Module 5 delegation prioritization management
The nurse manager in ounces to nursing staff that management has developed a new policy and procedure that is significantly different from old practices. Which statement by the nurse manager reflects the managers use of legitimate power?
"Every manager has the responsibility to see that this new policy and procedure is filed 100% of the time. Please join me in this organizations. Effort to continue to improve quality care. "
The nurse employed in a mental health clinic is greeted by a neighbor, who says, "how is Michelle doing? She is my best friend and I seen at your clinic every week." which is the most appropriate nursing response?
"I'm sorry and I'm sure you understand, but as a nurse, I'm obligated to protect the privacy of all the clients I encounter. I cannot disclose any client information. "
Reapondeat Superior
"Let the master answer;" an employer is responsible for the actions of his or her employees.
Syncope
"Passing out", loss of consciousness or fainting
Creatinine
0.6-1.2
Hemoglobin Female
12-16
What is a normal blood glucose two hours after eating?
120 - 140
Hemoglobin men
14-18
What is a normal blood glucose after eating?
170-200
An adolescent asked the nurse if she is of age to make an organ donation. The nurse should tell the adolescent that the individual must be at least which age to make an organ donation?
18
Fresh post op (12hrs) over medical or surgical (doesn't matter how crazy the surgery is) Which patient is highest priority? COPD CHF Acute appendicitis 2hr post op cholecystectomy 2nd day postop cardio bypass
2 hr post op cholecystectomy
Hematocrit Female
37-47%
Normal HbA1c
4-6%
Hematocrit men
42-52%
For which client situation with a consultation with a rapid response team RRT be most appropriate?
45 years old, two years post kidney transplant, second hospital day for treatment of pneumonia, no, you're an output for six hours, temperature of 101.4 Fahrenheit, heart rate 98 bpm, respirations 20 breaths per minute, blood pressure 88/72, and is restless.
Which patient is at highest priority? 16 year-old female with meningococcal meningitis with a fever of 103.8 since admission three days ago. 67-year-old male with irritable bowel syndrome, IBS with a fever of 100.3 this afternoon.
67-year-old male with irritable bowel syndrome, IBS with a fever of 100.3 this afternoon.
What is a normal fasting blood glucose?
80-100
B-type natriuretic peptide (BNP)
<100 pg/mL
HbA1c diabetes
> 6.5 % goal is to be below 7 % for diabetics.
Which patient would you save first? A 23-year-old male with CHF a potassium of 6.6 and no EKG change. A 33-year-old female with CKD a creatinine of 24.7 and pink froth sputum. A 32 year old male with Acute hepatitis jaundice increased ammonia, and cannot aroused
A 32 year old male with Acute hepatitis jaundice increased ammonia, and cannot aroused
The nursing instructor is conducting a teaching session regarding the role of a case manager. Which statement, if made by a student, indicates a need for further instruction?
A case managers involvement ceases after discharge
Which client should the emergency department triage nurse classify as urgent? Select all that apply.
A client with a swollen ankle after a fall A client with an open fracture of the femur
Criminal Law
A law that defines crimes against the public order. Misdemeanor Felony
Civil Law
A law that governs relationships between individuals and defines their legal rights.
advance directives
A legal document designed to indicate a person's wishes regarding care in case of a terminal illness or during the dying process
The nursing instructor is conducting a teaching session on nursing care plans. Which statement is made by a student, indicates a need for further instruction?
A nursing care plan involves members of the healthcare team only
The nurse understands that which is accurate regarding the occupational safety and health administration. 0SHA?
A safe and conducive workplace must be provided by the employer
Enalapril (Vasotec)
ACE inhibitor treatment for high blood pressure
Informational power
Ability to persuade or to provide (good or bad) to enable decision making
The nurse who is off duty stops at the scene of an accident and provides first aid care to an injured client. One of the clients develop complications associated with the injuries obtained by the accident. The nurse is immune from a malpractice lawsuit unless the nurse took which action?
Administered care outside the scope of practice based on experience
What are four things questions always give you?
