Leadership Quiz 9 review questions

A nurse is developing a plan of care for a school-age child whose family is homeless. Which of the following findings should the nurse identify as the priority? A. The child has inflamed fissures at the corners of her mouth B. The child is shy when interacting with staff C. The child verbalizes not having many friends D. The child reports having her book bag stolen at school

a

A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? a. avoidance b. smoothing c. cooperating d. negotiating

a

An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the PN? a. obtain vital signs for a client who is 2 hr postprocedure following a cardiac catheterization b. administer a unit of packed red blood cells to a client who has cancer c. instruct a client who is scheduled for discharge in the performance of wound care d. develop a plan of care for a newly admitted client who has pneumonia

a

An assistive personnel (AP) tells a charge nurse that it is unfair that she has to take care of all the clients who are incontinent. Which of the following responses by the charge nurse is appropriate? A. "I delegate tasks to personnel based on their job descriptions" B. "Everyone working here has to care for clients who are incontinent" C. " Let's talk about organizing the workflow so you care for fewer of these clients" D. "Why do you not want to care for clients who are incontinent?"

a

The charge nurse would assign the nursing care of which patient to an LPN/LVN, working under the supervision of an RN? A. A 48-year-old patient with cystitis who is taking oral antibiotics B. A 64-year-old patient with kidney stones who has a new order for lithotripsy C. A 72-year-old patient with urinary incontinence who need bladder training D. A 52-year-old patient with pyelonephritis who has severe acute flank pain

a

The nurse is providing care for a patient after a kidney biopsy. Which actions should the nurse delegate to an experienced unlicensed assistive personnel (UAP)? Select all that apply A. Check vital signs every 4 hours for 24 hours B. Remind the patient about strict bed rest for 2 to 6 hours C. Reposition the patient by log-rolling with supporting backroll D. Measure and record urine output E. Assess the dressing site for bleeding and check complete blood count results F. Teach the patient to resume normal activities after 24 hours if no bleeding

a, b, c, d

A nurse manager is providing information about the audit process to members of the nursing team. Which of the following information should the nurse manager include? (select all that apply) a. a structure audit evaluates the setting and resources available to provide care b. an outcome audit evaluates the results of the nursing care provided c. a root cause analysis is indicated when a sentinel event occurs d. retrospective audits are conducted while the client is receiving care e. after data collection is completed, it is compared to a benchmark

a, b, c, e

A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? SATA a. skill proficiency b. assignment to a preceptor c. budgetary principles d. computerized charting e. socialization into unit culture f. facility policies and procedures

a, b, d, e, f

A nurse is acting as preceptor for a newly-graduated RN during the second week of orientation. The nurse would assign and supervise the new RN to provide nursing care for which patients? Select all that apply. A. A 38-year-old patient with moderate persistent asthma awaiting discharge B. A 63-year-old patient with a tracheostomy needing tracheostomy care every shift C. A 56-year-old patient with lung cancer who has just undergone left lower lobectomy D. A 49-year old patient just admitted with a new diagnosis of esophageal cancer E. A 76-year-old patient newly diagnosed with type 2 diabetes F. A 69-year-old patient with emphysema to be discharged tomorro

a, b, f

A charge nurse is planning client care assignments for a unit. Which of the following tasks should the nurse assign to a licensed practical nurse (LPN)? A. Determine the swallowing ability of a client who has had a stroke B. Provide an enteral feeding to a client who has Crohn's disease C. Develop a teaching plan for a client who has a new diagnosis of type 2 diabetes mellitus D. Weigh a client who is 3 days postoperative following coronary artery bypass grafting.

b

A nurse has just received report on fo0ur clients on a medical-surgical unit. Which of the following client should the nurse plan to assess first? A. A client who has COPD and an oxygen saturation level of 92% B. A client who is postoperative following a total knee arthroplasty and has a capillary refill of 4 seconds C. A client who has diabetes mellitus and a blood glucose of 150 mg/dL D. A client who is 12 hr postoperative following abdominal surgery and has absent bowel sounds

b

A nurse is receiving change-of-shift report. Which of the following client should the nurse assess first? A. A client who has a WBC count of 15,000/mm and is receiving antibiotics B. A client who had abdominal surgery 6 hr ago and had a heart rate of 120/min for the last 2 hrs C. A client who is requesting pain medication 24 hr after an open reduction and internal fixation (ORIF) of the left ankle D. A client who has pneumonia and oxygen saturation of 95% is refusing prescribed medication

b

Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an assistive personnel (AP)? A. "Take vital signs every 2 hours for the client who has a cholecystectomy in room 6122" B. "Check the urinary output in 1100 for John Doe and report it to me immediately'" C. "Report to me if the chest tube drainage is excessive for Jane Doe in room 2438" D. "Please notify me of any clients whose vital signs or blood glucose levels are significant"

b

A PN ending her shift reports to the RN that a newly hired AP has not calculated the intake and output for several clients. Which of the following actions should the RN take? a. complete an incident report b. delegate this task to the PN c. ask the AP if she needs assistance d. notify the nurse manager

c

A nurse is assigning care for four clients. Which of the following tasks should the nurse plan to delegate to an assistive personnel (AP)? A. Perform an admission assessment on a client B. Administer subcutaneous medications to a client C. Record a client's meal intake D. Develop a plan of care for a client

c

A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure? a. frequency with which procedure is performed b. client satisfaction with performance of procedure c. incidence of complications related to procedure d. accurate documentation of how procedure was performed

c

A nurse is conducting an in-service for a group of newly licensed nurses about delegation. Which of the following instruction should the nurse include in the teaching? A. "Teaching a newly diagnosed diabetic client can be assigned to a licensed practical nurse" B. "Completion of a dressing changed on a central venous catheter can be delegated to an assistive personnel" C. "Obtaining vital signs on a client who has a new onset of left-sided weakness can be assigned to an assistive personnel" D. Caring for a client who is postoperative following a hysterecotomy can be delegated to a nurse floating from the maternal newborn unit"

d

The nurse is providing care for a patient with reflex urinary incontinence. Which action could be appropriately assigned to a new LPN/LVN? A. Teaching the patient bladder emptying by the Crede method B. Demonstrating how to perform intermittent self-catheterization C. Discussing when to report side effects of bethanechol chloride to the health care provider (HCP) D. Reinforcing the importance of proper hand washing to prevent infection

d

5 rights of delegation

right task right circumstance right person right direction/communication right supervision/evaluation