ATI: Management Final

A nurse is reinforcing teaching with a newly hired nurse about violations of client rights. Which of the following examples should the nurse include in teaching as an example of a violation of client rights?

A client who has schizophrenia is placed in the seclusion room of the psychiatric uint for making frequent outbursts of obscenities directed at a nurse of the opposite sex.

A nurse in a pediatric is assisting with preparing a list of clients for potential discharge to home due to a local incident involving multiple children. Which of the following clients should the nurse place on the potential discharge list? (select all that apply.)

A preschooler who has asthma and scattered wheezes that resolve with PRN use of albuterol A school-age child who has a femur fracture in an external fixation device and whose pain is controlled with PRN oral codeine. An adolescent client who is developmentally delayed, has PICC line, and needs 6 more weeks of antibiotics

A nurse finds a client standing next to a bed with the side rails up. The client is visibly confused, not wearing an identification bracelet, and his IV is detached. The client states, "I can't remember my name" After assisting the client back to bed, which of the following actions should the nurse take next?

Check the client for injury.

A nurse is participating in an ethic committee meeting about a client who has a history of alcohol use disorder and is in need of a liver transplant. Which of the following actions should the committee take first?

Collect information related to the issue.

A nurse is planning to perform a negotiation to manage a conflict between herself and another staff member. Which of the following actions should the nurse take?

Create a solution in which all parties are satisfied.

A nurse is assisting with planning care for a group of clients. Which of the following actions should the nurse plan to take?

Delegate the administration of intermittent tube feeding to a second LPN

A nurse manger has displayed such behaviors as establishing staff nurse committees to address unit issues, instituting an open-door policy for talking about concerns, and supporting the professional development with all staff. Which of the following leadership styles is the nurse manager displaying?

Democratic

An experienced nurse is serving as a mentor to a newly licensed nurse. Which of the following actions should the mentor take?

Serve as a guide and teacher for the newly licensed nurse in an established relationship

A nurse in a provider's office observes a newly licensed nurse taking a client's health history while in the waiting area. Which of the following actions should the nurse take?

Speak to the nurse immediately in private

A nurse is participating on a facility committee charged with developing and implementing new documentation forms. The nurse should recognize which of the following factors as a potential restraining force for implementing this change?

Staff resistance to learning new forms for doccumentation

A nurse is walking with the client who falls after the wheel on a facility-issued walker falls off. Which of the following actions should the nurse take regarding the completed incident report?

Submit the variance to the risk manager

A nurse manager is observing the staff on her unit. which if the following observations should the nurse manger recognize as an example of paternalism?

a nurse practitioner withholding information from a client who is dying to avoid causing the client distress

While caring for a client, a nurse notices that the client's call light cord frayed. Which of the following actions should the nurse take?

Replace the call light and send the frayed one to the repair department.

A school nurse is assisting with the care of a child who has multiple bruises to his trunk and extremities. The child reports he fell out of a tree 2 days ago. The nurse's clinical findings show patterns of nursing not typically sustained during a fall from a tree. Which of the following actions should the nurse take?

Report the findings to the local police and social service agencies.

A charge nurse is providing teaching to a new staff nurse regarding delegation to assistive personnel (AP) Which of the following information should the charge nurse include in the teaching?

The nurse should be familiar with the task she plans to delegate

A nurse is reinforcing teaching a newly licensed nurse about the informed consent process for a client who is scheduled for a surgical procedure. Which of the following information should the nurse include in the teaching?

The person who will perform the procedure is responsible for obtaining informed consent.

A nurse manger is planning to discipline a nurse who has been absent from work six times in the last 6 weeks for various reasons. Because this is the first instance of potential problem with the employee, the nurse manger decides to take a non punitive approach to the absenteeism. Which of the following actions should the nurse manager plan to take?

Verbally remind the employee about the facility's employment standards

A nurse suspects that a coworker is under the influence of alcohol. Which of the following behaviors in the workplace are consistent with substance use disorder? (Select all that apply.)

Extended lunch periods or breaks Calling in sick frequently on Mondays or Fridays Decrease in concern regarding personal appearance and grooming Excessive use of cologne or mouthwash

A nurse manger observes a nurse entering a room who is on contact precautions without donning PPE. Which of the following is the priority action of the nurse manager to take?