Age - irrelevant Gender - irrelevant Diagnosis - Modifying phase - most important
Laissez-faire leader ship style is?
Allows their followers to have autonomy to make their own decisions and manage on task "letting people do as they choose. "
Mitigation
Among other things, determination of the resources available for care to infants, older adults, disabled individuals, and individuals with chronic health problems
The nurse understands that which is descriptive of client advocacy?
An advocate, avoids, letting personal values influence advocacy
concurrent review
An evaluation method used to inspect compliance of nurses with predetermined standards and criteria
Acute over chronic Which patient is highest priority? COPD CHF Appendicitis
Appendicitis : acute
If someone is doing something inappropriate, what would you do?
Approach later on
Paternalism
Assuming the right to make decisions for another
The nurse is taking a course on ethics as part of continuing education requirements in the state in which the nurse is employed. The nurse understands that respect for individuals right to self determination is identified by which term?
Autonomy
Servant Theory
Based on a desire to serve others; the leader emerges when another's needs assume priority
Reward power
Based on ability to provide incentives
referent power
Based on attraction
Relationship theory
Based on collaboration and teamwork
Expert power
Based on having an expert knowledge base and skill level
Transformational theory
Based on individuals commitment to health care agencies vision and focuses on promoting change
Charismatic theory
Based on personal beliefs and characteristics
shared leadership theory
Based on the beliefs that several individuals share the responsibility for achieving the health care agency goals
Transactional theory
Based on the principles of social exchange theory
Which situation are classified as natural disasters? Select all that apply.
Blizzards Volcanic eruptions Communicable diseases
Which body part in order are more important than the other? Lung, Heart, Brain,Kidney, Liver, Pancrea Brain, Heart, Lung, Kidney, pancreas, Liver Heart, Brain, Kidney, Lung, Pancreas, Liver Brain, Lung, Heart, Liver, Kidney, Pancreas
Brain, Lung, Heart, Liver, Kidney, Pancreas
Malpractice
Breach of duty ( client was injured because nurse failed to perform the duty)
A client admitted to the hospital has diagnosis of syncope. The client is taking enalapril (Vasotec), atenolol (Tenormin), and aspirin (ASA) daily, but says that the medication's were prescribed by a different healthcare provider. The admitting healthcare provider wrote in the clients prescription sheet, "administer medication as taken at home. "Which is the most appropriate action for the nurse to take?
Call the healthcare provider, describe the medication's, and request prescription clarification
A hospitalized. Client with a history of alcohol abuse tells the nurse, "I'm leaving now. I have to go. I don't want any more treatment. I have things that I have to do right away. "What action should the nurse take when a client decides to leave against medical advice, AMA?
Call the nursing supervisor
Refreezing
Change becomes stabilized
The nurse who specializes in nursing informatics is providing a teaching session to staff nurses regarding electronic documentation. The nurse should include which instructions as important guidelines to follow the regard to maintaining confidentiality of health records? Select all that apply.
Changing of personal passwords on a regular basis Developing a password hint that is difficult to guess Ensuring that accounts have been logged out, when away from the computer
The license practical nurse, working in the long-term care facility is planning client assignment for the day. Which priority consideration should the nurse remain mindful of one preparing the assignments?
Client safety
Evidence base practice requires that the nurse-based nursing practice on evidence from which resource?
Clinical research studies
The nurse manager is experiencing a type of power on the nursing unit that is based on the ability to punish an employee. Which type of power is the manager using?
Coercive
When planning client assignments and delegating tasks, the LPN should take which action when communicating with members of the healthcare team?
Communicate a feeling of confidence
When caring for a group of clients, the nurse considers which priority factors to determine which client to care for first?
Complexity of illness Stability of condition Basic needs of the client
If someone is doing something illegal and harmful, what would you do?
Confront and take over then tell supervisor
If anyone is an immediate physical/psychological harm, what should you do?
Confront immediately and take over
The nurse acts as a client advocate in which situations? Select all apply.
