Priority Setting Framework Drills

Maslow's Hierarchy of Needs

1. Physiological 2. Safety and security 3. Love and belonging 4. Self-esteem 5. Self-actualization

Interventions that are the least invasive are desirable because of which of the following? (select all that apply) 1. The number of organisms introduce into the body is reduced 2. Risk of developing antibiotic resistance microbes is increased 3. Incidence of HAI is increased 4. Clients immune system may be compromised due to the stress of the illness 5. Use of equipment that penetrates the body's natural barriers increases the client's risk for infection

1. The number of organisms introduce into the body is reduced 4. Clients immune system may be compromised due to the stress of the illness 5. Use of equipment that penetrates the body's natural barriers increases the client's risk for infection

An unstable client may be defined as one who fits which of the following description? 1. Newly placed tracheostomy is producing a large amount of secretions 2. BP is lower after surgery than it was at admission 3. Morning assessment reveals the presence of a wound infection 4. Confused and continues to get out of bed without assistance

1. Newly place tracheostomy is producing a large amount of secretions PRIORITY SETTING FRAMEWORK USED -- Airway, Breathing, Circulation

Which of the following statements explain why the needs of a client with a chronic illness are usually lower priority than clients with acute need? 1. Chronically ill clients are usually less ill than clients with acute illnesses 2. Chronically ill clients have had the opportunity to physically adjust to their illnesses 3. Acutely ill clients usually have more needs in relation to safety and security 4. Acutely ill clients adapt to their illnesses less effectively because of its temporary nature

Chronically ill clients have had the opportunity to physically adjust to their illnesses

A nurse is performing triage at a mass casualty event and is selecting a tag for a client who is severely injured and has no potential for survival. Which of the following tags should the nurse apply to the client? 1. Class I 2. Class II 3. Class III 4. Class IV

Class IV

When using the nursing process priority setting framework, the nurse should always remember to do which of the following first? 1. Develop plan of care 2. Implement plan of care 3. Evaluate goal achievement 4. Assess the client

4. Assess the client

A nurse is caring for a client who is postoperative and whose airway is patent and respirations are 20 b/m. which of the following assessments should the nurse conduct in relation to the client's circulatory status (select all that apply) Blood pressure Urinary output Amount of IVF received Skin turgor Pulse

BP Urinary output Skin turgor Pulse

Which of the following can be used to help to determine the priority risk of a client who has multiple risks? (select all that apply) 1. Maslow's Hierarchy of needs 2. Clients perception of priority risk 3. Determining the complication that poses the highest risk 4. Assessment of airway, breathing, and circulation needs 5. Number of licensed and unlicensed nurses on RN's team

Maslow's hierarchy of needs Determining the complication that poses the highest risk Assessment of airway, breathing, and circulation needs

A nurse is caring r a client who is confused and disoriented. The client has been getting out of the wheelchair when in her room and going into the bathroom without assistance. Which of the following interventions would be the least restrictive but most effective to use with the client? 1. Wrist only restraints 2. Wheelchair alarm 3. Mattress beside the bed 4. Mild sedative

Wheelchair alarm

Which of the following priority setting frameworks is being applied by a nurse who has decided to hang a client's intravenous antibiotic within 30 mins of the specified time instead of giving another client their PRN pain medication? 1. Least invasive 2. Airway, breathing, circulation 3. Urgent vs nonurgent 4. Safety and risk reduction

Urgent vs Non-urgent