Which of the following tasks could be delegated to unlicensed assistive personnel?

Correct Answer: D

Rationale: The correct answer is D because assisting patients with hygiene is a task that can be safely and appropriately delegated to unlicensed assistive personnel (UAP). UAP are trained to provide basic care such as bathing, grooming, and toileting under the supervision of licensed nurses. This task does not require complex critical thinking skills or clinical judgment. Choice A is incorrect because an initial assessment of a patient requires a licensed healthcare provider due to the need for comprehensive clinical knowledge and critical thinking skills. Choice B is incorrect because determining a nursing diagnosis involves analyzing assessment data and formulating a plan of care, which requires specialized nursing education and training. Choice C is incorrect because evaluating patient progress with the nursing care plan involves interpreting data, making clinical judgments, and modifying the plan of care as needed, which are responsibilities of licensed nurses.

Correct Answer: D

Rationale: The correct answer is D because when a patient leaves the hospital against medical advice (AMA), signing a form releasing legal responsibility is required to protect the hospital from potential legal issues. This form documents that the patient is fully aware of the risks of leaving AMA and takes responsibility for their decision. Choice A is incorrect because hospitals have legal concerns regarding patient safety and liability. Choice B is incorrect as reimbursement of medical expenses is not the primary concern in this situation. Choice C may be helpful for follow-up care but does not address the legal implications of leaving AMA.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Writing the patient's name on the care plan violates confidentiality by exposing the patient's identity to unauthorized individuals. 2. Providing plans to the instructor, discussing medications with a unit nurse, and sharing information with the physician are all within the scope of patient care and do not breach confidentiality. 3. Patient's identity should be protected at all times to maintain trust and privacy.

Correct Answer: B

Rationale: The correct answer is B: minimum data. In a Medicare-certified facility, the comprehensive assessment uses minimum data as the foundation for the Resident Assessment Instrument (RAI) process. This process ensures standardized data collection and helps in determining the patient's care needs accurately. The other choices are incorrect: A) PIE system is a nursing documentation model, not specific to comprehensive assessments in long-term care facilities; C) OASIS is used in home health agencies, not long-term care facilities; D) charting by exception is a documentation method that focuses on documenting only significant findings, not a comprehensive assessment tool.

Correct Answer: D

Rationale: The correct answer is D: a strong service orientation. Nursing as a profession is characterized by a commitment to serving and caring for others. Nurses prioritize the well-being and comfort of their patients above all else. This service orientation is essential in providing holistic and compassionate care. A, B, and C are incorrect because: A: Nursing has a well-defined body of knowledge that includes nursing theories, principles, and evidence-based practices. B: While nursing collaborates with the medical profession, it is an independent discipline with its own scope of practice. C: Nurses are not trained to diagnose medical problems; that responsibility lies within the scope of practice of physicians and other healthcare providers.