Leadership Final Exam NCLEX Style Questions

A novice nurse is looking for employment and hopes to find a facility where the nursing staff participates in making, implementing, and evaluating client care policies. Which organizational model implements these practices?

Shared governance

A school-age client is admitted to the PICU, unconscious and with multiple traumatic injuries, after a skateboard accident that included a closed head injury. Many health professionals are involved in the client's care, and the scene is chaotic. The parents are extremely anxious and want to know what's happening. The case manager asks for an interdisciplinary team meeting to speak with the client's parents. Which is the rationale for this meeting?

To share and evaluate information for care planning and implementation, and prevent priority conflicts, redundancy, and omissions in care

The nurse is concerned that a client is going to sue the nurse for negligence when providing care. Which nursing​ action(s) should the nurse question when determining if negligence occurred when providing client​ care? Select all that apply. a. Client states not understanding activity restrictions and wound eviscerated. b. Client name band was checked prior to providing all medications. c. Client documentation did not include appearance of infiltrated IV site. d. ​Client's morning medications administered in the early afternoon. e. Client fell getting out of bed because the call light was not used.

a. Client states not understanding activity restrictions and wound eviscerated. c. Client documentation did not include appearance of infiltrated IV site. d. ​Client's morning medications administered in the early afternoon. e. Client fell getting out of bed because the call light was not used.

Which behavior will minimize a nurse's risk for a malpractice claim? a. always carry a personal liability insurance policy b. always function with the state's nursing practice act c. ask for assistance when engaged in complicated procedures d. devote time to establishing an effective nurse patient relationship

a. always carry a personal liability insurance policy

The purpose of a living will is to: a. state the type of health care an individual desires if he or she becomes unable to make decisions b. name a person who an individual wants to make health care decisions for him or her c. explain what an individual wishes done following his or her death d. give consent for high-risk medical procedures

a. state the type of health care an individual desires if he or she becomes unable to make decisions

A nurse manager is planning to request three new infusion pumps at a cost of approximately $1500 each. What would BEST support the capital request? a. Number of patient care hours anticipated for the year b. Cost comparisons; how much and how often infusion pumps are used; condition of existing pumps c. Outline of cost for each pump d. Estimation of total cost; no further details

b. Cost comparisons; how much and how often infusion pumps are used; condition of existing pumps

Which statement Good Samaritan

in order for protection to apply, nursing care cannot be considered negligent nurse who provided out-of-scope care not protected by Good Samaritan

The nurse manager is considering increasing the number of RN staff because studies have shown that this decreases infection rates. Which purpose will decreasing infection rates serve?

lower cost, shorten hospital stays

unintentional tort

negligence/malpractice

While preparing a client for surgery, the nurse marks the arm that is to be amputated and participates in a "time out" procedure before the surgery begins. Which sentinel event should the "time out" procedure prevent?

wrong site surgery, loss of limb

What are the responsibilities of the nurse manager in most shared governance models? Standard Text: Select all that apply. 1. Staffing. 2. Direct patient care. 3. Program evaluation. 4. Allocation of resources. 5. Long-range planning.

1. Staffing. 3. Program evaluation. 4. Allocation of resources. 5. Long-range planning.

A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is concerned that older nurses may not respect the manager's authority because of the age difference. How can this nurse manager best exercise authority? 1. Use critical thinking to solve problems on the unit. 2. Give assignments clearly, taking staff expertise into consideration. 3. Understand complex health care environments. 4. Maintain an autocratic approach to influence results.

2. Give assignments clearly, taking staff expertise into consideration.

Nurses in the emergency room (ER) are complaining about how the medical-surgical unit nurses are responding to them when patients are being transported to the floor. The ER nurses state that the medical-surgical nurses do not want to do their job at times. The medical-surgical unit nurses state that the ER nurses always bring the patients near change of shift. What type of conflict is represented by this situation? 1. Interpersonal 2. Intergroup 3. Organizational 4. Intrapersonal

2. Intergroup

A nurse manager attempts to resolve conflict on the unit between staff members by bringing all sides to the table to have a discussion. What type of conflict management strategy is being displayed? 1. Accommodating 2. Competing 3. Avoidance 4. Collaborating

4. Collaborating

The nurse is appointed to a clinical-administrative task force studying critical staffing issues and care delivery models for the hospital. Which evidence on the effects of different staffing choices and care delivery models should the task force consider? Select all that apply.

