Practice and Application Flashcards
7 cards from real RELIAS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Practice and Application flashcards as text
A healthcare professional is asked to perform a task they have not been trained to perform. The most appropriate response is to:
Answer: Decline the task and inform the supervisor that training has not been completed
Performing tasks outside one's scope of practice or competency without proper training poses a serious risk to patient safety and professional liability.
A patient is scheduled for a procedure requiring informed consent. The patient appears confused and unable to understand the risks explained. The nurse should:
Answer: Notify the provider about the patient's cognitive status before obtaining consent
Valid informed consent requires decision-making capacity; when this is in question, the provider must be notified to assess capacity before proceeding.
Which approach best supports a person-centered care philosophy when developing a care plan for an older adult?
Answer: Involving the patient and their preferred support persons in setting care goals and preferences
Person-centered care requires active collaboration with the patient and their chosen support persons in identifying and prioritizing individualized care goals.
A nurse recognizes that a physician has written an order for a medication that is contraindicated given the patient's documented allergy. The correct action is to:
Answer: Contact the physician immediately to clarify and correct the order before administration
Medication safety requires that any order involving a documented allergy be clarified with the prescribing provider before administration to prevent anaphylaxis or serious harm.
During a team huddle, a nursing assistant reports concern about a patient's mental status change but hesitates because a senior nurse dismissed the concern earlier. This situation reflects a risk associated with:
Answer: Hierarchical authority gradients that can suppress safety-critical communication
Authority gradients in healthcare hierarchies can deter lower-status staff from voicing safety concerns, a well-documented contributor to preventable adverse events.
A patient with diabetes mellitus is found unresponsive with a blood glucose level of 38 mg/dL. After calling for help, the nurse's next priority action is:
Answer: Prepare and administer IV dextrose or glucagon per protocol
Severe hypoglycemia causing loss of consciousness requires immediate administration of IV dextrose or glucagon; oral glucose cannot be safely given to an unresponsive patient.
Which of the following correctly describes the concept of de-escalation in behavioral health settings?
Answer: Employing verbal and non-verbal techniques to reduce agitation and prevent crisis escalation
De-escalation involves using calm communication, active listening, and non-threatening body language to reduce a patient's agitation before resorting to restrictive interventions.