EAQ - Patient care (Mastery)

Which element of the leadership quality of decision making gives the registered nurse the legitimate power to give commands and make final decisions specific to a given position? 1. Authority 2. Autonomy 3. Responsibility 4. Accountability

1

When unit staffing includes assistive personnel (AP), which scenario is characteristic? 1. The AP have formal training and are able to function independently. 2. The AP do not have clinical duties on a patient care unit. 3. The registered nurse (RN) is accountable for the tasks delegated to the AP. 4. Delegating tasks to the AP is not in the scope of the RN's practice.

3

Building an empowered nursing team starts with the nurse executive. Which responsibility lies with the nurse executive in this process? 1. Provide training to the nursing staff. 2. Maintain the patient's record in a systematic way. 3. Teach the patients about health and well-being. 4. Establish a philosophy for nursing staff to provide quality nursing care.

4

The hospital nursing staff is competent and motivated and receives consistently high patient satisfaction scores. Which concept is most likely responsible for this achievement? 1. Accountability 2. Magnet recognition 3. Case management 4. Decentralized decision making

4

The nurse manager organizes a committee that includes registered nurses, licensed practical nurses, health care providers, social workers, and volunteers. Which staff involvement approach is the nurse manager exemplifying? 1. Shared governance 2. Staff communication 3. Interprofessional rounding 4. Interprofessional collaboration

4

A nurse who is an effective leader would possess which characteristic? Select all that apply. One, some, or all responses may be correct. 1. Take initiative and sustain motivation, especially during times of uncertainty. 2. Maintain a neutral approach in decision making. 3. Rebound from setbacks with positivity. 4. Identify the need to change and support change effectively. 5. Display impassivity toward others to avoid discrimination.

1, 3, 4

When was the primary nursing model of care adopted? 1. During the 1970s 2. During World War I 3. During World War Il 4. During the 2000s

1

Which member of the nursing team is most likely to use transformational leadership for team development? 1. Nurse manager 2. Registered nurse (RN) 3. Assistive personnel 4. Licensed practical nurse (LPN)

1

Which nursing care delivery model improved registered nurse (RN) accountability but is rarely used today because of high costs? 1. Primary nursing 2. Total patient care 3. Case management 4. Patient-centered care

1

Which nursing care delivery model involves the registered nurse (RN) providing direct patient care with the help of assistive personnel (AP)? 1. Team nursing 2. Primary nursing 3. Total patient care 4. Case management

1

Which nursing student action toward the assistive personnel (AP) indicates effective learning regarding delegation? 1. Delegating a basic patient care task to the AP 2. Allotting a specific time to the AP for clarifying his or her doubts 3. Limiting communication with the AP during the shift for efficiency • 4. Providing the AP with feedback after completion of all the tasks

1

Which principle is included in time management? Select all that apply. One, some, or all responses may be correct. 1. Goal setting 2. Time analysis 3. Priority setting 4. Interruption control 5. Clinical decision making

1, 2, 3, 4

Which characteristic does the primary nursing care delivery model exhibit? Select all that apply. One, some, or all responses may be correct. 1. One primary registered nurse (RN) assumes the responsibility for a caseload of patients. 2. Team members provide direct patient care under the supervision of a registered nurse (RN). 3. The same registered nurse (RN) provides care for a group of patients during their entire stay in an agency. 4. There is hierarchical communication from charge nurse

1, 3, 5

The nurse asks the assistive personnel to hold the legs of a female patient during an indwelling catheter insertion. This is an example of which aspect of clinical care coordination? 1. Organizational skills 2. Use of resources 3. Time management 4. Evaluation

2

Which element of leadership involves the freedom of choice? 1. Authority 2. Autonomy 3. Responsibility 4. Accountability

2

Which leadership quality can result in the success of the health care organization after decentralization? 1. Delegation 2. Decision making 3. Team communication 4. Clinical care coordination

2

Which nursing model focuses on improving the accountability of nursing for patient outcomes? 1. Team nursing 2. Primary nursing 3. Total care 4. Secondary nursing

2

Which responsibility does a nurse manager have? 1. Recruiting new health care providers 2. Making rounds with the health care provider 3. Dealing with the cost-effectiveness of the care plan 4. Establishing structure to achieve the organizational goal

2

Which statement describes accountability? 1. Managing employees 2. Being answerable for one's actions 3. Having freedom to choose aspects of care 4. Recommending appropriate teaching strategies

2

Which statement is true regarding responsibility? 1. It is the freedom of choice. 2. It reflects a person's ownership. 3. It is a legitimate power to give a command. 4. It refers to an individual being answerable for his or her actions.

2

Which task delegated to a newly graduated nurse is the nurse's lowest priority? 1. Clearing an obstructed airway 2. Teaching self-hygiene home care 3. Teaching the patient about a new drug therapy for an untreated problem 4. Taking measures to decrease postoperative complications

2

Which task is appropriate for the nurse to delegate to the assistive personnel (AP)? 1. Modify the therapeutic plans. 2. Obtain and record vital signs. 3. Assess ongoing status of drug therapy. 4. Teach the patient about drug administration.