A higher proportion of registered nurses can reduce the risk of mortality in surgical clients. Higher nurse-client rations have been linked to a decrease in the amount of time clients are hospitalized.

The nurse educator is teaching a management and leadership class to a group of nursing students. The educator presents information regarding case management and case manager. Which statement, if made by a student, indicates the need for additional education on this subject matter? A) "Case managers can only be licensed professional nurses who have extensive patient care experience." B) "The collection of baseline data for conditions or diagnoses that will be managed is an essential component of case management." C) "Case managers usually do not provide direct client care; instead, they coordinate and monitor others providing direct client care." D) "A case manager's typical caseload is 10-15 clients, mostly representing high-volume, high-cost, and high-risk diagnoses for the hospital."

A) "Case managers can only be licensed professional nurses who have extensive patient care experience."

The nurse conducting nursing audits to help increase efficiency and reduce costs wants to suggest a better contribution to quality care. What should the nurse suggest be performed instead? A) Conduct a wound care study to enhance client outcomes. B) Install cameras to detect abuse of the clients. C) Acquire new client care equipment. D) Decrease staffing on the unit.

A) Conduct a wound care study to enhance client outcomes.

A nurse is working as the designated leader of a group of healthcare providers in a community clinic setting. The team members are working to decrease the number of adolescent pregnancies in the community. They have defined the problem and are now focusing on objectives and considering various viewpoints presented by the group. The nurse is tasked with helping the team to stay focused in order to address the defined problem. Which of the competencies of collaboration does this describe? A) Decision making B) Mutual respect C) Trust D) Communication

A) Decision making

The nurse is working on a medical-surgical unit that is short staffed due to a callout. The manager of the unit was unable to replace the nurse, so the extra clients were assigned to the remaining nurses. The manager was able to get the help of unlicensed assistive personnel (UAP) from the house pool to help on the unit. In order for effective care to be given to the clients, the nurses would do which of the following? A) Delegate vital signs and a.m. care to the UAP. B) Explain to the manager that care may be compromised if another nurse does not work the shift. C) Tell the clients their care will be sparse. D) Assign wound care to the UAP.

A) Delegate vital signs and a.m. care to the UAP.

A staff nurse learns before reporting to work that a close family member has been diagnosed with terminal cancer. The nurse is receiving the shift report and finds the family member has been assigned as a client. The nurse reporting off duty states that the client is very demanding and complains a lot. Which action by the staff nurse who is assigned care for the oncoming shift is appropriate? A) Discuss the situation with the charge nurse. B) Resolve to refrain from reacting negatively to the client. C) Tell the client to change the behavior. D) Ask the healthcare provider to help control the client.

A) Discuss the situation with the charge nurse.

The charge nurse working in the emergency department (ED) is preparing to receive a client with traumatic amputation of the lower left arm secondary to shark attack. The nurse assembles appropriate members of the healthcare team to be present when the client arrives with the goal of allowing the client to regain as much upper extremity function as possible. Which is the rationale for why the charge nurse assembled the entire healthcare team upon arrival to the ED? A) Healthcare teams utilize collaborative delivery of high-quality, interdisciplinary health services in a shared leadership role, where accountability is both individual and mutual in nature. B) Healthcare teams are made up of members of the same profession who work under one leader to achieve one goal. C) Healthcare teams exist only to make decisions for clients. D) Healthcare teams are assembled only to manage the care of extremely ill clients.

A) Healthcare teams utilize collaborative delivery of high-quality, interdisciplinary health services in a shared leadership role, where accountability is both individual and mutual in nature.

