The nurse is giving a shift report to the oncoming nurse who will ...

[RYAN BANYAN]

The nurse is giving a shift report to the oncoming nurse who will be caring for a client with a portacath access device. The oncoming nurse states, I have never taken care of a client with a portacath.
 
  Would you give me the basics, so I know what to do? Which standard for establishing and sustaining healthy work environments is the oncoming nurse breaching?
 
  A) Appropriate staffing
  B) Effective decision making
  C) True collaboration
  D) Skilled communication

Question 2

The client reports participating in water aerobics for 60 minutes three times each week. This is an example of what type of outcome?
 
  A) Affective outcome
  B) Psychomotor outcome
  C) Physiologic outcome
  D) Cognitive outcome

[jaygar71]

Answer to Question 1

Ans: A

Appropriate staffing ensures that client needs are effectively matched with nurse competencies. In this scenario, the nurse is ill-prepared to care for the client. The nurse needs structured training to learn about the nursing care of portacaths. Skilled communication requires health team members to communicate in a respectful, non-intimidating manner with colleagues. True collaboration involves skilled communication, mutual respect, shared responsibility, and decision making among nurses, and between nurses and other health team members. Effective decision making ensures nurses are valued and active partners in making policy, directing and evaluating clinical care, and leading organizational operations.

Answer to Question 2

Ans: A

An affective outcome involves changes in the client's values, beliefs, and attitude, such as participating in water aerobics. Cognitive outcomes demonstrate increases in client knowledge. Physiologic outcomes are physical changes in the client. Psychomotor outcomes describe the client's achievement of new skills.