Level: Clinical
Difficulty: Medium
Subtopic: Disaster preparedness
NCLEX: The school nurse during a vaccination clinic is being evaluated for community health nursing and disaster prepare…
Community / public health nursing Health Promotion and Maintenance
Case Study
The school nurse during a vaccination clinic is being evaluated for community health nursing and disaster preparedness. Assessment data include a home visit reveals no working smoke detectors and medications stored on the floor. Which action is appropriate within the RN scope of practice?
Question
A. Independently diagnose the medical disease and prescribe treatment.
B. Prescribe new medications without a provider order.
C. Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.
D. Delegate nursing assessment and evaluation on an unstable client.
B. Prescribe new medications without a provider order.
C. Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.
D. Delegate nursing assessment and evaluation on an unstable client.
Rationale
Correct answer: C. Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.
Rationale: RNs assess, coordinate care, teach, and evaluate. Diagnosis and prescribing are provider responsibilities.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: RNs assess, coordinate care, teach, and evaluate. Diagnosis and prescribing are provider responsibilities.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.