To meet patient care needs, the LPN receives authority to delegate care to unlicensed personnel from:
1. the MD or RN who hired them.
2. the National Nurse Practice Act.
3. the 1994 Entry Level Competencies Report.
4. the Nurse Practice Act of the individual state.
4
Delegation of responsibilities must be in accordance with the state's Nurse Practice Act.
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A mother brings a child to the clinic with concerns about attention deficit-hyperactivity disorder (ADHD). Which behavioral assessment findings support this diagnosis? (Select all that apply.)
A. Compulsive "collecting" B. Inability to stay in chair for a meal C. Nonstop talking D. Refusal to complete homework E. Sleeping whenever possible
Orem says that self-care ability is affected by a number of factors, including:
a. Ethnicity, age, and gender. b. Age, gender, and developmental stage. c. Age, developmental stage, health, and environment. d. Health, environment, age, and gender.
The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that she is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10
She states, "I'm pretty tired. And with this pain, I haven't been drinking and eating like I should. The medication helps a bit but not much. My mom has been helping with the baby." Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this client? A) Impaired skin integrity related to cesarean birth incision B) Fatigue related to effects of surgery and caretaking activities C) Imbalanced nutrition, less than body requirements, related to poor fluid and food intake D) Acute pain related to incision and cesarean birth
Which of the following clients is most likely to benefit from electroconvulsive therapy (ECT)?
A) A client with bipolar disorder who is not compliant with the blood testing necessary for lithium therapy B) A man with a diagnosis of bipolar II disorder who has recently begun experiencing a manic episode C) A woman whose major depression has not responded appreciably to antidepressants D) A client whose recent strange behavior has been attributed to cyclothymic disorder