Contact with the healthcare provider to request a meeting for the client Questioning the healthcare provider regarding the discrepancy and reported medication dosage between the home and hospital setting
Which type of law is concerned with enforcement of agreements among private individuals?
Contract law
The case manager is responsible for which aspect of a clients care? Select all that apply.
Coordinating consultations and referrals Establishing a plan of care with the client Addressing client concerns and facilitating discharge
The nurse understands that effectively using concept of time management, which skills need to be used?
Deciding on the most important task to be completed first
Personal Power
Derived from high degrees of confidence
The nurse is reinforcing a discharge teaching plan for a client who is going home following a chronic obstructive, pulmonary disease, COPD exacerbation. And reinforcing teaching to the client which step should the nurse take first?
Determine the clients immediate learning needs
With regard to advance directives, which situation identify an aspect of the nurses role? Select all that apply.
Determining whether an advance directive exist upon admission Ensuring that all healthcare workers caring for the client are aware of the code status Ensuring that the healthcare provider is aware of the presence of an advance directive Ensuring that the client has been provided with the necessary information to make the decision regarding life-saving measures
The graduate nurses told that the nurse managers leader ship style is one of letting the staff nurses make the decision about the units operation. When the graduate nursing meet with the nursing staff, which action should the graduate nurse asked to confirm that the nurse manager and leader ship style is Laissez-Faire?
Does the manager assume a passive, nondirective approach?
When a manager is interviewing a newly graduated nurse for an evening position on the orthopedic unit, the manager states that she makes clients assignments for the evening and night staff so the staff members can immediately focus on the clients care. The graduate meets with the evening staff, and ask which questions to validate the graduates impression that the manager is autocratic?
Does the manager foster dependency?
The nurse has responded to the scene of a disaster, and the first victim. The nurse and culture is one who has a large one on the lake that is actively bleeding. The nurse should identify this victim as belonging to which classification?
Emergent
Respond
Encompasses putting disaster planning services into action in the action, taken to save, lives in prevent further damage
Contract law
Enforcement of agreements among private individuals
The nurse was using concept of time management understands the importance of which action to ensure effectiveness of the strategy?
Evaluate each strategy used at the end of the day
The LPN delegated the task of a midstream, clean, catch urine specimen collection to the unlicensed assistive personnel UAP. The nurse determines that the UAP has completed the test by the agreed upon deadline. What should the LPN do next?
Evaluate the outcome of the task
The nurse understands that which is the first step in the process of ethical reasoning in the management of an ethical dilemma?
Examine one's own beliefs and values
Expectant AKA CLASS IV What Tag?
Expected and allowed to die Black tag
The license practical nurse is delegating the task of specimen collection to the unlicensed assistive personnel UAP. The LPN must be familiar with which requirements before delegation? Select all that apply.
Experience of the UAP State nurse, practice act Job description of the UAP Scope of practice of the UAP
Which scenarios represent my practice on the part of the nurse? Select all that apply.
Failure to regulate the temperature of a bath, resulting in a burn on a client Failure to implement proper safety precaution, resulting in a current falling in sustaining a fracture the ankle
Where would you find a mitral valve?
Fifth intercostal space mid clavicular
The community health nurse is preparing to reinforce teaching about personal and family preparedness for disasters to parents of school-age children. Which most appropriate items needed in the event of a disaster should be included in the teaching? Select all that apply.
Flashlight Supply of batteries Battery operated radio Extra pair of eyeglasses
Quantum Leadership Theory
Focuses on maintaining a balanced between tension and order to prevent an unstable environment and promote creativity
Where would you find the tricuspid heart valve?
Fourth left intercostal space
What are the four things that always make you unstable even if it is expected? Select all that apply. Headache Hemorrhage , but not bleeding High fever over 40C or 105 F Anxiety Hypoglycemia Pulseless or breathless
Hemorrhage, but not bleeding - High fever over 40 C or 105F - seizure Hypoglycemia - brain damage Pulseless or breathless - vfib, asystole
Two staff nurses have requested the same weekend as a vacation weekend. The nurse manager will need one of the two nurses to work the usual shifts. Which statement by the manager to the staff nurses would indicate the managers use of information power?
