Fundamentals- managing client care
what does SOAP stand for
subjective, objective, assessment, plan
A nurse is precepting a newly licensed nurse and suggests using the IDEAL method to structure the client's discharge planning. The client's caregiver is also in the room. Which of the following statements made by the newly licensed nurse demonstrates the correct the use of the IDEAL method?
"I will include the client and caregivers in the discharge discussion."
The Five rights of Delegation
1. Right task 2. Right circumstance 3. Right person 4. Right directions and communication 5. Right supervision and evaluation
The IDEAL method
Include the client and caregivers Discuss 5 key areas(medications, home life, warning signs, test results, follow-up) Educate the client ( on discharge, conditions, and next steps) Assess effectiveness of education Listen to client's goals and preferences
A charge nurse is teaching a newly licensed nurse about the concept of team nursing. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Nurses will pair together to care for an assigned group of clients.
SBAR stands for S______________B________________A_______________R______________________
Situation: client has nausea after surgery Background: client has history of nausea/vomiting with anesthetic agents, IV is infusing at 50ml/hr client has had NPO Assessment: Client vomited 100ml of yellow liquid twice and bowel sounds are absent Recommendation: client has been given an antiemetic med as prescribed and is recommended to be NPO and insert a NG tube
The acronym S.M.A.R.T stands for what?
Specific Manageable Attainable Realistic Timely
A nurse is speaking with a client who is noncompliant in performing a daily blood glucose testing regimen. Which of the following responses should the nurse make?
What is preventing your consistency with your daily blood glucose checks?
A nurse is caring for a client who is being transferred to another unit, but the receiving nurse is unavailable to take report. Which of the following concepts is being violated that could place the client at risk?
continuity of care
A nurse is giving change-of-shift report to an oncoming nurse using SBAR reporting. Which of the following entries by the nurse demonstrates the correct use of SBAR?
he client in room 1 has been experiencing breakthrough pain following an exploratory surgery yesterday. Vital signs are stable. Recommend calling the provider for a breakthrough dose if pain continues.
A newly licensed nurse is reviewing the client assignments for a shift and determining tasks to complete. Which of the following is a time management strategy the nurse should use?
make a list and prioritize a plan
A charge nurse is reviewing client acuities and tasks to make the nursing staff's daily assignments. When using the Five Rights of Delegation, which of the following should the charge nurse use to ensure client safety?
right task
A charge nurse is teaching a group of nurses about protecting themselves from an abusive client. Which of the following statements by a nurse within the group demonstrates an understanding of the teaching?
should try to escape or put a barrier between myself and the client.
A nurse is teaching the SMART goal method to a client who has diabetes mellitus and is setting nutrition and weight loss goals. Which of the following client statements should indicate to the nurse an understanding the teaching?
will reduce my sugar intake by 10 grams each week for one month until I reach the desired level.