Delegation
What are the five rights of delegation?
What is….
1.Right Task
2.Right Circumstance
3.Right Person
4.Right Direction
5.Right Supervision/Evaluation
What are cultural taboos?
What is cultural “no-no’s” that may include mental illness, sexually transmitted infection, and potentially fatal diseases like HIV and suicidal ideation.
When a caregiver provides reliable care and affection, attachment happens, which results in trust to caregiver and others. If trust does not develop, what does the individual feel?
What is mistrust
The wound care nurse documented that the patient has a stage 2 pressure injury in the sacral area. What finding would the RN expect to note on the assessment of the patient’s sacral area?
What is partial-thickness skin loss with exposed dermis
What is a psychiatric disorder associated with fear of weight gain and distorted body image?
What is anorexia nervosa
What is the purpose of delegation?
What is transferring a selected nursing task to an individual who is competent and has the authority to perform that specific task.
What is a cultural term would best represent an American mother teaching her child to use a chopstick?
What is acculturation
According to Erikson, gaining a sense of independence leads to autonomy. A lack of environmental control and independence could lead to..?
What is shame and doubt
When assessing a patient for signs of melanoma, what should the RN include?
What is the "A, B, C, D, Es"
Asymmetry, Boarder, Color, Diameter, Evolution
What is self-evaluation unduly influenced by body shape and weight?
What is bulimia nervosa
The registered nurse is planning patient’s assignments for the day. Which is the most appropriate assignment for an assistive personnel (AP)?
1. A patient requiring a colostomy irrigation
2. A patient receiving continuous tube feedings
3. A patient who requires urine specimen collections
4. A patient with difficulty swallowing food and fluids
What is a patient who requires urine specimen collections
What is a cultural term that refers to giving up a person's original identity and developing a new cultural identity?
What is assimilation
When a person reflects over their life and feels fulfilled, this leads to a sense of wisdom. Failure at this stage leads to a sense of…?
What is despair
Which of the following are primary risk factors for pressure ulcers? Select all that apply.
1. Low-protein diet
2. Insomnia
3. Lengthy surgical procedures
4. Fever
5. Sleeping on a waterbed
1. Low-protein diet
3. Lengthy surgical procedures
4. Fever
Risk factors for pressure ulcers include a low-protein diet, lengthy surgical procedures, and fever.
What is a dietary recommendation would you include for a patient with Celiac Disease?
What is lifelong strict gluten-free diet - no wheat, rye or barley.
The registered nurse is assigned four patients and has a licensed practical nurse and three assistive personnel (APs) on her nursing team. Which patient would the nurse most assign to the licensed practical nurse?
1. A patient who requires a bed bath
2. A patient requiring frequent ambulation
3. A patient who requires hourly measurement of vital signs
4. A patient requiring abdominal wound irrigations and dressing changes every 3 hours
What is a patient requiring abdominal wound irrigations and dressing changes every 3 hours
What is a cultural term that refers to having a dual pattern of identification?
What is biculturalism
Establishing intimate and strong relationships leads to a sense of intimacy. Failure at this stage leads to feeling of…?
What is isolation
Your patient is only comfortable when lying on their side (not on their back or stomach). What are potential sites of pressure injury the nurse must assess?
1. Ankles
2. Knees
3. Trochanters (hips)
5. Shoulders
6. Ears
Which type of prevention includes dietary recommendations to prevent the onset of disease.
What is primary prevention
The registered nurse has 5 patients with orders for the following:
●Infuse 2u packed red blood cells
●IVP medication for Lasix
●New Admission Assessment
●Discharge teaching
●Routine AM po med pass
What can she safely delegate to the LPN?
What is routine po medication administration
What is a cultural term that would best represent the scenario of an Asian mother teaching her child to use a chopstick?
What is enculturation
We give back to society by raising our children, being productive, and becoming involved in community activities, we develop a sense of being a part of the bigger picture. Failure at this stage may leave a person feeling a sense of…..?
What is stagnation
Which patient is at greatest risk for postoperative infection:
1. A 3-month-old infant postoperative from pyloric stenosis repair
2. A 78-year-old postoperative from inguinal hernia repair
3. An 18-year-old drug user postoperative from removal of a bullet in the leg
4. A 32-year-old diabetic postoperative from an appendectomy
What is a post-operative 18-year-old drug user after the removal of a bullet in the leg.
Which type of “tube feeding” provides nutrition directly into the GI tract?
What is enteral feeding