I'll review the scheduling records, including request for time off for the past three years, to determine the history of outcomes for a request for time off to determine which nurse is most eligible for the weekend
The nurse is using concept of time management to organize the workday. Which action will assist the nurse to effectively implement the time management strategies?
Identify test that must be completed within a specific time frame
Where is the femoral pulse located?
In the middle of the groin
The charge nurse on a medical surgical unit is using the concept of leadership and management soon as your functionality of the unit. The nurse understands that as a leader or manager it is necessary to have which ability ?
Influence others
The medical surgical nurse is told to float to the intensive care unit I see you for the day because of short staffing in the ICU. The nurse who never worked in the ICU should take which action?
Informed the nursing supervisor of the lack of experience for working in the ICU
Preparedness
Involves plans for rescuing, evacuation, and caring for disaster victims
Recovery
Involves the action taken to return to a normal situation after a disaster occurs
Tort Law
Involving an act that brings harm to a person or damage to property
The nurse gives an inaccurate dose of medication to a client. After collecting data on the client, the nurse complete an incident report, calls health care provider, and then notifies the nursing supervisor of the medication error. The nurse who administer the inaccurate medication dose understand which of the incident report?
Is a method of promoting quality care
Advocacy
Is critical leadership role and emphasizes the value of caring, autonomy, respect and empowerment
The new nursing graduate employed in the acute care setting at experienced nurses about professional liability insurance. Which most appropriate response should that experience nurse make to the graduate?
It will provide protection, to you as an individual
The nurse is caring for the assigned client for the day. The nurse fulfills the wishes of three of the four clients and because of time constraints is unable to fulfill the wishes of the fourth client. Which ethical principle has a nurse violated?
Justice
Relationship based nursing
Keeping the nurse at bedside
The nurse newly employed in the acute care setting understand that relationship based nursing is focus on which specific purpose?
Keeping the nurse at bedside
The registered nurse understands that in general certain invasive task can be delegated to which member of the healthcare team?
LPN
Where would you find Erb's point of the heart valves?
Left sternal border
living will
Legal document allows you to state your decisions as to your future medical treatment in life threatening situations
The nurse manager is exercising a type of power on the nursing unit that is based on a position in the organization. Which type of power is the manager using?
Legitimate
A disaster that result in significant damage in presidential disaster declaration is classified by the federal emergency management agency FEMA, as which level?
Level 1
Emergent AKA CLASS I And what tag?
Life-threatening condition RED TAG
What can a LPN do as part of their job?
Maintain and document flow of IV Implement care plan Reinforce teaching And allow the RN to perform anything first
A level one disaster is?
Massive disaster that involves significant damage and includes presidential declaration with federal involvement in full engagement of federal, regional and national resources
Which are examples of negligent act? Select all apply.
Medication error resulting an injury Failure to monitor, intervenous flow rate, resulting an injury A fall that occurs as a result of failure to provide safety measures to a client Failure to report a change in a clients condition to the healthcare provider
A level three disaster is?
Minor disaster that involves minimal level of damage, and could result in presidential declaration
The nursing supervisor is preparing an in-service presentation on disasters and the phases of disaster preparedness. The nurse plans to inform the group attending the presentation that the determination of resources available for care to infants, older dogs, disabled individuals, and individuals with chronic health problems is part of which phase of disaster preparedness?
Mitigation
The nurse manager is performing an in-service session on disaster, preparedness in us discussing the face of disaster management. Which phase, encompasses, actions, or measures that can prevent the occurrence of disaster, or reduce the damaging effects of a disaster?*
Mitigation*
Where would you find the apical pulse when auscultating over heart valves?
Mitral valve
A level two disaster is?
Moderate disaster that includes presidential declaration with moderate federal assistance
Modifying phase is.....
More important than the diagnosis
The nurse manager is attending a session at a conference on effective leader in management behaviors. The manager understands that which are characteristics of these effective behaviors? Select all that apply.
