Which of the following behaviors by Nurse Jane Robles demonstrates that she understands well the elements of effecting charting?

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Question 1 of 5

Which of the following behaviors by Nurse Jane Robles demonstrates that she understands well the elements of effecting charting?

Correct Answer: D

Rationale: Effective charting requires accuracy, clarity, and accountability, adhering to legal and professional standards. Signing the medication sheet after administering medication, as Nurse Jane does, exemplifies this by confirming the intervention occurred, ensuring patient safety, and providing a verifiable record. This practice aligns with the 'Five Rights' of medication administration and reduces error risks, such as double-dosing. Conversely, signing as 'J.R.' lacks full identification (name and title), compromising accountability. Using a pencil risks erasure or alteration, undermining record integrity, as permanent ink is standard. Noting 'appetite is good' is subjective and lacks detail (e.g., meal percentage consumed), reducing its clinical value. Nurse Jane's action of signing post-medication administration reflects a strong grasp of charting's role in care continuity and safety, making it the best demonstration of effective documentation principles.

Question 2 of 5

Critical thinking is an active organized cognitive process used to carefully examine one's thinking. It allows the nurse to

Correct Answer: A

Rationale: Critical thinking directs assessment purposefully e.g., probing fatigue to link it to anemia ensuring data collection is focused and relevant. This active process analyzes, synthesizes, and prioritizes, enhancing care planning. Reviewing with providers follows assessment, not its direction. Determining care is planning/implementation, not assessment's role. Identifying responses fits evaluation, not initial data-gathering. Critical thinking's role in steering assessment ensures efficiency and depth, making it the key way nurses apply this cognitive skill in practice.

Question 3 of 5

An action that the nurse should take to use a wide base of support when assisting a client to get up in a chair is:

Correct Answer: C

Rationale: Spreading feet apart creates a wide base of support, stabilizing the nurse's center of gravity when lifting a client from bed to chair. This enhances balance, reducing fall risk e.g., shoulder-width stance supports a 70-kg patient. Bending at the waist risks back strain, lacking leg leverage, and no base is specified. Facing the client, bending knees, and holding forearms uses proper mechanics but omits base width less explicit. Tightening pelvic muscles aids core strength, not base stability. A wide stance, per ergonomic principles, ensures safe transfer, protecting nurse and client, making it the essential action in this context.

Question 4 of 5

Five teaspoons is equivalent to how many milliliters (ml)?

Correct Answer: B

Rationale: One teaspoon equals 5 ml, so 5 teaspoons is 25 ml.

Question 5 of 5

The nurse asked the client to read the Snellen chart. Which of the following is tested:

Correct Answer: A

Rationale: The Snellen chart tests vision, linked to the optic nerve (Cranial Nerve II).

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