Author Question: A primary nurse caring for a patient with kidney failure develops a plan of care for the patient ... (Read 103 times)

armygirl · **on:** Jul 22, 2018

A primary nurse caring for a patient with kidney failure develops a plan of care for the patient after consulting with the patient on the best way to manage the patient's diet.

As the staff delivers the plan of care the primary nurse evaluates whether the plan is working. Which attribute is the primary nurse displaying? a. Responsibility
b. Interprofessional collaboration
c. Delegation
d. Staff involvement

Question 2

A patient recently came to the clinic with complaints of having difficulty sleeping. After the primary health care provider assesses the patient the nurse instructs the patient and partner on how to keep a sleep-wake diary.

Entries in the diary often include _____ of sleep-wake activities. a. 24 hours
b. 72 hours
c. 1 to 2 weeks
d. 7 to 9 hours

thall411 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Responsibility refers to the duties and activities that an individual is employed to perform. For example, a primary nurse is responsible for completing a nursing assessment of all assigned patients and developing a plan of care that addresses each of the patient's nursing diagnoses. As the staff delivers the plan of care, the primary nurse is responsible for evaluating whether the plan is successful and what to do when it is not successful. Staff involvement is not the attribute the primary nurse is displaying. This is the nurse's responsibility. Delegation is the process of assigning part of one person's responsibility to another qualified person in a specific situation. The nurse developed the care plan and followed up, which is responsibility, not delegation. Interprofessional collaboration involves bringing representatives of the various disciplines together to work with patients and families to deliver quality care. This scenario did not use other health professionals; it involved just the nursing aspect.

Answer to Question 2

A
Entries in the diary often include 24-hour information on waking and sleeping activities such as exercise, work activities, mealtimes, and alcohol and caffeine intake. They should also include time and length of daytime naps, evening and bed routines, the time the patient tries to fall asleep, time and number of awakenings, and the time of morning awakening. 72 and 1 to 2 weeks are too long, whereas 7 to 9 hours is not long enough.