Motivate employees to achieve goals Treats employees as unique individuals Inspires employees in stimulates critical, thinking
The nurse educators conducting a teaching session on Lewins basic concepts of the change process and he's describing the phases of change. The educator describes one phase as the time when changes planned and implemented. Which stage is being described?
Moving and changing
Urgent AKA CLASS II What tag?
Must be treated within one to two hours Yellow tag
Where is the carotid pulse located?
Neck
The nurse understands that an ethical dilemma exists in which scenario?
No correct decision exist
Delayed ( non urgent) AKA CLASS III what tag ?
No injury, or an injury that is not critical may delay (2-4hrs) Green Tag
Multidisciplinary review
Not a specific type of evaluation method
The nurse enters a clients room and the client is demeaning released from the hospital. The nurse reviews the client record and knows that the client was admitted two days ago for treatment of an anxiety disorder, and that the admission was voluntarily which intervention should the nurse initiate first?
Notify the clients health care provider of the clients stated intent to leave the hospital
The nurse is caring for an involuntarily committed client who has been premedicated for schedule electro, convulsive therapy ECT. When reviewing the chart, the nurse feels to find an informed consent for the procedure. Based on this information, the nurse should give which intervention priority?
Notify the clients healthcare provider
The new nursing graduate understands that nursing care plans and hands continuity of client care by serving as a written, guideline and ensuring communication by identifying which item?
Nursing actions necessary to achieve the goals of care
An unlicensed assistive personnel UAP reports to the license practical nurse that in assigned client is experiencing difficulty breathing. Which action should the LPN take first?
Obtain a set of vital signs
A client scheduled for surgery cannot sign the operative consent form because he has been sedated with opioid analgesics. The nurse should take which best action regarding the informed consent?
Obtain a telephone consent from the family member, with the consent being witnessed by two healthcare providers
After a group therapy session, a client approaches the nurse and verbalizes a need for seclusion because of uncontrollable feelings. Which is the most appropriate nursing action?
Obtain an informed, written consent from the client
Advanced directives are enforced by?
Patient Self Determination & accountability Act
The nurse understands that use of advance directives is enforced by which authoritative body or act?
Patient self-determination act
Which patient is highest priority? Patient with angina pectoris with unstable blood pressure Patient with Myocardial infarction with stable, vital signs
Patient with angina pectoris with unstable blood pressure
The nurse is preparing a client for discharge and is performing a variance analysis on a client. The nurse notes that the client is being discharged earlier than anticipated. The nurse understands that the client outcome is characteristics of which type of variance?
Positive
Protocols
Prescribe a specific course of action for specific type of client or problem
Unfreezing
Problems identified and individuals involved gather facts and evidence supporting a basis for change
Which responsibility for a disaster preparedness in the United States, are functions of the American red cross ARC as opposed to the federal emergency management agency FEMA? Select all that apply.
Provide crisis counseling Identify and train Personnel Handle inquiries from families
When prioritizing the care of a group of clients, the nurse should remain mindful of which item is the highest priority?
Psychological needs of a client
The nurse assigned to four clients reviews client data at the beginning of the shift. Which client data should be further assessed as highest priority?
Pulse oximetry reading, 89%
The nurse manager has adopted a leadership theory that focuses on maintaining a balance between tension in order to prevent an unstable environment and promote creativity. What leadership theory is the manager using?
Quantum
A client just underwent a Long resection and has two chest tubes in place that are draining red food. The charge nurse should also probably assign which healthcare personnel to care for the client?
Registered nurse
Which nursing action can result in disciplinary action by state board of nursing? Select all that apply.
Release of a coin health information to a client neighbor Delegation of a dressing change to unlicensed assistive personnel, UAP Administration of an injection to a client who stated refusal of the medication
The nurse manager is confronted by an angry healthcare provider who states, "you run the most in efficient unit in the hospital. I asked for my chart to be pulled and set up in a rack for a rose, and it is never ready when I arrive!" what is the managers most appropriate response/action to the healthcare provider?
