Delegation & Assignment MCQs for Nursing Exams

Answer: D. Using matter-of-fact manner and short sentences

The nurse should teach personnel to communicate with patients who are withdrawing from alcohol and street drugs in a calm, matter-of-fact manner, using short sentences and a moderate tone of voice. This approach promotes orientation, reinforces cognitive-perceptual functions, and decreases anxiety. A cheerful tone and humor are inappropriate, possibly leading to misperceptions by the patient with cognitive-perceptual impairment. Using general and abstract terms and a loud tone of voice increases anxiety and may lead to misunderstanding. Lengthy explanations delivered with a quiet voice will lead to frustration and increased anxiety.

Answer: D. Of schizophrenia."

Fluphenazine is most effective with the positive symptoms of schizophrenia. The patient's symptoms reflect the negative symptoms. Fluphenazine generally is effective in 3 to 7 days for the positive symptoms. An increased dose or longer time on fluphenazine will not help the negative symptoms of being withdrawn and unmotivated.

Answer: C. Take no action because this is appropriate delegation

A. The primary nurse's instruction to the UAP to assist the patient to the bathroom is an appropriate delegation that ensures the safety of the patient. It requires no action by the charge nurse. B. There is no information in the stem that indicates the patient needs a bedside commode; therefore, this is not an appropriate action. C. The UAP can assist a patient who is stable to ambulate; therefore, this is not inappropriate delegation. D. An adverse occurrence report is completed whenever potential or actual harm has come to the patient. Ambulating the patient with assistance is not harmful.

Answer: B. "I'll ask the nurse to come in and discuss this with you."

The patient is indicating an interest in learning about prostheses. The experienced nurse can initiate discussion and begin educating the patient. Certainly, the doctor can also discuss prostheses with the patient, but the patient's wish to learn should receive a quick response. The nurse can then notify the doctor about the patient's request.

Answer: B. Explain the reason why the alarm sounded

Hospitalization, for most people, is a unique experience. Therefore, providing patients who are in an unfamiliar environment with information about hospital equipment, clinical procedures, and agency routines helps relieve anxiety. All explanations are given in simple, understandable terms. Once informed, patients have a basis for interpreting the reality of their experiences. A patient is unlikely to understand a description of heart rhythm or interpret the pattern on a rhythm strip. Administering a tranquilizer now will not help prevent a similar reaction in the future.