Nursing practice NGN questions

The nurse preceptor works with the student nurse to review the student nurse's ideas for solutions for the client case. For each solution proposed by the student nurse, select an improved solution, and which category of leadership the nurse preceptor has provided the student.

1. Use soothing phrases like "calm down." ANSWER: improved solution ask the client to "take slow, deep breaths." Category of leadership Communication 2. Request a new pain medication. ANSWER: Improved solution Discuss fentanyl and its potential side effects with the client. Category of leadership Case management 3. Call the client's emergency contact to discuss her mental health. ANSWER: Improved solution Ask the client if she would like to call a friend or relative to come sit with her. Category of leadership HIPAA compliance

The nurse receives report, reviews the electronic health record, and documents care in the nursing progress notes. Provider orders implemented per EHR. Supervisor notified as appropriate. The nurse leader is given an additional duty of nurse navigator. Which extra responsibility would the nurse leader need to assume as the nurse navigator? Select all that apply. One, some, or all responses may be correct.

Address barriers to care Offer psychosocial support Arrange clinical resources provide relevant health education empower the client to assume responsibility support timely health care scheduling

The nurses assigned to the E.D. begin shift without specific assignments. Upon self-assignment of role, nurse receives report from the emergency transport personnel. Documents physical assessment and provided care in EHR. Provider orders implemented as appropriate. Which action of the nurse leader demonstrates a hands-off approach in practice? Select all that apply. One, some, or all responses may be correct.

Avoids making conscious decisions Chooses to do nothing when an intervention is indicated

The nurse reviews the electronic health record and documents care in the nursing progress notes. Orders implemented as appropriate per EHR. A client with complex care needs is admitted to the unit. Which skill is essential for the nurse leader to possess to effectively collaborate with others? Select all that apply. One, some, or all responses may be correct.

Capable of being flexible Demonstrate broad-mindedness Confidence to share ideas ability to listen to others possession of a strong-concept

The nurse preceptor and student nurse review the chart to determine the client's risk for altered mental/emotional health through the recovery process. In addition to the change in vital signs, select 3 cues that may be associated with the client's change in emotional state.

Client is crying, shaking, and clammy. She mentions the hospital bills are expensive. The recovery will interfere with her transition plans.

The nurse preceptor provides guidance and direction for future encounters by the student nurse regarding clients in a sensitive situation. Select the 1 action the nurse preceptor would specifically recommend for the student nurse to take to assist with cases like this in the future.

Cultural sensitivity training .

The nurse leader receives report from the emergency transport personnel and assigns roles for implementation of care. Nurse accesses EHR, and documents physical assessment and care provided. Provider orders and emergency protocols implemented as appropriate. Which leadership and management behavior would the leader display when implementing Gardner's managing task of leadership? Select all that apply. One, some, or all responses may be correct.

Ensuring that organizational systems work on the client's behalf Assisting the client and client's family with planning, priority-setting, and decision-making

The nurse leader receives report via radio of inbound trauma client and assigns care to a highly-experienced nurse who is precepting a student nurse. Assigned nurse reviews electronic health record prior to arrival. Care is implemented per provider orders and documented in the nursing progress notes. According to Kouzes and Posner, which key practice of transformational leadership would the nurse use with their staff? Select all that apply. One, some, or all responses may be correct.

Helping others envision the future bringing everyone together to move toward a goal encouraging people by giving attention to personal things that are important

The nurse is precepting a student nurse from a local community college. They are reviewing the initial client encounter together as part of the learning process. Click to indicate if the interaction with the client was appropriate or needs to be modified.

Repeating blood pressure readings using a different machine. Appropriate Asking a client what was your name before? needs to be modified Providing a fentanyl drip. Appropriate Notifying equipment maintenance about faulty BP machine. Appropriate asking client which pronouns to use Appropriate Frowning at the gender listed on the medical record. needs to be modified.

the nurse preceptor displays leadership skills while mentoring the student nurse. Drag from word choices to complete the sentences

The nurse preceptor displayed leadership skills of CULTURAL SENSITIVITY, TAKING RESPONSIBILITY, and COMMUNICATION while mentoring the student nurse.

The nurse preceptor and student nurse converse about the possible causes for the client's emotional response. Choose the most likely options for the information missing from the statements by selecting from the lists of options provided.

The student nurse recognizes the client is likely having a PANIC ATTACK. the nurse preceptor understands the client's behavior may also be attributed to SIDE EFFECTS OF FENTANYL.

The nurse manager is performing a case review for a pediatric client. The client's mother has made a complaint about receiving conflicting information on research trial eligibility from two nurses. She also feels harassed for her choice not to have her son vaccinated and for her use of alternative supplementation. After assuring the mother that her son will not be dismissed from care, select 4 actions the nurse manager would take to correct the situation.

provide all nurses with current information on research trail eligibility for clients of the clinic. Coach Nurse B on clinic messaging for unvaccinated clients. Create standardized documentation for responding to patient inquiries for alternative treatments. review procedures for managing non compliant patients with Nurse B.