EAQ 5 - Professionalism

Which response would the nurse give to the common statement "But you don't understand" when caring for an adolescent?

"It would be helpful to understand; let's talk."

Which statement made by the nurse requires correction when discussing registered nurse licensure in the United States with peers?

"Passing the NCLEX-RN® examination indicates maximal knowledge base for safe nursing practice."

How will the nurse respond to a client with cancer experiencing severe nausea and vomiting from chemotherapy who wants to know if it is true that smoking marijuana will help?

"Some tetrahydrocannabinol (THC)-based medications that contain marijuana control chemotherapy-induced nausea and vomiting in some people.

A client with asthma and depression is admitted to the hospital. Which tasks delegated by the delegator would be completed by the registered nurse?

"Teach the client how to use a metered-dose inhaler."

Which response by the nurse is therapeutic when a male client with ascites is to have a paracentesis and has signed the consent but, while the nurse is caring for him, he says that he has changed his mind and no longer wants the procedure?

"Tell me why you want to refuse the procedure."

Which external barriers can prevent a nursing professional from making morally correct actions? Select all that apply. One, some, or all responses may be correct.

1. Inadequate staffing 2. Lack of organizational support 3. Poor relationships with colleagues

The nursing manager is preparing a schedule for delegating appropriate tasks to different health care team members. Which health care team member can be delegated the task of administering oral medications? Select all that apply. One, some, or all responses may be correct.

1. Licensed practical nurse (LPN) 2. Licensed vocational nurse (LVN)

Appropriate delegation in a health care organization achieves which outcomes? Select all that apply. One, some, or all responses may be correct.

1. Reduces stress 2. Improved treatment outcomes

In which client situations does the process of delegation become more challenging? Select all that apply. One, some, or all answers may be correct.

1. When the client is pregnant 2. When school children are receiving care

When informing the health care provider of a client requesting pain mediation after surgery, which role did the nurse play?

Advocate

Which explanation would the nurse provide for administering prednisone to a client with an exacerbation of colitis?

Although the medication decreases intestinal inflammation, it will not cure the colitis.

Which entity outlines the principles of delegation for registered nurses (RNs)?

American Nurses Association (ANA)

The nurse manager transfers the task of caring for a client who has had an appendectomy to the registered nurse (RN). Which element of the health care system is the RN practicing?

Assignment

The nurse manager transfers the task of caring for a client who has undergone appendectomy to a registered nurse (RN). Which element of the health care system is the RN practicing?

Assignment

Which concept refers to the ability to perform duties in a specific role?

Authority

The nurse on the medical-surgical unit tells other staff members, "That client can just wait for the lorazepam; I get so annoyed when people drink too much." Which does this nurse's comment reflect?

Demonstration of a personal bias

Which description is correct in defining "accountability"?

Determination of appropriate actions and providing detailed explanations of the actions

Which is the role of a case manager in a health care organization?

To follow up with the client after discharge

Which characteristic would the nurse use during the nursing process as a guide for delegation?

Critical analysis

Which member of the health care team is responsible for analyzing the knowledge and skills of unlicensed assistive personnel (UAP) before delegating a task?

Registered Nurse

A health care team is caring for a client with dental pain. Which task can be delegated to unlicensed assistive personnel (UAP) to provide effective client care?

Administering mouthwash for oral hygiene

Which questions would the delegator assess to determine the right task? Select all that apply. One, some, or all responses may be correct.

1. "Is the task legally appropriate to delegate?" 2. "Is the task appropriate to delegate based on institutional policies and procedures?"

Which care settings are more suitable for unlicensed assistive personnel (UAP)? Select all that apply. One, some, or all responses may be correct.

1. Extended care 2. Long-term care

The health care team is caring for a client with dental pain. Which task is most suitable to delegate to unlicensed assistive personnel (UAP) for effective client care?

Administering mouthwash for oral hygiene

Which teaching point is appropriate for the nurse to include in the education of the ethical principal of nonmaleficence to a group of nursing students?

Act in ways to prevent harm to clients.

Which tort involves intentional touching without the client's consent?

Battery

Which action would the nurse take for a client with borderline personality disorder?

Be firm, consistent, and understanding while focusing on specific target behaviors.

Which advice would the nurse include in a teaching plan to reduce the side effects of diltiazem?

Change slowly from sitting to standing.

During the delegation process, which health care professional acts as a liaison between the team leader and health care providers?

Charge Nurse

During the delegation process, which health care professional acts as a liaison between the team leader and health care provider?

Charge nurse

Which health care team member functions as a liaison between team leaders and other health care providers?

Charge nurse

Which health care team member is responsible for the coordination and assignments of client care?

Charge nurse

Which professional strategy is most effective for nurse leaders and managers to implement in improving safety and quality of client- centered care?

Delegation

For the intensive care of cancer clients, for which employment position would the facility hire a nurse?

Clinical nurse specialist

Which function is part of Hersey's 2006 model related to delegation?

Core competencies of a situational leader

Which role does the nurse play when helping clients identify and clarify health problems and choose appropriate courses of action to solve those problems?

Counselor

Which potential effect will the nurse teach to a client receiving metoprolol?

Dizziness with strenuous activity

The registered nurse (RN) is caring for a client admitted with sudden paralysis of the legs and an inability to walk. Which intervention made by the RN indicates correct active delegation?

Instructing the licensed practical nurse (LPN) to report the client's vital signs

Which critical thinking skill in nursing practice requires the nurse to possess knowledge and experience for choosing care strategies for clients?

Explanation

Which failure is consistent with an improper follow-through on the part of a delegatee?

Failure to report results and findings

Which response indicates improper follow-through on the part of a delegatee?

Failure to report results and findings

Which phrase describes the meaning of the term in-service education?

Helps the nurse achieve an organization's required competencies

Which statement indicates that the nurse is in the advanced beginner stage of Benner?

Identifies the basic principles of nursing care through careful observation

Which component of the nursing process includes tasks that can be delegated?

Implementation

Which mechanism of action explains how hydrochlorothiazide increases urine output?

Increases the excretion of sodium

Which health care team member is most suitable to provide oral medication to a client?

Licensed practical nurse (LPN)

Which primary goal can be achieved with delegation?

Maximizing client care outcomes

Which action would a nurse take to prevent a parallax error and to ensure accuracy when assessing a client's blood pressure?

Read the manometer at eye level.

Which nursing practice is associated with a self-regulation skill?

Reflecting on one's experience

Which information will the nurse share about alopecia characteristics to a client who is to receive chemotherapy after surgery for cancer?

Not permanent

Which member of the health care team would the nurse claim performs functions through passive delegation?

Pharmacist

Which action would the nurse take for an adolescent with a long history of drug abuse, stealing, and refusal to comply with rules?

Serve as a role model for mature behavior while providing a structured setting.

Which description does beneficence in health ethics refer to?

Taking positive actions to help others

The registered nurse (RN) is delegating various client care activities to 4 unlicensed assistive personnel (UAP). Which UAP needs more education and monitoring? Client A: Diabetes Mellitus (measuring blood glucose levels immediately after a meal) Client B: Hypothyroidism (producing accurate account of the client's condition) Client C: (documenting the BP levels of the client) Client D: (asking the client to sleep in dark room)

UAP A

When auscultating a client's chest, the nurse hears swishing sounds of normal breathing. How would the nurse document this finding?

Vesicular breath sounds