Answer to Question 1
Correct Answer: 1
Rationale 1: Respecting the dignity of each client enhances their self-esteem and is an important aspect of implementing interventions. Providing privacy and allowing clients to make their own decisions, or do their own care when possible, is a way of respecting dignity and increasing self-esteem.
Rationale 2: It is not necessary, nor appropriate, to provide all care at all times.
Rationale 3: Telling peers and other staff members that a client is demanding is the nurse's opinion and should not be part of the reporting process.
Rationale 4: Information should be presented to other family members only with the consent of the client.
Answer to Question 2
Correct Answer: 3
Rationale 1: This option does not describe the appropriate nursing actions that come at the end of client care activities.
Rationale 2: Reporting to the charge nurse would be done at the end of the shift, unless the client's condition is not stable.
Rationale 3: After carrying out the nursing activities, the nurse completes the implementing phase by recording the interventions and client responses in the progress notes.
Rationale 4: This option does not describe the appropriate nursing actions that come at the end of client care activities.