While supervising the care of several clients, which action requires intervention by the charge nurse?

Correct Answer: A

Rationale: The correct answer is A because photocopying a client's diagnostic test results without proper authorization violates the client's privacy and confidentiality. It is a breach of HIPAA regulations. - Choice B is correct as assistive personnel can document vital signs on the client's record under supervision. - Choice C is acceptable as long as the unit secretary is authorized to fax the client's results. - Choice D is appropriate as it involves educating the client about her vital signs, promoting client understanding and autonomy.

Correct Answer: C

Rationale: The correct answer is C because Linda Richards was the first professionally trained nurse in the United States and she established the practice of documenting patient care in medical records. This action is directly linked to her contribution as it improved the organization and continuity of patient care. Exploring psychosocial needs (B) and listening to patient symptoms (D) are important nursing practices, but they were not specifically attributed to Linda Richards. Using antiseptic before injections (A) is important for infection control, but it was not directly related to Linda Richards' contribution.

Correct Answer: C

Rationale: The correct answer is C because binding arbitration involves a formal process where an arbitrator's decision is final and binding on both parties. This means that both labor and management must adhere to the arbitrator's decision, making it a legally enforceable resolution. Choice A is incorrect because mediation is not necessarily sanctioned by the NLRB; it is a voluntary process where a neutral mediator helps parties reach a mutually acceptable agreement. Choice B is incorrect because mediation does not involve a final decision-maker; it focuses on facilitating negotiations and helping parties communicate and reach a resolution on their own terms. Choice D is incorrect because binding arbitration does not require both parties to engage in discussions to find a resolution; instead, it involves the arbitrator making a final decision that both parties must accept.

Correct Answer: C

Rationale: The correct answer is C: Care map / clinical practice guideline. In this scenario, the healthcare professional is using a Care Map or clinical practice guideline to review the plan of care for the client post total hip arthroplasty. Care maps provide a structured, step-by-step approach to care delivery based on evidence-based practices, ensuring consistency and quality of care. Choice A, patient classification categories, does not involve a specific plan of care but rather categorizes patients based on acuity levels. Choice B, diagnostic related groups, is a payment classification system that groups patients with similar diagnoses and treatments for reimbursement purposes, not for developing care plans. Choice D, functional nursing, is a care delivery system where tasks are divided among staff based on their function, which is not the same as following a procedural plan like a care map.

Correct Answer: B

Rationale: The correct answer is B: Evil spirits. The natives believe in a spiritual or supernatural cause of illness, as evidenced by their rituals involving fires and drums to ward off or appease evil spirits. This belief aligns with cultural practices in many underdeveloped countries where illness is often attributed to spiritual factors rather than pathogens or genetics (choice A), tides and planets (choice C), or plants and animals (choice D). The rituals surrounding the sick person suggest a belief in the influence of evil spirits on health, making option B the most appropriate choice.

Correct Answer: B

Rationale: The correct answer is B because conducting meetings in homes or local businesses with staff nurses creates a comfortable and informal setting for open communication. This environment fosters trust and encourages honest sharing of perspectives and concerns. It also allows for a more personal connection among the nurses, promoting collaboration and unity. Choices A and D may not provide a conducive atmosphere for open dialogue, as meetings with managers or at the work site could lead to power dynamics and inhibitions. Choice C, while at the facility, may not offer the same level of comfort and privacy as meeting outside the workplace.

Correct Answer: A

Rationale: The correct answer is A: total patient care. In this nursing delivery system, nurses are responsible for providing comprehensive care to assigned patients, including personal hygiene, medication administration, education, and emotional support. They have full autonomy and accountability for the patient's care throughout their stay. This system ensures continuity, individualized care, and a strong nurse-patient relationship. Summary of other choices: B: Team nursing involves a team of healthcare professionals working collaboratively to provide care. It does not assign individual nurses to specific patients for comprehensive care. C: Functional nursing divides tasks among different nursing staff based on their expertise. It focuses on efficiency but lacks continuity and individualized care for each patient. D: Partnership nursing involves collaboration between nurses and patients in decision-making and care planning. It emphasizes shared responsibility but does not assign individual nurses to provide total care to specific patients.

Correct Answer: C

Rationale: The correct answer is C: Florence Nightingale. Florence Nightingale is known for her emphasis on evidence-based practice and data-driven decision-making in healthcare. In this scenario, the healthcare provider is using critical thinking skills to assess the patient's overall clinical presentation, which includes normal vital signs and signs of adequate oxygenation despite the pulse oximeter reading of 38%. This aligns with Nightingale's principles of prioritizing direct observation and clinical judgment over technology. Incorrect answers: A: Annie Goodrich - Goodrich was a nursing educator and leader in nursing education, but not specifically known for emphasizing clinical assessment over technology. B: Lillian D. Wald - Wald was a public health nurse and social reformer, not specifically associated with direct patient care assessment. D: Linda Richards - Richards was the first professionally trained American nurse, but not specifically known for her approach to clinical assessment in this context.

Correct Answer: B

Rationale: The correct answers are B and C. The NDMS is designed to provide medical response during disasters, assist in patient movement, and offer definitive care to disaster victims. This includes organizing teams of healthcare providers with specialized skills and equipment to respond effectively to emergencies. Patient evacuation from disaster areas to safer locations is also a key function of the NDMS to ensure the well-being of those affected by the disaster. Options A and D are incorrect because the NDMS does not provide bomb disposal services and is primarily focused on medical response rather than mental health care.