Remain silent, and then make a neutral response
OSHA (Occupational Safety and Health Administration)
Requires that employers provide a safe & conducive workplace for employees according to regulations
The quality improvement nurse, working in the long-term care setting is performing an evaluation and is using past medical records after the clients discharge for documentation of compliance with standards. What type of evaluation is being performed by the nurse?
Retrospective review
Where would you find the aortic heart valve?
Right 2nd intercostal space
The nurse manager has adopted a leadership theory that is based on the belief that several individuals share the responsibility for achieving the healthcare agencys goals . What leadership theory is the manager using?
Shared
The nurse is signing as a witness on an informed consent form for a client who is undergoing surgery. The nurse understands that in most states signing as a witness indicate which condition?
Signing as a witness to the client signature
The nurse manager is in the process of implementing a new method of intake and output documentation on the nursing unit. The manager determines that resistance to change is present if which is noted?
Staff feel that secondary gains are associated with the current method
Authoritative leader ship style?
Take a hands on approach to guide employees/group
While riding the elevator to their assigned unit, two nurses are talking about a client who is hospitalized in the mental health unit. Which descriptions are accurate about confidentiality in this situation? Select all that apply.
Talking about clients in public places is a violation of the client confidentiality Talking about clients in public places can result in disciplinary action for the nurses
If a colleague is doing something illegal, what should you do?
Tell supervisor
coercive power
The ability to punish others/ employees
Which client may be assigned to a license practical nurse? Select all that apply.
The client requiring oral medication The client requiring a subcutaneous injection The client requiring an intramuscular injection The client requiring insertion of a Foley catheter
Malpractice is determine if the nurse owed the client a duty and did not carry out the duty. Which other aspect is required for malpractice to have occurred?
The client was injured
The night nurse receives report from the evening nurse on assigned clients. Which client should the nurse determine as highest priority?
The client who has diabetes mellitus, had a fasting blood glucose of 56 at 6 AM and denies signs and symptoms of hypoglycemia, the last 15 minute glucose check after intervention was 65
The client following for clients arrive at a nursing unit within five minutes of each other. Which client could the registered nurse, RN safely assigned to a license practical nurse for admission procedures?
The client who needs admission to the unit after being released from the Post anesthesia care unit, PACU, following appendectomy and whose condition, is stable
The nurse working on a medical surgical unit has received a statement in the report on the sign clients. Which client should the nurse care for first.?
The client with chronic obstructive pulmonary disease who required to respiratory treatment during the previous shift
The nurse is reviewing laboratory values for the signed clients. Which, finding based on the clients medical history, indicates the need for immediate follow up?
The client with heart failure, and a B type natriuretic peptide BNP of 140
A client with Alzheimer's dementia is being admitted to a long-term care facility. The client is widowed and previously lived at home alone. Which person would be acceptable to sign in advance directive, specially, with regard to resuscitative orders on the half of this client.
The clients daughter
In the process of delegation, the nurse understands that Primary person who maintains accountability for the accuracy, safety, and completion of the test obligated remains with whom?
The delegator of the task
Which accurately describes the principle of respondeat superior?
The employer is ultimately responsible for any negligent act of an employee that is within the employee scope of responsibility
The newly employed nurse is attending orientation and is learning about accountability. Which description is accurate with regard to this professional responsibility?
The individual has an obligation to the client and his answerable for his or her actions
Where would you find the pulmonary heart valve?
The left 2nd intercostal space
The nurse manager works in the intensive care unit I see you has adopted bureaucratic leader ship style. Which description is characteristics of this leadership style?
The manager relies on organizational policies and procedures for decision making
A client who is involuntarily admitted to the mental health unit because of episodes of extreme violent behavior toward himself and others. The client is now demanding to be discharged from the hospital immediately and threatens to break window in my room if stopped. The nurse tells the client he will not be allowed to leave and call security to the unit. The client states, this is false imprisonment. I'll sue! Which represents the legal ramifications associate with the nurses interventions?
The nurse is reacting responsibly, so there are no legal consequenc
Which legal body primarily defines which aspect of care can be delegated in which aspect should be performed by the register nurse?