A nurse-supervisor is encouraging nurses to delegate responsibilities whenever possible. What are some of the criteria for deciding which tasks might be delegated? Select all that apply. A) How complex is the task? B) How busy are you? C) Is the client frequently complaining? D) Is training or education required? E) Is the task unpleasant?

A) How complex is the task? D) Is training or education required?

The hospital's nurse case manager has been extensively involved with a shooting victim and members of the client's family in coordinating care of providers from many disciplines as the client progressed from the emergency department (ED) to the intensive care unit (ICU) and then onto the medical-surgical unit. After 3 weeks of hospitalization, the case manager is helping to prepare the client for discharge to a rehabilitation center where treatment will continue. Which outcomes have been documented in the literature as benefits of such collaboration? Select all that apply. A) Improved client outcomes B) Reduction in duplication of healthcare services C) Increased overall cost of health care services D) Decreased client morbidity and mortality E) Higher level of job satisfaction

A) Improved client outcomes B) Reduction in duplication of healthcare services D) Decreased client morbidity and mortality E) Higher level of job satisfaction

A community hospital wants to implement a labor delivery recovery postpartum unit to replace the labor and delivery and mother/baby units. The nurses who work on the mother/baby unit are concerned they will not be able to care for a laboring mother and may lose their jobs. The nurse manager for both units supports the plan for an integrated unit, reports that jobs would not be lost and involves the team members in the planning process, which includes cross-training all nursing staff. Based on the information presented, what causes of conflict may occur in spite of the nurse manager's effort for a smooth transition? Select all that apply. A) Mistrust B) Miscommunication C) Ambiguous role expectations D) Resistance to change E) Ineffective leadership

A) Mistrust D) Resistance to change

Nurse leaders in a local hospital created a neurotrauma (NT) unit healthcare team focused on improving outcomes for their stroke clients. This team includes acute care nurses, physicians, other care partners (e.g., physical therapists, social workers, case managers, dieticians), and representatives from the NT outpatient clinic. This team is led by a physician who makes treatment decisions based on the treatment plans developed by individual team members who each communicate with the clients, asking the same or similar questions to obtain data needed for their treatment plan. Which type of communication and action is represented in the scenario described? A) Parallel communication B) Parallel functioning C) Information exchange D) Coordination and consultation E) Co-management and referral

A) Parallel communication

The nurse on a medical-surgical unit is asked to participate in data collection on skin care for the unit. What purpose will it serve for the nurse to cooperate with this request? A) Participate in the quality improvement process B) Advance the nurse's practice C) Prevent problems from arising in the unit D) Fulfill legal requirements

A) Participate in the quality improvement process

In arranging community services for a client who is diagnosed schizophrenia, the nurse case manager discusses options with the Assertive Community Treatment (ACT) team. Which team disciplines should the nurse expect will be part of the client's ACT interdisciplinary team? A) Psychiatrists, nurses, social workers, employment specialists, substance abuse specialists B) Speech pathology, occupational therapy C) Teachers, school administrators D) Handi-Cab drivers

A) Psychiatrists, nurses, social workers, employment specialists, substance abuse specialists

The nurse delegated unlicensed assistive personnel (UAP) to assist a client with performing a simple dressing change. The client was formerly able to do the procedure, but because of painful arthritis is now unable to perform the redressing. The UAP has done this procedure before. Which of the following must the nurse emphasize to the UAP? A) Report to the nurse immediately anything unusual, such as bleeding or infection. B) The nurse should demonstrate the steps of the procedure. C) Make the client do most of the procedure and report the expected output. D) The UAP should do health teaching while performing the procedure.

A) Report to the nurse immediately anything unusual, such as bleeding or infection.

Which situations is a nurse-manager illegally responsible for reporting? Select all that apply. A) Suspected incidents of elder abuse B) Examples of substandard medical care C) Client-reported incidents of child abuse D) Confirmed case of a communicable disease

A) Suspected incidents of elder abuse B) Examples of substandard medical care C) Client-reported incidents of child abuse D) Confirmed case of a communicable disease

A client who is experiencing an exacerbation of RA will be discharged after a week's stay in the hospital. The client tells the nurse, "I can't believe how much better I am feeling now." Which is the rationale for why the client is feeling better?

