Which directions given by the nurse to the assistant are most ...

[sdfghj]

Which directions given by the nurse to the assistant are most likely to be understood and completed correctly? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Here are your directions for this morning. Please give the clients in rooms 2156, 2158, and 2159 total bed baths.
  2. Go to the diet kitchen and get a cup of apple juice for the client in room 2112.
  3. Ambulate the clients on the south wing.
  4. Do you think you'll have time to do shampoos today?
  5. It might be a good idea to get the client in room 2110 up in the chair this morning. Or maybe it would be better to wait until this afternoon.

Question 2

In which situation should the nurse be most concerned that communication was distorted?
 
  1. The nurse obtains an admission history from the parents of an adopted child.
  2. The nurse gives discharge instructions to a couple in their early 80s.
  3. The nurse manager hires a new nurse originally from the Philippines.
  4. The emergency nurse receives a client who was transferred via ambulance for confusion.

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Answer to Question 1

1,2
Rationale 1: Saying Here are your directions alerts the assistant that an important statement is going to be made. The instructions are clear and concise.
Rationale 2: This is a clear and concise set of instructions.
Rationale 3: This direction is not clear. Does the nurse want the clients whose rooms are on the south wing ambulated? Or does the nurse want all ambulation to occur on the south wing today?
Rationale 4: This instruction is ambiguous. If the nurse would like for certain clients to have their hair shampooed today, the nurse should indicate that more clearly.
Rationale 5: The nurse should be clear regarding what should be done before instruction is provided.
Global Rationale:

Answer to Question 2

4
Rationale 1: Just because this child is adopted does not mean that the admission history will not be correct or that communication with the child or parents will be impaired.
Rationale 2: Just because a person is older does not mean that communication is impaired.
Rationale 3: Just because the person is from another country does not mean that communication will be distorted.
Rationale 4: Communication will be most affected by the confusion of the client because the nurse cannot be sure of anything the client said or that the client understood anything the nurse tried to communicate.
Global Rationale:

[sdfghj]

Wow, this really help

[ryhom]

TYSM