Leadership NGN case study

The nursing team is collaborating in the care of a client with chronic pain. Which task must be performed by the registered nurse (RN)? Assisting with hygiene Assessing the client's discomfort Taking and reporting vital signs Providing relevant education Administering oral pain medications Developing a treatment plan Transporting the client Evaluating for changes in condition

Assessing the client's discomfort Providing relevant education Developing a treatment plan Evaluating for changes in condition

While caring for a client with asthma, the nurse leader assigns the client to a registered nurse (RN) and to a licensed practical nurse (LPN). Which component of delegation is transferable to the RN? Select all that apply. One, some, or all responses may be correct. Authority Supervision Responsibility Circumstance Direction Accountability Communication Task

Authority Responsibility Accountability

A client is hospitalized with a pressure injury. Which task could be delegated to an unlicensed nursing professional (UNP)? Select all that apply. One, some, or all responses may be correct. Apply prescribed dressings to the wound. Empty wound drainage containers. Report changes in wound appearance. Administer antibiotics as ordered. Assess the wound's appearance. Document the wound's condition in the chart. Choose which dressings to apply to the wound. Place orders for wound treatment therapies.

Empty wound drainage containers. Report changes in wound appearance.

According to Kouzes and Posner, which key practice of transformational leadership would the nurse use with their staff? Select all that apply. One, some, or all responses may be correct. Engaging in self-renewal Helping others envision the future Seeing things as greater than the sum of the parts Bringing everyone together to move toward a goal Encouraging people by giving attention to personal things that are important Believing in the strength and value of others Seeing life as an adventure Developing new skills through continuous learning

Helping others envision the future Bringing everyone together to move toward a goal Encouraging people by giving attention to personal things that are important

Which psychosocial nursing action is appropriate when providing client care after a community disaster? Select all that apply. One, some, or all responses may be correct. Performing triage of injuries Administering first aid to wounds Offering choices whenever possible Maintaining situational awareness Establishing rapport through active listening Requesting assistance from crisis counselors Building trust through honest communication Use simple, concrete explanations

Offering choices whenever possible Establishing rapport through active listening Requesting assistance from crisis counselors Building trust through honest communication Use simple, concrete explanations

Which potential life-threatening condition would be considered during the primary survey for a client admitted after a fire accident? Select all that apply. One, some, or all responses may be correct. Shock Impaired vision Ecchymosis Inhalation injury Direct cardiac injury Subcutaneous emphysema Hypoglycemia Melena

Shock Inhalation injury Direct cardiac injury

The charge nurse is assigning client care to oncoming staff. The new nurse on the unit expresses an inability to care for the assigned client and is requesting to be reassigned. Which action would the charge nurse take? Provide little guidance to the new nurse. Evaluate the ability and willingness of the new nurse. Understand the new nurse's motivation in the situation. Understand the kind of support needed to accomplish the task. Utilize a selling leadership style to encourage the new nurse. Explain that the assignment cannot be altered based on personal feelings. Develop a plan to increase team support for the nurse. Reassign the client to a more competent nurse.

Understand the new nurse's motivation in the situation. Utilize a selling leadership style to encourage the new nurse. Develop a plan to increase team support for the nurse.

Which assessment would the nurse prioritize when caring for a client who is experiencing depression? Select all that apply. One, some, or all responses may be correct. Appetite Irritability Restlessness Sleeping patterns Psychomotor disturbances Energy changes Feelings of anxiety Accelerated thinking

Appetite Sleeping patterns Energy changes

Which action of the nurse leader demonstrates a hands-off approach in practice? Select all that apply. One, some, or all responses may be correct. Avoids making conscious decisions Engages in coaching of team members Evades acting in situations beyond their control Chooses to do nothing when an intervention is indicated Prefers not to act upon a problem considered to be nonsignificant Ensures that lines of communication remain open Collaborates with workers on specific projects Performs tasks similar to those of their employees

Avoids making conscious decisions Chooses to do nothing when an intervention is indicated

The nurse leader is given an additional duty of nurse navigator. Which extra responsibility would the nurse leader need to assume as the nurse navigator? Select all that apply. One, some, or all responses may be correct. Prepare advance directives Address barriers to care Offer psychosocial support Arrange clinical resources Obtain informed consents Provide relevant health education Empower the client to assume responsibility Support timely health care scheduling

Address barriers to care Offer psychosocial support Arrange clinical resources Provide relevant health education Empower the client to assume responsibility Support timely health care scheduling

A client with complex care needs is admitted to the unit. Which skill is essential for the nurse leader to possess to effectively collaborate with others? Select all that apply. One, some, or all responses may be correct. Capable of being flexible Capacity to motivate Desire to work hard Demonstrate broad-mindedness Confidence to share ideas Ability to listen to others Possession of a strong self-concept Passion for teaching others

Capable of being flexible Demonstrate broad-mindedness Confidence to share ideas Ability to listen to others Possession of a strong self-concept

