Answer to Question 1
B
The nurse is accountable for assignments given to assistive personnel and the outcomes of the care; so the primary consideration in making assignments needs to be scope of practice. While the number of clients in the assignment, acuity level of the client, and the number of scheduled discharges on the unit may impact assignment preparation, they are not the most important factors.
Answer to Question 2
A
The Institute of Medicine issued two reports (2000, 2001) which laid out strategies to reduce medical errors. The reports were directed toward government, industry, consumers, and health care providers. The strategy was initiated because of reports of death and injury as a result of medical errors. These reports led to the formation of the National Patient Safety Foundation by the American Medical Association and a reporting system by the Joint Commission (formerly known as the Joint Commission on Accreditation of Healthcare Organizations) (The Joint Commission, 2010).
The patient and his family meet with the nurse to discuss progress on the patient care plan.
The nurse applies a pulse oximeter sensor on the client’s finger.
Nurse Sandy
Preparing a Smear
Example of simplified note for one-time client.
Testing patellar reflex, client in a sitting position