Page 225 - Saunders Comprehensive Review For NCLEX-RN

Integrated Process: Nursing Process—Implementation
Content Area: Leadership/Management: Prioritizing
Health Problem: N/A
Priority Concepts: Care Coordination; Clinical Judgment
Reference: Potter et al. (2017), pp. 284-285, 382.

34. Answer: 4

Rationale: Confrontation is an important strategy to meet resistance head-on.
Face-to-face meetings to confront the issue at hand will allow verbalization of
feelings, identification of problems and issues, and development of strategies to
solve the problem. Option 1 will not address the problem. Option 2 may produce
additional resistance. Option 3 may provide a temporary solution to the resistance
but will not address the concern specifically.
Test-Taking Strategy: Note the strategic word, best. Options 1 and 2 can be
eliminated first because of the words ignore in option 1 and coercion in option 2. From
the remaining options, select the correct option over option 3 because the correct
option specifically addresses problem-solving measures.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Implementation
Content Area: Leadership/Management: Ethical/Legal
Health Problem: N/A
Priority Concepts: Leadership; Professional Identity
Reference: Zerwekh, Zerwekh Garneau (2015), pp. 230, 233.

35. Answer: 3

Rationale: The nurse must determine the most appropriate assignment based on
the skills of the staff member and the needs of the client. In this case, the most
appropriate assignment for the AP would be to care for the client who requires urine
specimen collections. The AP is skilled in this procedure. Colostomy irrigations and
tube feedings are not performed by APs because these are invasive procedures. The
client with difficulty swallowing food and fluids is at risk for aspiration.
Test-Taking Strategy: Note the strategic words, most appropriate, and note the
subject, an assignment to the AP. Eliminate option 4 first because of the words
difficulty swallowing. Next, eliminate options 1 and 2 because they are comparable or
alike and are both invasive procedures and as such an AP cannot perform these
procedures.
Level of Cognitive Ability: Creating
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Planning
Content Area: Leadership/Management: Delegating/Supervising
Health Problem: N/A
Priority Concepts: Care Coordination; Clinical Judgment
References: Ignatavicius, Workman, Rebar (2018), p. 6.

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