Have the nurse exit the room and don proper PPE

A nurse manger is implementing a team nursing approach on his unit, with LPN's and AP's hired as additional staff. Which of the following actions should the nurse manger take to facilitate acceptance of this change?

Introduce the new approach and facilitate the development of a Taskforce to plan for implementation

a new nurse manger in a long term care facility keeps her office door closed when she is in the office and does not offer to help resolve daily staffing issues. Which of the following types of leadership behavior is the nurse manger displaying?

Laissez-faire

A nurse enters a client's room and discovers a small fire in the trash can. Which of the following actions should the nurse take first?

Move the client out of the room.

A nurse in a mental health clinic is interviewing a client who has a history of substance use disorder. The client reports his experiences from a previous voluntary hospitalization. Which of the following reported experiences constitutes as assault?

"I was threatened with a shot when I refused to take an oral medication I knew would make me groggy"

A nurse is caring for a client who has a history of severe multiple sclerosis and asks the nurse about completing a living will. Which of the following statements should the nurse make?

"I will provide you with the information you need to complete advance directives"

A 13-year-old female adolescent tells the charge nurse in a pediatric unit that she does not want a male nurse assigned for her. Which of the following responses should the nurse make?

"I'll change the assignments so a female nurse is caring for you today"

A nurse is transporting a client to a surgical suite for a procedure. The client tells the nurse he no longer wants to have the surgery. Which of the following responses should the nurse make?

"Let me call your surgeon while you tell me about your concerns"

A nurse is reinforcing teaching a client about organ donation. Which of the following statements made by the client indicates an understanding of teaching?

"People age 18 and over have the right to decide to make an organ donation"

A nurse is assisting with the plan of care of a client who has heart failure and lives alone. there is a referral in place for a case manager to visit with the client. Which of the following information should the nurse provide the client about the role of a case manger?

"The case manger will coordinate and plan your care while your recover from your surgery"

A nurse is administering medications to a client who is recovering from a stroke and has right-sided paralysis. The nurse places the client's medications on the left side of his mouth and administers the pills one at a time. Which of the following ethical principles is the nurse displaying?

Nonmaleficence

Nurses working in a long-term care facility inform the nurse manger they have identified the need for updating the whirlpool bath units so that the clients bathing is more efficient. Which of the following responses should the nurse manager make?

"This purchase will need to be addressed in the capital budget plan for the unit"

A nurse is caring for a client who has breast cancer and is to have a mastectomy. The client tells the nurse she is concerned about how her partner will react to the procedure. Which of the following responses should the nurse make?

"Would you like me to have a member of a breast cancer support group visit with you?"

A nurse receives the morning change-of-shift report and delegates several tasks to an assistive personnel (AP) on the team. Which of the following tasks should the nurse instruct the AP to perform first?

Obtain the morning capillary blood glucose tests.

A nurse is preparing to teach the health care team about the concept of critical pathways. Which of the following statements about the purpose of a critical pathway should the nurse plan to include?

"A critical pathway is a multidisciplinary the that guides client care and bases outcomes on an externally imposed time line"

A nurse is caring for a client who asks if the client in the next room is in pain because she cries out frequently. Which of the following statements should the nurse make?

"Does the crying out bother you?"

A nurse is contributing to the plan of care for several clients. Which of the following clients should refer to a case manager?

A client who has a neurological deficit following a stroke.

A nurse enters the room of an adult client and finds him attempting to crawl over the side rail. Which of the following actions should the nurse take?

Ask an assistive personnel to sit with the client

A nurse is assisting with the preoperative preparation of a client who is scheduled for surgery. Which of the following tasks can the nurse delegate to an assistive personnel (AP)?

Assist with placing the client onto the stretcher for transport to the surgical suite. a

A nurse participating in a continuous quality improvement program is reviewing medical records to determine the time of first postoperative ambulation of clients who had abdominal surgery. The nurse is participating in which of the following quality evaluation processes?

Process

A nurse is assisting with the transfer of an older adult client to a long-term care facility. To promote continuity of care, which of the following actions should the nurse plan to take?

Provide a written summary of the client's nursing plan of care to the long-term care facility.

A nurse is assisting to prepare a client for discharge and the client states, "My partner hurts me. I don't want to go home" Which of the following actions should the nurse take?

Refer the client to social services for assistance in seeking safe housing