HESI management of care
The registered nurse is assigned to delegate a task. Which action by the registered nurse indicates the need for correction? 1 Communicating and guiding the delegatee 2 Supervising while the delegatee is performing the task 3 Providing a brief description of the task to the delegatee 4 Asking the delegatee questions related to the issue of client care
Providing a brief description of the task to the delegatee The registered nurse should provide complete clear directions to the delegatee about the task to ensure effective client care. Providing brief and unclear directions may interfere with the expected outcomes. Communicating and guiding improves communication and builds trust between the delegator and delegatee. Supervising while the delegatee is performing the task is one of the greatest challenges of delegation. This helps provide a clear flow of task and accomplishment of a structure for ongoing evaluation of a delegatee. Asking the delegatee questions related to the issue of the client care provides an opportunity to open lines of communication.
The registered nurse is teaching a group of nursing students about leadership principles. Which statement made by a nursing student indicates the need for further teaching? 1 "A leader has a formal position." 2 "A leader intervenes with courage." 3 "A leader organizes a group of colleagues." 4 "A leader is a specific management position after promotion."
"A leader has a formal position." A leader does not necessarily have a formal position to indicate that he or she is a leader; rather, leadership refers to the performance. Leaders are those medical professionals who can intervene with courage when needed. Leaders are also able to organize a group of colleagues to solve an organizational problem. A nursing medical professional becomes a leader after promotion.
Which are the priority nursing actions after the completion of the secondary survey when providing care for a trauma client with a penetrating wound? Select all that apply. 1 Documenting the client's care 2 Formulating the client's plan of care 3 Reassessing the client's level of consciousness 4 Administering tetanus prophylaxis to the client 5 Transferring the client to the general medical unit
Documenting the client's care Administering tetanus prophylaxis to the client The priority nursing actions after completion of the secondary survey during the emergency assessment include documenting all client care and administering tetanus prophylaxis. Formulating the client's plan of care, reassessing level of consciousness, and transferring the client to the general medical unit are nursing actions implemented once the client is stable.
The staff nurses complain the unit is disorganized and that there is no proper guidance from the nurse leader in regards to client services. Which type of leadership does the unit experience? 1 Directive 2 Autocratic 3 Laissez-faire 4 Participative
Laissez-faire Laissez-faire is a hands-off style of leadership in which the nurse leader allows the staff nurses a high degree of autonomy and self-rule. In a directive style of leadership, the nurse leader sets clear objectives and rules for the nursing staff. Autocratic leadership occurs when the nurse leader places control within the position over a particular work area. Participative leadership is the type of leadership in which the nursing staff participates in the decisions made by the nurse leader.
Which concept refers to respecting the rights of others? 1 Maturity 2 Systematicity 3 Inquisitiveness 4 Open-mindedness
Open-mindedness Open-mindedness refers to respecting the rights of others and being tolerant of different viewpoints. Maturity refers to reflecting on one's own judgments and having cognitive maturity. Systematicity refers to being organized and focused. Inquisitiveness refers to acquiring knowledge.
A nursing student is listing the instructions that clients require before leaving a healthcare facility. Which instruction listed by the nursing student indicates a need for more education? 1 Provide instruction about accessing available and appropriate community resources. 2 Provide instruction about the safe and effective use of medications and medical equipment. 3 Provide instructions about all the legislation and guidelines that protect the interests of a client. 4 Provide instructions about notifying the primary healthcare provider of any changes in function or new symptoms.
Provide instructions about all the legislation and guidelines that protect the interests of a client. The client does not need to know about legislation and guidelines that protect his or her interests before leaving a healthcare facility. Before leaving a healthcare facility, the client requires access to available and appropriate community resources, information about the safe and effective use of medications and medical equipment, and instructions about the need to notify the primary healthcare provider of any changes in function or new symptoms.
