The nurse pours the medication ordered for the client. The nurse asks the nurse assistant to give the medication when the client receives breakfast. Of which concept is this an example?
1. Ineffective delegation
2. Negligence
3. Vicarious liability
4. Decentralization
Answer: 2
Rationale: Delegation of a task to a person who is not competent or qualified is in violation of the nurse practice act, and constitutes negligence. Ineffective delegation occurs when the steps of delegation are not properly followed or barriers remain unresolved. Vicarious liability is the principle that holds the employer legally responsible for the wrongful acts of its employees. Decentralization is moving the authority away from the central administration of the organization.
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After teaching the wife of a client who has Parkinson disease, the nurse assesses the wife's understanding. Which statement by the client's wife indicates she correctly understands changes associated with this disease?
a. "His masklike face makes it difficult to communicate, so I will use a white board." b. "He should not socialize outside of the house due to uncontrollable drooling." c. "This disease is associated with anxiety causing increased perspiration." d. "He may have trouble chewing, so I will offer bite-sized portions."
A newly admitted patient is mute, immobile, and holds a fixed body position for long periods. The nurse caring for this patient should
a. assign unlicensed assistance personnel to feed the patient. b. provide a stimulating, active environment. c. encourage independent social behaviors. d. forewarn the patient before touching.
The Centers for Disease Control and Prevention (CDC) recommends that HPV be treated with patient-applied:
1. miconazole ointment. 2. topical application of podofilox 0.5% solution or gel. 3. penicillin intramuscularly for two doses. 4. metronidazole by mouth.
Diclofenac misoprostol (Arthrotec) should not be used in pregnancy due to risk of miscarriage
Indicate whether the statement is true or false.