The nurse practice act
The nurse uses the principle of beneficence in which situation?
The nurse told the client that the flu shot may cause some discomfort, but describes the benefits of the immunization
The nurse has filed an incident report after a client, so stay in the fall. The nurse should place the report in which location?
The nursing supervisors locked mailbox
Justice
The obligation to be fair to all people
Fidelity
The obligation to be faithful to agreements and responsibilities to keep promises
Beneficence
The obligation to do good for others
Nonmaleficence
The obligation to do no harm to others
Confidentiality
The obligation to observe the privacy of another, and maintain strict confidence
Veracity
The obligation to tell the truth
The nurse is collecting data on a newly admitted older client and suspects physical abuse. Which client is most at risk for abuse?
The older client who is dependent on children to manage instrumental activities of daily living
The nurse understands that central concept within the ethical principle of justice is identified by which description?
The order in which client or cared for
legitimate power
The power based upon a persons position within organization or society
autonomy
The right to make one's own decision
Which best describes nursing standards of care? Select all that apply.
They are guidelines for nursing practice Nursing standards of care are defined in nurse, practice act The law about the standards of care that the nurse must follow They are used to measure nursing conduct in a malpractice lawsuit Are used to determine whether the nurse acted as any reasonably prudent nurse, under the same or similar conditions
The nurse manager is attending an in-service session on policies, procedures, and protocols of an organization. Which description is accurate regarding the meaning of protocols?
They prescribe a specific course of action for a specific type of client or problem
The nurse is attending an in-service on ethical codes. The instructor of the class determines that the nurse understands at the pool cold if which statement is made by the nurse?
They provide broad principles, evaluating care
Which is an example of a client assault?
Threatening to administer a sedative to a client who is restless
Where is the radial pulse located?
Thumb side of wrist
The nurse understands that clients who are mentally or emotionally incompetent are unable to sign in from consents for themselves. Which conditions indicates that a client is mentally or emotionally incompetent? Select all that apply.
Unconscious Chronic dementia Declared incompetent Under the influence of chemical agents
Assult
Unlawful threat or attempt to do bodily injury to another
Unstable over Stable Clients
Unstable patient- Has needs that pose threat to patient's survival. Life threatening needs often involve ABC stat\us. Client @ risk for becoming unstable are higher priority than client who are stable.
From the following list of nursing activities, which can be performed by the license practical nurse? Select all that apply.
Urinary catheterization Endotracheal suctioning Intramuscular medication administration Subcutaneous medication administration
The nurse working in a long-term care setting understand that special concerns are required in which scenario? Select all that apply.
Use of restraints Photographing a client Performing an autopsy Donating organs after death
Special consents required
Use of restraints Photographing a client Performing an autopsy Donating organs after death
Retrospective review
Use past medical records after the client discharge for documentation of compliance with standards
Bureaucratic leadership
Used when the manager believes individuals are motivated by external forces
The nurse is assisting in responding to a disaster. Which personal item should the nurse ensure are taken to the scene? Select all that apply.
Warm clothing Copy of nursing license Recordkeeping materials Personal health care equipment
Democratic leadership style is?
Welcomes and values, others input, rely heavily on team participation "run by the people "
The nurse on the post surgical unit receives a client who was transferred from the post anesthesia care unit PACU and is planning care for this client. The nurse understands that staff should begin planning for this clients discharge at which point during the hospitalization?
When the client is admitted to the surgical unit
durable power of attorney
a legal document that designates another person to make health care decisions in the event that the person is mentally or physically incapable of making their own
Where is the popliteal pulse located?
back of knee
Atenolol (Tenormin)
beta blocker use alone, or in combo to treat high blood pressure
Moving & changing
change is planned and implemented
Where is the posterior tibial pulse located?
inner ankle
Where is the brachial pulse located?
inside of elbow
Where is the ulnar pulse located?
pinky side of wrist
Where is the dorsalis pedis pulse located?
top of foot
Lewin theory
unfreezing, moving, refreezing
Battery
unlawful touching of another person without consent