help with dexterity but does not specifically address the visual impairment. Assigning a staff member to feed the client (choice D) may not promote independence and may not always be feasible.

Correct Answer: D

Rationale: The correct answer is D because values and vision & mission statements are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & mission statements define the organization's purpose and goals, providing a roadmap for strategic direction. Reengineering, as mentioned in choice C, is a process improvement approach and not an inherent component of strategic planning. Therefore, choice D is the correct answer as it includes the key components necessary for effective strategic planning.