Lembar kerja Prioritas & delegasi dengan jawaban

Aturan prioritas umum mana yang benar?

1. AMasalah psikologis selalu didahulukan daripada masalah fisik
2. BMasalah sistemik biasanya didahulukan daripada masalah lokal
3. CMasalah lokal biasanya didahulukan daripada masalah sistemik
4. DMasalah yang mudah diperbaiki selalu didahulukan

Which serum sodium value is within the normal adult range?

1. A128 mEq/L (128 mmol/L)
2. B120 mEq/L (120 mmol/L)
3. C152 mEq/L (152 mmol/L)
4. D140 mEq/L (140 mmol/L)

Which statement about the nursing process is correct when setting priorities?

1. AEvaluation comes first, before any patient data have been collected
2. BPlanning comes first, before seeing the patient
3. CAssessment comes first, because the other steps depend on it
4. DImplementation comes first, so care starts quickly

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. AStand very close to him and tell him firmly and loudly to sit down and be quiet
2. BTurn away and ignore the behavior
3. CApply physical restraints at once
4. DSpeak calmly, keep a safe distance and invite him to talk about what is wrong

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. AWrite it in the assistant’s yearly review only
2. BLeave it because the patient is asleep
3. CAsk the family to lower the bed when they next visit
4. DLower the bed now and remind the assistant why it matters

Pasien mana yang harus ditemui perawat lebih dulu?

1. APasien dengan artritis reumatoid lama dan kaku sendi pagi hari yang biasa
2. BPasien dengan penyakit ginjal kronis yang dijadwalkan dialisis besok
3. CPasien diabetes tipe 2 yang bertanya tentang diet
4. DPasien dengan bicara pelo baru dan wajah merot yang dimulai 30 menit yang lalu

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. AHelping the patient to walk in the corridor alone
2. BEncouraging the patient to drink plenty of water
3. CSeizure precautions and close neurological checks
4. DTeaching the patient about a low-sodium diet at home

Tugas mana yang paling tepat dikerjakan sendiri oleh RN dan bukan didelegasikan kepada asisten keperawatan?

1. AMembantu pasien turun dari tempat tidur untuk pertama kali setelah operasi
2. BMengajak pasien stabil berjalan di koridor pada hari ketiga setelah operasi
3. CMenimbang pasien gagal jantung setiap pagi
4. DMembantu pasien dengan perawatan mulut