Answer to Question 1
Correct Answer: 2
Rationale 1: Driving 80 miles two times a day may not be feasible, but perhaps there are other alternatives that could be considered.
Rationale 2: The nurse must consider a variety of factors when assigning priorities, including resources available to the nurse and client. Factors in this case include the distance between the client's home and the hospital and the fact that therapy is ordered on a twice-daily basis. Driving 80 miles two times a day may not be feasible, but perhaps there are other alternatives that could be considered (e.g., a neighbor who might be willing to drive the client, or someone in the area who may be able to assist with the therapy).
Rationale 3: Telling the client that the therapy is impossible is premature at this point in time.
Rationale 4: Making arrangements for the client to move is premature at this point in time.
Answer to Question 2
Correct Answer: 2, 3
Rationale 1: Ensuring that all clients receive the same type of care is not appropriate, as care must be individualized to meet the client's needs.
Rationale 2: Standards of care, standardized care plans, protocols, policies, and procedures are developed and accepted by the nursing staff in order to ensure that minimally acceptable criteria are met.
Rationale 3: Standards of care, standardized care plans, protocols, policies, and procedures are developed and accepted by the nursing staff in order to promote efficient use of nurses' time by removing the need to author common activities that are done repeatedly for many of the clients on a nursing unit.
Rationale 4: Standardized documents will not eliminate care disparities among clients.
Rationale 5: Standardized documents will not ensure that medication errors do not occur.