Bibliography
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Nursing Council of New Zealand/Te Kaunihera Tapuhi o Aotearoa:
Review questions
1.
A school nurse notices that Jill is losing weight and
wants to perform a focused assessment on Jill’s nutri-
tional status, fearing she might have an eating disorder.
How should the nurse proceed?
a. Perform the focused assessment. This is an inde-
pendent nurse-initiated intervention.
b. Request an order from Jill’s doctor, since this is a
doctor-initiated intervention.
c. Request an order from Jill’s doctor, since this is a
collaborative intervention.
d. Request an order from the dietician, since this is a
collaborative intervention.
2.
You are a brand new RN. When you orient to a new
nursing unit that is currently understaffed, you are told
that the AINs have been trained to obtain the initial
nursing assessment. What is the best response?
a. Allow the AINs to do the admission assessment and
report the findings to you.
b. Do your own admission assessments but do not
interfere with the practice if other professional RNs
seem comfortable with it.
c. Tell the nurse unit manager you are choosing not to
delegate the admission assessment at this time until
you can get further clarification from admission.
d. Contact your labour representative and complain.
Answers with rationale
1.
The correct answer is
a
; this is an independent nurse-
initiated intervention. The nurse therefore does not need
an order from the doctor (
b
,
c
) or the dietician (
d
).
2.
The correct answer is
c
. You do not delegate this nursing
admission assessment because you have learned that
only nurses/midwives can perform this intervention.
You should seek clarification for this policy from nursing
administration. The questions refer to a registered nurse
not a midwife.
327
Chapter 18 Implementing person-centred care