2

While inserting the intravenous catheter, the nurse asks the nursing assistant to help stabilize the patient's hand. Which type of clinical care coordination is the nurse following? 1. Priority setting 2. Use of resources 3. Time management 4. Clinical decision making

2

When caring for patients, which action would the nurse perform to appropriately delegate tasks to the assistive personnel (AP in accordance with the five rights of delegation? Select all that apply. One, some, or all responses may be correct. 1. Delegate tasks in any clinical setting. 2. Provide appropriate supervision and evaluation. 3. Delegate tasks that have minimal potential risk. 4. Provide a clear, concise description of the delegated task. 5. Provide feedback in front of everybody.

2, 3, 4

Which duty would a case manager perform? Select all that apply. One, some, or all responses may be correct. 1. Prescribe medicines to the patient in the health care provider's absence 2. Coordinate acute care of the patient in the hospital 3. Supervise the care delivered by other staff 4. Actively coordinate patient discharge planning 5. Provide alternative therapies to the patient

2, 3, 4

A registered nurse (RN) delegates the duty of oral care of a patient to one of the assistive personnel (AP). The RN provides instructions for the procedure and supervises the assistant when the procedure is being done. Which right of delegation is the RN not applying? 1. Right task 2. Right direction 3. Right supervision 4. Right circumstances

3

Which example demonstrates the nurse performing the skill of evaluation? 1. Explaining the side effects of the new blood pressure medication prescribed for the patient 2. Asking the patient to rate pain on a scale of 0 to 10 before administering the pain medication 3. Completing the teaching, then observing the patient draw up and administer an insulin injection 4. Changing the patient's leg ulcer dressing using the aseptic technique

3

Which nursing care delivery model delivers health care services with high-quality and cost-effective care? 1. Team nursing 2. Total patient care 3. Case management 4.Patient-centered care

3

Which task is appropriate for the nurse to delegate to a nursing assistant? 1. Checking a health care provider's new prescriptions 2. Changing a patient's wound dressing 3. Toileting a patient on a bladder-training regimen 4. Taking the blood pressure of a patient who has fallen

3

Which factor is essential to a philosophy of care? Select all that apply. One, some, or all responses may be correct. 1. Management of patient care 2. Selection of proper interventions 3. Selection of the management structure 4. Selection of a nursing care delivery model 5. Knowledge of roles and responsibilities of a nurse

3, 4

Which characteristic of team nursing holds true? Select all that apply. One, some, or all responses may be correct. 1. The registered nurse works directly with the patient and the family. 2. The registered nurse assumes responsibility for the caseload of patients. 3. The registered nurse leads the team of other nurses and assistantive personnel. 4. The team leader develops patient care plans and coordinates with team members. 5. The team members provide direct patient care under supervisio

3, 4, 5

A nurse is promoting change and innovation on the unit by spending time with the staff, sharing ideas, and showing appreciation by recognizing team members for a job well done. Which model is the nurse using? 1. Team nursing 2. Primary nursing 3. Magnet recognition 4. Transformational leadership

4

The registered nurse (RN) checks on a patient who was admitted to the hospital with pneumonia. The patient is coughing profusely and requires nasotracheal suctioning. Prescriptions include an intravenous (IV) infusion of antibiotics. The patient is febrile and asks the RN if he can have a bath because he has been perspiring profusely. Which task is appropriate to delegate to the nursing assistant? 1. Assessing vital signs 2. Changing IV dressing 3. Performing nasotracheal suctioning 4. Admi

4

Which responsibility is that of a nurse executive? 1. Conducts regular patient rounds 2. Uses transformational leadership 3. Establishes a unit performance plan 4. Maintains professional satisfaction of the staff

4

Which statement by the nursing student indicates effective learning regarding the authority element of the decision-making process? 1. "I will develop a plan of care for my patients." 2. "I will be responsible for my actions and decisions. 3. "I will make my decisions about the scheduling of work." 4 "I will ask the self-care team to brief the patient on discharge.'

4

Which task is appropriate for a registered nurse (RN) to delegate to the nursing assistant? 1. Explaining to the patient the preoperative preparation before the surgery 2. Administering the prescribed antibiotic to the patient before surgery 3. Obtaining the patient's signature on the surgical informed consent form © 4. Assisting the patient to the bathroom

4

Which type of care management approach coordinates and links health care services to patients and their families while streamlining costs and maintaining quality? 1. Primary nursing 2. Total patient care 3. Team nursing 4. Case management

4

While teaching a patient about the dosage regimen, the nurse is called for a staff meeting. The nurse finishes explaining the dosage regimen to the patient and then attends the meeting. Which leadership skill of time management is the nurse exhibiting? 1. Goal setting 2. Time analysis 3. Priority setting 4. Interruption control

4