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Assess the need to refer clients for assistance with

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Assess the need to refer clients for assistance with actual or potential problems (e.g., physicaltherapy, speech therapy)Recognize the need for referrals and obtain necessary orders*Identify community resources for the client (e.g., respite care, social services, shelters)Identify which documents to include when referring a client (e.g., medical record, referral form)Sample ItemThe nurse is caring for a client in a long term care facility. The client’s spouse asks the nurse for informa-tion regarding the client’s treatment plan. Which of the following responses would bemostappropriatefor the nurse to make?a. “I cannot give you information on any client.”(key)b. “Can you verify the client’s date of birth?”c. “Let me ask the primary health care provider to speak with you.”d. “You should speak directly with the client about the treatment plan.”
(Key)is used throughout this document to denote the correct answer(s) for the exam item.
15*Activity Statements used in the 2011 RN Practice Analysis2013 NCLEX-RN®Detailed Test Plan - Candidate VersionSafety and Infection ControlSafety and Infection Control – The nurse protects clients and health care personnel from health andenvironmental hazards.SAFETY AND INFECTION CONTROLRelated Activity Statements from the2011 RN Practice Analysis of Newly LicensedRegistered Nurses in the U.S. and Member Board JurisdictionsAssess client for allergies and intervene as needed (e.g., food, latex, environmental allergies)Protect client from injury (e.g., falls, electrical hazards)Ensure proper identification of client when providing careVerify appropriateness and/or accuracy of a treatment orderImplement emergency response plans (e.g., internal/external disaster)Use ergonomic principles when providing care (e.g., assistive devices, proper lifting)Follow procedures for handling biohazardous materialsEducate client on home safety issuesAcknowledge and document practice error (e.g. incident report for medication error)Facilitate appropriate and safe use of equipmentParticipate in institution security plan (e.g., newborn nursery security, bomb threats)Apply principles of infection control (e.g., hand hygiene, surgical asepsis, isolation, steriletechnique, universal/standard precautions)Educate client and staff regarding infection control measuresFollow requirements for use of restraints and/or safety device (e.g., least restrictiverestraints, timed client monitoring)Related content includes, but isnot limitedto:Accident/Error/Injury PreventionAssess client for allergies and intervene as needed (e.g., food, latex, environmental allergies)*Determine client/staff member knowledge of safety proceduresIdentify factors that influence accident/injury prevention (e.g., age, developmental stage, lifestyle,mental status)Identify deficits that may impede client safety (e.g., visual, hearing, sensory/perceptual)Identify and verify prescriptions for treatments that may contribute to an accident or injury (doesnot include medication)Identify and facilitate correct use of infant and child car seatsProvide client with appropriate method to signal staff members

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Term
Summer
Professor
MattLunn

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