Appropriate scheduling of the client's care by all disciplines allowed the client to rest.

A client who is recovering from coronary bypass surgery is placed on a critical pathway for extended care. Which client statement indicates appropriate understanding of the plan of care? A) "I cannot alter the critical pathway plan." B) "The chosen critical pathway can be altered to meet my needs." C) "My insurance plan can deny payment if I do not meet goals." D) "I must be able to meet goals that are set for me."

B) "The chosen critical pathway can be altered to meet my needs."

A home health nurse is planning care for an adult client being discharged from the hospital after experiencing complications of diabetes mellitus. The client requires an extensive dressing change twice a day, help with activities of daily living, and comprehensive education. The nurse is coordinating home visits from aides and therapists. Which role is the nurse assuming by coordinating this client's care? A) Health educator B) Case manager C) Collaborator D) Health promoter

B) Case manager

The Chief Nursing Officer and Chief Medical Officer in an urban teaching hospital are leading a series of meetings with nurses, physicians, hospital lawyers, and risk managers to review and update hospital privileging procedures and requirements for advanced practice RNs and physicians new to the hospital. This is an example of which type of collaborative team? A) Intradisciplinary B) Interdisciplinary C) Multidisciplinary D) Complementary

B) Interdisciplinary

The case manager assembles a team of healthcare professionals, including the client's primary healthcare provider, physical therapist, and social worker, for the purpose of collaborative discharge planning and decision making. Which type of team did the case manager assemble? Select all that apply. A) Intradisciplinary team B) Interdisciplinary team C) Primary nursing care team D) Management team

B) Interdisciplinary team C) Primary nursing care team

The quality assurance officer notes that one particular nursing unit has received a higher-than-usual number of negative client responses about aspects of the nursing care during the previous quarter. To which component of care should the quality assurance officer pay particular attention when benchmarking this issue? A) Structure B) Process C) Outcome D) Competency

B) Process

A group of nurses are in a staff meeting on a medical-surgical unit headed by the new unit nurse manager. The manager announces that nurses should not criticize and make fun of other nurses or there will be repercussions. Several nurses at the meeting suggest that the nurse manager talk to the individual nurses who are exhibiting this behavior. When assessing the staff's group dynamics, which action by the nurse manager is appropriate? A) Insist that this is an appropriate new policy. B) Recognize that the group has already defined behavioral norms. C) Discipline the staff nurses who spoke out. D) Request a transfer to another unit.

B) Recognize that the group has already defined behavioral norms.

An experienced delegator is mentoring a newly appointed nurse in her hospital. The new nurse says that she is hesitant to delegate tasks to unlicensed assistive personnel (UAP) because she is afraid they will not be done correctly. How can the delegator respond to the nurse's concerns? A) Tell her not to delegate any tasks unless she is completely confident. B) Tell her to clearly identify the task and expectations and then to monitor the delegate's progress. C) Tell her that delegation often results in a decrease in job satisfaction. D) Tell her that her job responsibility requires that she do everything herself.

B) Tell her to clearly identify the task and expectations and then to monitor the delegate's progress.

A client with type 1 diabetes mellitus has developed an open sore on the shin and is having trouble meeting daily goals for exercising. The client is scheduled for discharge in a couple of day. When planning for this client's continued care, who will the nurse notify regarding the client's needs after discharge? A) The pharmacy B) The case manager C) The occupational therapist D) The physical therapist

B) The case manager

Which statement is a primary and historical barrier to effective nurse-physician collaboration that has persisted over time? A) The view among the general population that that nurses' contributions to clients' care is less important to their health and well-being compared to the contribution of physicians B) The nurses' and physicians' perceptions of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and superior role in healthcare settings C) A general lack of education provided in schools for health professionals about the benefits on healthcare quality linked to nurse-physician collaboration D) A lack of published evidence about the effectiveness of collaborative efforts among and between nurses and physicians E) The lack support at the federal level for efforts to improve health care among the general population through increased nurse-physician-client collaborati

