A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?
Verbally question the staff about the new equipment.
Ask each nurse to read the procedure and sign a form acknowledging competency.
Require each nurse to take a written examination about the new equipment.
Allow time during the workday when each nurse can demonstrate proficiency.
The Correct Answer is D
Rationale:
A. Verbally questioning the staff does not effectively assess hands-on competency with the equipment.
B. Reading the procedure and signing a form does not ensure that the staff can actually use the equipment correctly.
C. A written examination tests knowledge but not practical skills.
D. Demonstrating proficiency ensures that staff can correctly operate the equipment in a practical setting, which is the most effective way to evaluate competency.
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Correct Answer is D
Explanation
Rationale:
A. Nonmaleficence is the principle of doing no harm, which is not directly demonstrated by completing a course.
B. Veracity involves truthfulness, not specifically related to taking a course before transferring units.
C. Autonomy is related to respecting individuals' rights to make their own decisions and is not demonstrated by completing educational requirements.
D. Fidelity refers to being faithful to one’s commitments and promises, which includes taking steps to ensure competency in a new area of practice, thus demonstrating dedication to providing competent care.
Correct Answer is B
Explanation
Rationale:
A. A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eyesight may need home health services but not necessarily hospice care unless they are terminally ill.
B. A client who has terminal cancer and needs assistance with pain management is appropriate for hospice care, which focuses on comfort and end-of-life care.
C. A client who has dementia and needs help with activities of daily living might benefit from long-term care or home care services but not necessarily hospice unless they are in the terminal stages.
D. A client who is recovering from a stroke and needs someone to provide care while his spouse is at work requires supportive care rather than hospice care.