The registered nurse (RN) is caring for a client with epilepsy. Which task delegated by the RN to the members of the health care team indicates active delegation? Select all that apply. One, some, or all responses may be correct. Directing the licensed practical nurse (LPN) to administer diazepam Instructing the LPN to monitor the vital signs frequently Telling the licensed vocational nurse (LVN) to administer sedatives Sending the unlicensed assistive personnel (UAP) to reposition the client Asking the UAP to place an oxygen mask on the client Ensuring the UAP assists with activities of daily living Reviewing the intake and output information gathered by the UAP Entrusting the LPN to provide stable patient care

Instructing the LPN to monitor the vital signs frequently Sending the unlicensed assistive personnel (UAP) to reposition the client Asking the UAP to place an oxygen mask on the client

Which priority intervention would the nurse implement when a client with neutropenia presents to the emergency department with suspected infection? Select all that apply. One, some, or all responses may be correct. Monitor for rashes and pruritus Prepare an appropriate diet plan Obtain blood cultures immediately Teach hygiene measures to be followed Administer antibiotic STAT as prescribed Ensure limited visitation Restrict eggs and seafood from diet Avoid oral temperature measurement

Obtain blood cultures immediately Administer antibiotic STAT as prescribed

Which intervention would the nurse implement immediately for the client with moderate hypothermia? Select all that apply. One, some, or all responses may be correct. Supplying heated oxygen gas Positioning the client in supine position Pushing high-carbohydrate liquids Applying external heat with heating blankets Performing cardiopulmonary bypass technique Irrigating the bladder with cold saline Providing oral glucose Administering acetaminophen as ordered

Supplying heated oxygen gas Positioning the client in supine position Applying external heat with heating blankets Providing oral glucose

There are eight clients in the emergency unit. Which client condition requires immediate treatment? Select all that apply. One, some, or all responses may be correct. Skin rash Unstable vital signs Severe abdominal pain Chest pain with diaphoresis Multiple complex soft tissue injuries Flu-like symptoms Multiple insect bites to torso Weakness on one side of the body

Unstable vital signs Severe abdominal pain Chest pain with diaphoresis Weakness on one side of the body

Which client would the medical-surgical nurse identify as appropriate for transfer or discharge to make room for admission of victims of a disaster? Select all that apply. One, some, or all responses may be correct. 68-year-old male on the third postoperative day since total knee replacement 30-year-old male receiving intravenous insulin for diabetic ketoacidosis 55-year-old female with bleeding esophageal varices receiving iced lavage 80-year-old male regulated on medication for transient ischemic attacks 72-year-old female beginning oral anticoagulant therapy for a deep vein thrombosis 18-year-old male recovering from surgical repair of testicular torsion 29-year-old female who is 32-weeks pregnant with mild preeclampsia 43-year-old male who suffered a mild concussion from a vehicle accident

68-year-old male on the third postoperative day since total knee replacement 80-year-old male regulated on medication for transient ischemic attacks 72-year-old female beginning oral anticoagulant therapy for a deep vein thrombosis 18-year-old male recovering from surgical repair of testicular torsion 29-year-old female who is 32-weeks pregnant with mild preeclampsia 43-year-old male who suffered a mild concussion from a vehicle accident

Which interventions upon admission to the emergency unit would be beneficial for the client who survived a lightning strike? Select all that apply. One, some, or all responses may be correct. Administration of diphenhydramine Applying spinal immobilization technique Stabilization of ABCs—airway-breathing-circulation Applying ice packs in the axillae and groin Rapid rewarming in a warm water bath Strict fluid restrictions Initiate acidification of the urine Prepare for surgical fasciotomy

Applying spinal immobilization technique Stabilization of ABCs—airway-breathing-circulation

Which leadership and management behavior would the leader display when implementing Gardner's managing task of leadership? Select all that apply. One, some, or all responses may be correct. Ensuring that organizational systems work on the client's behalf Keeping promises to clients and families with every interaction Enhancing trust through demonstrations of honesty in the role Possessing the ability to inspire trust in themselves Providing self-care to enhance the ability to care for staff, clients, and families Assisting the client and client's family with planning, priority-setting, and decision-making Assisting the staff in strengthening personal values to more closely align with those of the organization Explaining the rationale of what and why when challenging situations arise

Ensuring that organizational systems work on the client's behalf Assisting the client and client's family with planning, priority-setting, and decision-making

Which priority action would the nurse implement when providing care to a preschool-age child who presents in the emergency department (ED) after an accidental overdose? Select the five priority actions. Monitor vital signs. Assess mental status. Question the parents. Initiate cardiopulmonary resuscitation (CPR) if needed. Empty ingested remnants from mouth. Identify the ingested substance. Measure blood glucose. Obtain bedside ECG.

Monitor vital signs. Assess mental status. Initiate cardiopulmonary resuscitation (CPR) if needed. Empty ingested remnants from mouth. Obtain bedside ECG.

Which priority nursing intervention would be appropriate for a client that presents with severe respiratory distress and only unilateral breath sounds following smoke inhalation during a fire? Select all that apply. One, some, or all responses may be correct. Using the jaw-thrust maneuver Preparing to assist with intubation Removing or suctioning any foreign bodies Performing bedside electrocardiogram (ECG) Obtaining needle thoracostomy and chest tube trays Inserting oropharyngeal or nasopharyngeal airway Initiating aggressive fluid hydration Measuring arterial blood gases (ABGs)

Preparing to assist with intubation Obtaining needle thoracostomy and chest tube trays