The nurse is conducting triage under mass casualty conditions. Which tag should the nurse use for a client who is experiencing hypovolemic shock due to a penetrating wound? 1 Red 2 Black 3 Green 4 Yellow
Red The nurse would use a red tag for a client who has injuries that are an immediate threat to life, such as hypovolemic shock, during mass casualty conditions. A black tag is used for a client who is expected and allowed to die. A green tag is used for a client with minor injuries that do not require immediate treatment. A yellow tag is used for a client who has major injuries requiring treatment.
A client who recently gave birth is transferred to the postpartum unit by the nurse. What must the nurse do first to prevent a charge of client abandonment? 1 Assess the client's condition. 2 Document the client's condition and the transfer. 3 Orient the client to the room and explain unit routines. 4 Report the client's condition to the responsible staff member assuming her care.
Report the client's condition to the responsible staff member assuming her care. Because the nurse is responsible for the client's care until another nurse assumes that responsibility, the nurse should report directly to the client's primary nurse. Making an assessment of the client's condition is not enough. Although documentation is important, it is insufficient. Orienting the client to the room and explaining unit routines is insufficient. Although the nurse should carry out these activities, they may be done after the nurse reports the client's condition to the staff.
The nurse is developing a plan of care for the client who has activity intolerance. In determining the desired client outcomes, what should the nurse do? 1 Prioritize psychosocial needs over physical needs. 2 Use the Nursing Outcomes Classification (NOC) only. 3 Use nursing knowledge to plan outcomes and disregard client and family desires. 4 Set priorities and outcomes using the client's and family input.
Set priorities and outcomes using the client's and family input. Outcomes should be set with the client and family, if feasible, just as priorities of interventions are considered with the client and family when possible. Physical needs should be met before psychosocial needs. Outcomes may be developed using two methods: writing specific outcome statements or choosing outcomes from the NOC.
Which activity performed by the registered nurse (RN) indicates effective delegation? 1 Following one-way communication with the delegatee 2 Assigning a task to a new licensed practical nurse(LPN) 3 Providing feedback to the delegatee while performing the task 4 Supervising and monitoring the licensed practical nurse (LPN) about the different activities
Supervising and monitoring the licensed practical nurse (LPN) about the different activities The delegator should supervise and monitor the delegatee when the work is being assigned to the delegatee. The communication between delegatee and delegator should always be two-way to get the expected outcome. The delegator should evaluate the ability of the delegatee and should supervise the different tasks before assigning the work to the new delegatee. The delegator should always provide feedback at the end of the task.
A registered nurse distributes a task to four healthcare professionals. When are both accountability and responsibility transferred to the healthcare professional? 1 When the task is given to another registered nurse (RN) 2 When the task is given to a licensed practical nurse (LPN) 3 When the task is given to a licensed vocational nurse (LVN) 4 When the task is given to an unlicensed nursing personnel (UNP)
When the task is given to another registered nurse (RN) When the registered nurse gives a task to another RN, the task can be assigned, but cannot be delegated. When any work is being assigned, the recipient is accountable and responsible for the work. LPNs, LVNs and UNPs can be delegated work for which they can be responsible, but only the delegator is accountable.
A client says, "None of the medications will work on me because I am away from my holy land." What course of action should the nurse take to comply with teamwork and collaboration competency according to the Quality and Safety Education for Nurses (QSEN)? 1 Provide care to the client with respect to his or her diversity, values and beliefs 2 Approach the agency chaplain to discuss the spiritual needs of the client 3 Conduct thorough research on the effect of emotional distress on the client's health 4 Use the flow chart data to provide the best care and monitor the outcome of care processes
Approach the agency chaplain to discuss the spiritual needs of the client According to Quality and Safety Education for Nurses (QSEN) competency, the nurse complies with teamwork and collaboration competency to function effectively within the nursing and interprofessional teams. In the given scenario, the nurse should collaborate with the agency chaplain to discuss the client's spiritual needs. The nurse complies with the patient-centered care competency by providing care to the client with respect to his or her diversity, values, and beliefs. The nurse complies with the evidence-based practice competency by conducting thorough research on the effect of emotional distress on the client's health. The nurse complies with the quality improvement competency by using the flow chart data to provide the best possible care and monitor the outcome of care processes.
