Fundamentals of Nursing and Midwifery 2e

Chapter 18 Implementing person-centred care

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Review questions

Bibliography

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. 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. Answers with rationale

Alfaro-LeFevre, R. (2011). Critical thinking and clinical judgement: A practical approach (5th ed.). Philadelphia: W.B. Saunders. —— (2013). Applying nursing process: The foundation for clinical reasoning (8th ed.). Philadelphia: Lippincott Williams & Wilkins. Australian Nursing & Midwifery Council (ANMC). (2002). National competency standards for the enrolled nurse . Dickson, ACT: ANMC. Available online via the NMBA at www.nursingmidwiferyboard.gov.au. —— (2006a). National competency standards for the registered nurse (4th ed.). Dickson, ACT: ANMC. Available online via the NMBA at www.nursingmidwiferyboard.gov.au. —— (2006b). National competency standards for the midwife . Dickson, ACT: ANMC. Available online via the NMBA at www.nursingmidwifery board.gov.au. —— (2006c). National competency standards for the nurse practitioner . Dickson, ACT: ANMC. Available online via the NMBA at www.nursing midwiferyboard.gov.au. Australian Nursing Federation (ANF). (2005). Competency standards for the enrolled nurse in general practice. In Competency standards for nurses in general practice . Kingston, ACT: ANF. Available online at http://anf.org.au/documents/reports/compstandards_nursesingp.pdf. Australian Nursing Federation (ANF). (2011). ANF guidelines: Delegation by registered nurses and registered midwives. Accessed February 2013 at http://anf.org.au/documents/policies/G_Delegation_ RNs_RMs.pdf. Bulechek, G.M., Butcher, H.K., Dochterman, J.M. & Wagner, C. (Eds). (2013). Nursing interventions classification (NIC) (6th ed.). St Louis: Mosby/Elsevier. National Nursing and Nursing Education Taskforce (N 3 ET). (2006). National Nursing and Nursing Education Taskforce, Final Report . December 2006. Staunton, P.J. & Chiarella, M. (2013). Nursing and the law (7th ed.). Sydney: Churchill Livingstone.

Web resources

Australian Nursing & Midwifery Accreditation Council: www.anmac.org.au Australian Nursing Federation: www.anf.org.au Midwifery Council of New Zealand/Te Tatau o te Whare Kahu: www.midwiferycouncil.health.nz National Nursing and Nursing Education Taskforce: www.nnnet.gov.au Nursing and Midwifery Board of Australia: www.nursingmidwifery board.gov.au Nursing Council of New Zealand/Te Kaunihera Tapuhi o Aotearoa: www.nursingcouncil.org.nz