Learn Client Needs - Safe and Effective Care Environment

The NCLEX-RN exam is organized according to the framework, "Meeting Client Needs." There are four major categories:

• Safe and Effective Care Environment
• Health Promotion and Maintenance
• Psychosocial Integrity
• Physiological Integrity

Learn about Safe and Effective Care Environment below.

Safe and Effective Care Environment

Subcategories:

• Management of Care
• Safety and Infection Control

Management of Care

The concept of management of care accounts for 13-19 percent of the questions on the NCLEX-RN® exam. The nursing actions included in this subcategory are:

Advanced directives	Advocacy
Case management	Client rights
Concepts of management	Confidentiality
Consultation	Continuity of care
Quality improvement	Delegation
Establishing priorities	Ethical practice
Incident reports	Informed consent
Legal responsibilities	Organ donation
Referrals	Resource management
Supervision

Typical Question

The following is an example of a typical management of care question:

After receiving report from the night nurse, which of the following patients should the nurse see first?

1. A 31-year old woman refusing Carafate before breakfast.
2. A 40-year old man with left-side weakness asking for assistance to the commode.
3. A 52-year old woman complaining of chills who is scheduled for a cholecystectomy.
4. A 65-year old man with a nasogastric tube who had a bowel resection yesterday.

The correct answer is (3). This is the least stable patient.

Safety and Infection Control

The concept of safety and infection control accounts for 8-14 percent of the questions on the exam. The nursing actions included in this subcategory are:

Accident prevention	Disaster planning
Error prevention	Hazardous materials
Medical and surgical asepsis	Standard precautions
Use of restraints

Typical Question

The following is an example of a typical safety and infection control question:
The physician orders tobramycin sulfate (Nebcin) 3mg/kg IV every 8 hours for a 3-year old boy. The nurse enters the patient's room to administer the medication and discovers that the boy does not have an identification bracelet. What should the nurse do?

1. Ask the parents at the child's bedside to state their child's name.
2. Ask the child to say his first and last name.
3. Have a co-worker identify the child before giving the medication.
4. Hold the medication until an identification bracelet can be obtained.

The correct answer is (1). This action will allow the nurse to correctly identify the child and enable the nurse to give the medication on time.