B) The nurses' and physicians' perceptions of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and superior role in healthcare settings

A school-age client is admitted to the pediatric intensive care unit (PICU), unconscious and with multiple traumatic injuries, after a skateboard accident that included a closed head injury. Many health professionals are involved in the client's and the scene is chaotic. The parents are extremely anxious and want to know what's happening. The case manager asks for an interdisciplinary team meeting to speak with the client's parents. Which is the rationale for this meeting? A) To allow for each specialty to practice independently B) To share and evaluate information for care planning and implementation, and prevent priority conflicts, redundancy, and omissions in care. C) To all the primary healthcare provider to make all the decision regarding the client's care D) To prevent the parents from trying to change the plan of care

B) To share and evaluate information for care planning and implementation, and prevent priority conflicts, redundancy, and omissions in care.

A nurse is completing discharge teaching for a client who is hospitalized for total hip replacement. The client asks the nurse why there is a case manager involved and expresses confusion about who is in charge. The client states, "I thought my doctor manages my care." Which is the best response by the nurse? A) "No, I manage your care." B) "You are correct; the doctor is responsible for managing your care." C) "A case manager coordinates everyone involved in your care to ensure your needs are met." D) "The case manager delegates your care to the nurse."

C) "A case manager coordinates everyone involved in your care to ensure your needs are met."

The nurse is discussing follow-up care with a client who is being discharged. The client and family cross their arms and state angrily that the team's suggestions are not acceptable. Which response by the nurse is appropriate? A) "We will leave you alone to discuss your options." B) "We only want what's best for you." C) "Let's discuss other options that might work well for you and your family." D) "Perhaps you did not understand the recommendations."

C) "Let's discuss other options that might work well for you and your family."

A client newly diagnosed with diabetes mellitus tells the nurse that the prescribed diet does not provide enough variation of choice. Which response by the nurse is most appropriate? A) "I will bring you a different menu." B) "I will ask my manager to talk with the dietician." C) "Let's look at your diet and see what type of variety we can find." D) "I will notify the dietary department to change your diet."

C) "Let's look at your diet and see what type of variety we can find."

A nurse is discussing the plan of care with a client who is preparing for discharge. The client has a strong objection to portions of the plan of care. The nurse recognizes that there is a conflict. Which response by the nurse indicates an understanding of the client's position and a willingness to collaborate regarding the discharge plan? A) "You are not being cooperative in your plan of care." B) "This plan of care was ordered by the physician." C) "Let's talk about what your objections are and possible solutions or alternatives." D) "I will ask your family to convince you that this plan of care is best."

C) "Let's talk about what your objections are and possible solutions or alternatives."

The nurse educator is teaching a group of nursing students about the benefits of participating in an interdisciplinary team when planning and implementing client care. When quoting research on this subject, which statement by the educator is appropriate? A) "Team members feel a greater sense of commitment and contribution to the organization." B) "Team members report feeling more respected and valued within and across professional disciplines." C) "Pooling resources and ideas results in greater efficiency in providing care to clients." D) "Organizations can report greater compliance with the 2010 Patient Protection and Affordable Care Act."

C) "Pooling resources and ideas results in greater efficiency in providing care to clients."

A student nurse administers a medication to the wrong client while the instructor is with another student. Which statement by the instructor is most appropriate in this situation? A) "You have placed the nursing student program in danger." B) "You may be sued by the hospital for the extra care cost to the client." C) "You are expected to practice like a licensed nurse." D) "You have set a bad example for the other students."

C) "You are expected to practice like a licensed nurse."

