Ch 5+6 questions
Effective nurse managers have
1. Leadership capabilities 2. Clinical expertise 3. Business sense 4. Budgeting savvy
A nurse is caring for a patient who has a pulmonary embolus. The patient is receiving anti coagulation with IV heparin. Which instructions should the nurse give the NAP who will help the patient with ADLs
1. Use a lift sheet when moving and positioning the patient in bed 2. Use an electric razor when shaving the patient each day 3. Use a soft bristled toothbrush or tooth sponge for oral care 4. Be sure the patient's forward has a non-slip sole when the patient ambulates
A nurse is assigned to care for the following patients. Which patient should the nurse assess first?
A 50 year old with asthma who complains of SOB after using a bronchodilator
An assistant nurse manager is making assignments for the next shift. Which patient should the assistant nurse manager assign to a nurse with 6 months of experience and who has been floated from the surgical unit to the medical unit? 1. A 58-year-old on airborne precautions for tuberculosis (TB) 2. A 68-year-old who just returned from bronchoscopy and biopsy 3. A 69-year-old with COPD who is ventilator dependent 4. A 72-year-old who needs teaching about the use of incentive spirometry
A 72 year old incentive spirometer
Theory Y emphasizes
A. Guidance, development, and reward
When should a new graduate consider taking on management responsibilities
After developing clinical expertise
Servant leadership focuses on
Creating a supportive work environment
Mara Z. wants to become a nurse manager. She has been offered an opportunity to take a nursing management course. Which topic is most important for her to learn? a) Managing people b) Managing the unit's budget c) Planning for the future d) Redesigning the unit's workflow
Managing people
The patient with COPD has a nursing diagnosis of ineffective breathing pattern. Which is an appropriate action to delegate to the experienced LPN
Observe how well the patient performs pursed lip breathing
A nurse is caring for a patient who is diagnosed with CAD and sleep apnea, which action should the nurse delegate to the NAP?
Remind the patient to sleep on his side instead of his back
The nursing assistant tells a nurse that the patient who is receiving oxygen at a flow rate of 6L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should e nurse suggest to improve the patient's comfort for this problem?
Suggest that the patient's oxygen be humidified
George S. Has just become a nurse manager in a long-term care facility. He knows he has a lot to learn- what should he tell his staff?
That he is still learning too, and values their input
A nurse is helping an NAP provide a bed bath to a comatose patient who is incontinent. Which of the following actions requires the nurse to intervene?
The nursing assistant answers the phone while wearing gloves
A respiratory therapist performs suctioning on a patient with a closed head injury who has a tracheostomy. Afterward, the NAP obtains vital signs. The nurse should communicate that the NAP needs to report which vital sign value or values immediately? SATA
Tympanic temperature of 101.4
Which of the following is a major reason why newly licensed nurses resign?
Unsupportive management
Scientific management focuses on
efficiency
What is the difference between management and leadership?
management is an assigned position
A nurse is caring for a client who has COPD and 2 days postoperative. Which intervention for airway management should the nurse delegate to an NAP
Assisting the patient to sit up on the side of the bed
An experienced LPN is working under the supervision of the RN. The LPN is proving nursing care for a patient who has a respiratory problem. Which activities should the nurse delegate?
Auscultation breath sounds Administer meds via MDI
Informational aspects of a nurse manager's job include
Being a spokesperson
