The nurse is practicing in an acute care facility, and provides ...

[abarnes]

The nurse is practicing in an acute care facility, and provides care for a group of clients along with unlicensed assistive personnel (UAP) under the direction of the professional nurse. The nurse is responsible for delegating care to the UAP.
 
  One disadvantage of this type of nursing care delivery model might be which of the following? 1. The licensed professional has little time to supervise the UAP.
  2. The UAP does not document any care given.
  3. The acuity level of the clients might be too high to delegate to the UAP.
  4. The fragmented care provided is unsafe.

Question 2

The nurse is caring for a client who is on a low-sodium diet. The spouse visits and brings the client a bag of potato chips.
 
  The nurse educates the client and spouse about the high content of sodium in potato chips and the purpose of reducing sodium in the client's diet. The nurse used critical thinking skills in which of the following ways? 1. Making a nursing diagnosis
  2. Applying knowledge
  3. Setting a goal for the client
  4. Gathering data

[matt95]

Answer to Question 1

3
Rationale 1: The trend in client care today is such that clients in the hospital are far sicker. Moderately ill clients are now treated at home, in skilled nursing facilities, or in outpatient settings. There might not be enough care that can be delegated to the UAP to make the position cost-effective. The licensed professional is responsible for supervising and evaluating care given by the UAP, and lack of time is an unacceptable excuse. The UAP generally documents vital signs and other tasks, such as intake and output. Facility policies are designed to maintain client safety, no matter what model of nursing care is used

Answer to Question 2

2
Rationale 1: The nurse applied knowledge of low-sodium diets to the client's medical condition and taught the client and spouse strategies to improve the client's health. The nurse is displaying critically thinking by applying knowledge. Making a nursing diagnosis involves gathering data regarding the client's current status and then setting goals or outcomes with the client.