Evolve: Management of Care
A nursing student is evaluating different examples of variables that influence the health beliefs and practices of clients. Which scenario is an example of an external variable?
A client stops taking medications after the disappearance of symptoms to cut down on medical bills.
A registered nurse is educating a nursing student about assault. What information should the registered nurse provide?
Assault refers to any action that places a client in apprehension of harmful contact without consent."
Which nursing action is appropriate when conducting a secondary survey during the emergency assessment?
Assigning a nurse to support family members
While caring for a client with asthma, the delegator assigns the client to a registered nurse (RN) and to a licensed practical nurse (LPN). Which component of delegation is transferable to the RN? Select all that apply.
Authority Responsibility Accountability
The registered nurse delegates the task of feeding a 90-year-old client suffering from dysphagia to the unlicensed assistive personnel (UAP) who has previously performed this task. The client died of choking and aspiration after being fed by the UAP. Which right of delegation was violated for this client?
Circumstance
According to Watson's theory, in which practice is the nurse least likely to engage?
Curing the disease before engaging in care of the client
Which nursing care delivery system works well in emergency situations that necessitate prioritization of care?
Functional nursing
What term began to be used in the 1960s to describe case management?
Utilization management
What would be the level of the client with a hip fracture due to a mass disaster according to the emergency service index (ESI)?
level 3
While caring for a post-operative client, the delegator has assigned a task to a delegatee. Which statements made by the delegator indicates that the delegatee has the experience to perform the task? Select all that apply.
"I am available to you at any time for report." "I am aware of your technical competencies."
A nurse is caring for an older adult with dementia who has been admitted in the special ward for further treatment. Which situation should the nurse address to meet the safety and security needs of the client according to Maslow's hierarchy of needs?
"I do not want to talk to any stranger as I fear that they might take away my things."
The registered nurse is teaching a nursing student who underwent training for disaster management on how to cope effectively after a disaster event. Which statements by the nursing student indicate a need for further teaching? Select all that apply.
"I will work for 15 hours per day. "I will talk about my feelings with my family."
A nurse is helping a client determine and articulate personal values about health problems. The nurse also explains the effect of these problems on lifestyle adjustments. Which Gardner's task of leadership is the nurse leader applying?
Affirming values
A nursing student is listing the characteristics of an ethical issue. Which point listed by the nursing student requires correction?
An ethical issue occurs if the problem aims at the greatest good for the greatest number of people.
A staff nurse is next in line to be assigned a primary client; however, the nurse is scheduled to be off for the next four work days. What should the nurse manager do?
Assign the client to the nurse who comes after the one leaving for a long weekend.
The healthcare unit reviews the evaluation report of a newly promoted nurse leader and rates the performance as excellent. At which qualities did the nurse excel? Select all that apply.
Charting new paths that lead to progress Demonstrating positive feelings in the workplace
A 20-year-old developmentally challenged woman is a resident in a group home. She has had four abortions in the past 2 years, and the agency supervisor recommends that she be sterilized. It is obvious that the client is unable to exercise informed consent for sterilization. The nurse understands that the procedure cannot be performed without legal consent from whom?
Court-appointed individual or group
Which leadership theory is being followed in a hospital if the nurse leader tells newly hired team members that they will be appreciated and rewarded if they perform well?
Expectancy theory
A team member has asked the nurse leader about changes in the work schedule. What is the accurate action to be taken by the nurse leader in this situation?
Explaining the reason for the change to the team member clearly
A client complains to the nurse manager about a coworker. The nurse manager listens to both the patient's and the coworker's side of the story. Which critical thinking quality is shown in this situation?
Fairness
Which statement is correct regarding delegation? Select all that apply.
It involves transfer of authority The delegator retains accountability for the outcome Principles of delegation outline what nurses need to know about the task.
Which care activities would be involved in a correct delegation process? Select all that apply.
Licensed practical nurse (LPN) cleans the client's body. Unlicensed assistive personnel (UAP) assist the client with oral feedings. Registered nurse (RN) guides the unlicensed assistive personnel (UAP) while recording client's temperature.
A client with a gunshot wound has severe hemiplegia associated with abnormal body posturing and fixed and dilated pupils. What is the nursing priority in this condition?
Monitoring respiratory rate
What should the nurse consider to be limitations of assisted living? Select all that apply.
Most residents need to pay privately. Only home care nurses can visit the clients. Average monthly fee is $3,022 for a private unit.
A nurse is educating a client about the importance of self-care. Which nursing theory lays the inspiration for this?
Orem's Theory
While providing feedback to nurse practitioners, the registered nurse uses the extinction approach to handle negative behaviors. Which theory of leadership is the registered nurse applying in this scenario?
Organizational behavior modification (OB Mod) theory
The nurse manager is looking to include members of the healthcare team in the decision-making process but finds that many members are reluctant to offer ideas. Which approach by the manager generates a large volume of creative options while encouraging reticent members of the team to participate?
Planning brainstorming sessions
A nurse manager asks for extra help from other nurses in the unit. In exchange, the nurse manager ensures special care for the parent of a staff nurse who is currently a client in the hospital. Which behavior does the nurse manager exhibit?
Quid pro quo
A nursing student is taking down notes about the domain of nursing. Which points have been correctly noted by the nursing student? Select all that apply.
The domain of nursing provides both a practical and theoretical aspect of the discipline. The domain is the knowledge of nursing practice as well as the knowledge of nursing history, nursing theory, education, and research. The domain of nursing gives nurses a comprehensive perspective that allows them to identify and treat a client's healthcare needs at all levels and in all healthcare settings.
What points should the nurse remember when caring for a client who has a history of suicide attempts? Select all that apply.
The nurse should document the measures taken to prevent suicides. If the client makes a suicide attempt in the hospital, this action may lead to a lawsuit. The primary health care facility will be responsible for failing to provide adequate supervision.
A nursing student is listing the nursing manager's role in the hospital setting. Which roles listed by the nursing student are accurate? Select all that apply.
The nursing manager coordinates the activities of the nursing staff in delivering nursing care." Correct2 "The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff." "The nursing manager establishes an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."
What would the nurse describe as "leadership" in nursing practice?
The use of individual traits to interpret the environment in an emerging situation to execute a plan
With the client's permission, the nurse should inform the family about what is happening. The main reason for this action is that informed families provide what benefit?
They are better equipped to assist the client
What are the overall purposes of delegation? Select all that apply.
To achieve nursing goals To improve client outcomes
