Clinical judgment / Next Gen NCLEX case studies · practice question

The nurse reviewing updated assessment data is being evaluated for nursing care related to safety-focused judgment. Assessment data include the medication record, labs, and assessment notes contain conflicting cues. Before teaching, what should the nurse assess first?

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Assume understanding without checking literacy or readiness.Immediate safety, readiness to learn, literacy, cultural needs, barriers, and baseline understanding.Delegate all teaching without RN evaluation of learning needs.Begin a long lecture while the client is in acute distress.

Answer and explanation

Correct answer

B. Immediate safety, readiness to learn, literacy, cultural needs, barriers, and baseline understanding.

Why

Teaching is effective only after safety and learning readiness are confirmed; the RN cannot delegate assessment of learning needs on unstable clients.

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The nurse reviewing updated assessment data is being evaluated for nursing care related to safety-focused judgment. Assessment data include the medication record, labs, and assessment notes contain conflicting cues. Before teaching, what should the nurse assess first?

Correct answer

Why

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