The ongoing capability of the nurse to integrate and apply knowledge, skills, judgment, decision making, and personal attitudes to practice safely and ethically in a specified role and setting pertains to which nursing principle?
a. delegation
b. responsibility
c. authority
d. competency
D
The principle of competency can be defined as the ongoing capability of the nurse to integrate and apply knowledge, skills, judgment, decision making, and personal attitudes to practice safely and ethically in a specified role and setting. Delegation is defined as transfer of responsibility for performance of a task from one person to another while retaining accountability for the outcome (ANA, Principles for Delegation, 2005). Responsibility is the obligation that occurs when one accepts an assignment. Authority is the right to act or command the actions and behavior of others.
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While taking their daily walk, the nurse is asked by a neighbor what centric fusion (robertsonian) translocation means. She tells you that a family member has been diagnosed with this and is now afraid to have children
Given this diagnosis, what may be potential risks for her offspring? A) If chromosome 21 is involved, there is a high risk for producing a child with Down syndrome. B) Since the extremely short fragment only contains a small amount of genetic material, there should be no additional risk than the normal population. C) This translocation of genetic material places the child at high risk for having multiple limb abnormalities. D) Cleft lip with cleft palate is frequently associated with this translocation of genetic material.
A patient in the coronary care unit has the following cardiac rhythm: What action should the nurse take when caring for this patient?
1. Prepare to defibrillate. 2. Monitor for any changes. 3. Notify the healthcare provider. 4. Administer a dose of sublingual nitroglycerin.
The best activity that a preschooler's parents could use to help her achieve the developmental task of the preschool period is to
A) provide her with clothes that snap rather than button. B) teach her street-crossing safety. C) allow her to experiment with PlayDoh. D) help her learn how to follow rules.
Beta blockers should be used with extreme caution in patients with reactive airway because:
A) beta-1 receptor antagonism will result in profound bronchoconstriction. B) beta-2 receptors can potentially be antagonized, resulting in bronchospasm. C) there are no beta-blockers that selectively target beta-1 receptors only. D) they inhibit catecholamine release, potentially causing bronchoconstriction.