The nurse is caring for several medical-surgical clients. The nurse has delegated skin care of an incontinent client to new unlicensed assistive personnel (UAP) on the unit. In order to improve effectiveness of the care given, the nurse plans to do which of the following? A) Ask the client if the care was appropriate. B) Ask the UAP if the care was given. C) Demonstrate the appropriate care needed, then delegate the task for the remainder of the shift. D) Closely observe the UAP each time the care is given.

C) Demonstrate the appropriate care needed, then delegate the task for the remainder of the shift.

The nurse is preparing a client for discharge who will be requiring physical therapy (PT) to rehabilitate after a total knee replacement. After reading the healthcare provider's order for PT, which would be the nurse's initial action? A) Set up appointments according to the order with the hospital PT department. B) Call home health and schedule a therapist to visit the home for therapy. C) Discuss the various types of settings for therapy and have the client choose the venue. D) Teach the family the exercises needed for the client.

C) Discuss the various types of settings for therapy and have the client choose the venue.

A nurse manager overhears two staff nurses talking about a third nurse, who has the day off. The nurses are making unflattering comments regarding the nurse in front of several other nurses who work on the unit. The nurse manager discretely asks to speak to the nurses' in private and states, "This behavior isn't OK, especially in a hospital like ours with a 'zero-tolerance policy.' If you have an issue with this nurse please deal with that nurse directly. If you'd like me to help you with this, please let me know, and the four of us can meet." The nurse manager's behavior modeled strategies for which type of work-place conflict? A) Stress B) Sexual harassment C) Horizontal violence D) Intrapersonal conflict

C) Horizontal violence

The client's case manager, diabetes educator, and nutritionist meet to discuss the client's needs in preparation for discharge to home. The client's primary healthcare provider arrives and states, "I will be making all decisions regarding the client's discharge care." With the primary healthcare provider's decision to lead the team, the dynamic has shifted between which two types of teams? A) Intradisciplinary to interdisciplinary team B) Multidisciplinary to intradisciplinary team C) Interdisciplinary to multidisciplinary team D) Interprofessional to interdisciplinary team

C) Interdisciplinary to multidisciplinary team

The nurses in the emergency department (ED) and the staff nurses on the neurological unit are experiencing conflict. The ED nurses are not pleased with the amount of time is takes for the neurological unit's admitting nurse to receive face-to-face hand-off communication for clients who are being admitted to that unit. Which type of conflict is being experienced by these nurses? A) Intrapersonal conflict B) Interpersonal conflict C) Intergroup conflict D) Interorganizational conflict

C) Intergroup conflict

The home health care nurse is planning care for the older adult client. Which interdisciplinary program would best support the needs of an older adult client within the community? Select all that apply. A) Assertive Community Treatment (ACT) B) YMCA C) Programs of All-Inclusive Care for the Elderly (PACE) D) Outpatient clinic E) Meals on Wheels

C) Programs of All-Inclusive Care for the Elderly (PACE) D) Outpatient clinic

The nurse is working on a unit with unlicensed assistive personnel (UAP). One nurse refuses to utilize the UAP and is consistently leaving nursing tasks for the next shift that have yet to be completed. The nurse is jeopardizing effective care because of: A) Avoidance of responsibility. B) Overdependence on others. C) The belief that no one else can perform a task as well as the nurse can. D) The state nurse practice act.

C) The belief that no one else can perform a task as well as the nurse can.

The nurse managers in a community hospital have been charged with reviewing job descriptions of unlicensed assistive personnel (UAPs) and have questions about the delegation of certain client care activities to UAPs by nurses. To which group, organization, or individual would committee members direct their questions to obtain definitive answers about the parameters of nurse delegation to UAPs? A) The hospital's Chief Nursing Officer B) The hospital's Chief Executive Officer C) The state board of nursing D) The American Nurses Association

C) The state board of nursing

A nurse is caring for a client who had a total hip replacement 14 days ago. The client is preparing for discharge in a few days. The nurse facilitates a care conference with the primary healthcare provider, occupational therapist, physical therapist, and the client and family to develop a plan of care for the client prior to discharge. Which roles are being demonstrated by this nurse? Select all that apply.

