A nurse has been called to testify in a lawsuit brought by a patient against his employer. This institution uses charting by exception (CBE). What type of legal problems does CBE pose?
A) The charting format is not ethical
B) Details are often missing
C) Subjective information is often missing
D) It reflects poor assessment skills on the part of the nurse
B
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Mr. Kaye has become septic following a perforated diverticulum. In order to meet his nutritional needs, he should receive
A) a low residue diet with high protein and calorie supplements. B) intermittent enteral feedings. C) continuous enteral feedings. D) total parenteral nutrition (TPN).
A conflict develops between an associate nurse and a primary nurse over the assessment of a patient with pulmonary edema
Based on her assessment of the patient, the associate nurse insists that it is her role to change the care plan because she is the one who has made the assessment. As the nurse manager, you clarify that: a. It is the role of the primary nurse to make alterations based on assessment data and input. b. The associate nurse is accountable and responsible while the primary nurse is off duty and therefore is able to alter the care plan. c. Neither the primary nor the associate should make changes without first con-sulting you as the manager. d. It really does not matter who alters the nursing care plan as it depends on situa-tion and time to do so.
Because the evaluation of the nursing care plan reflects lack of progress toward the goal, the nurse will confer with the patient to plan a:
a. more accessible goal. b. revision of interventions. c. different nursing diagnosis. d. new evaluation.
The nurse has been teaching a caregiver about donepezil (Aricept). The nurse knows that teaching has been effective by which of the following statements?
a. "Let's hope this medication will stop the Alzheimer's disease from progressing any further." b. "It is important to take this medication on an empty stomach." c. "I'll be eager to see if this medication makes any improvement in concentration." d. "This medication will slow the progress of Alzheimer's disease temporarily."