Coordinator Collaborator

A nurse working in an outpatient OB-GYN clinic is asked to assume care coordination for the clinic's adolescent clients. Which skills will the nurse need to perform this work?

Critical thinking

A nurse manager who is employed by a community hospital is asked to implement critical pathways on the medical-surgical unit. When educating the staff nurses about critical pathways, which primary reason for their use with the nurse manager include in the teaching session? A) "Critical pathways are used to evaluate care provided to clients with certain medical conditions." B) "Critical pathways direct care provided to clients with certain medical conditions." C) "Critical pathways track care provided to clients with certain medical conditions." D) "Critical pathways direct, track, and evaluate care provided to clients with certain medical conditions."

D) "Critical pathways direct, track, and evaluate care provided to clients with certain medical conditions."

The nurse provides medication to a client at the wrong time. No harm came to the client as a result of the nurse's error and the nurse files a report about the medication error. What should the risk management team do? A) Discipline the nurse appropriately. B) Report the nurse to the board of nursing. C) Monitor all nurses on the unit to ensure this does not occur again. D) Attempt to implement policy changes to prevent future errors.

D) Attempt to implement policy changes to prevent future errors.

The nurse manager is planning to implement the Lean Six Sigma system on the care area to improve the quality of care. When following this model, what should the manager implement? A) Shortening break time B) Ordering more supplies than needed on the unit to ensure they never run out C) Replacing a licensed staff member with unlicensed assistive personnel D) Decreasing staff when the census is low

D) Decreasing staff when the census is low

A nurse, who works in a clinic environment, places great emphasis on cost control, customer satisfaction, health promotion, and preventive services. The primary focus of this nurse is representative of which type of healthcare system? A) Functional method B) Client-focused care C) Case method D) Managed care

D) Managed care

The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as long as possible. In order for the client to meet this goal, what should the nurse prepare to do? A) Teach the client nutrition and joint exercises. B) Ask the client the reason for the decision. C) Tell the client there is no hope. D) Refer the client to the appropriate professionals.

D) Refer the client to the appropriate professionals.

The nurse caring for an adult client in the intensive care unit (ICU) is given a verbal prescription by a first-year medical resident. The nurse determines that the best course of action is to check with the attending healthcare provider before implementing the prescription. Which is the rationale for why the nurse is experiencing conflict regarding this situation? A) The resident seems unsure of the prescription. B) The nurse only takes prescription from attending healthcare providers. C) The nurse does not like first-year residents. D) The nurse may not trust the resident to make the best care decisions.

D) The nurse may not trust the resident to make the best care decisions.

The nurse has assigned the vital signs and daily weights of her clients to the unlicensed assistive personnel (UAP) on duty. It is still important for the nurse to reassess each client throughout the shift for which reason? A) The UAP cannot report to the next shift. B) The UAP is not trustworthy. C) The nurse maintains the authority to care for the clients. D) The nurse remains accountable for the clients' care.

D) The nurse remains accountable for the clients' care.

The case manager interviews an older adult client hospitalized after hip replacement surgery. The client requires in-patient rehabilitation prior to being discharged home. The case manager works with the hospital nursing staff, the rehabilitation center, the client's family members, and other care providers to assist with a smooth transition. Which is the primary goal of the care management model described here? A) To provide greater peace of mind for the client and his or her family members B) To help manage concerns that are related to the client's medical care and treatment regimen only C) To track a client's progress to ensure that appropriate care is provided until the time of discharge D) To provide a continuum of clinical services in order to help contain costs and improve client outcomes

D) To provide a continuum of clinical services in order to help contain costs and improve client outcomes

The nurse is caring for a preschool-age client who suffered brain damage following a car accident. The client has a tracheostomy, is ventilator-dependent, and will be discharged from the hospital into the family's care. The family wants to care for the child at home but does not have the resources for 24-hour care. Which action by the care manager is appropriate?

Making referrals to a variety of community-based agencies that can met the family's needs