Leadership Final ATI

A nurse is planning care for several clients. which of the following clients should the nurse refer to a case manager?

a client who has neurological deficits following a stroke

a nurse is teaching a group of newly licensed nurses about violations of clients rights. which of the following examples should the nurse include in the teaching as an example of violation of client rights?

a client who has schizophrenia is placed in the seclusion room of the psychiatric unit for making frequent outbursts of obscenities directed at nurses of the opposite sex.

a nurse is preparing to teach the health care team about the concept of critical pathways. which of the following statements about the purpose of a critical pathway should the nurse plan to include?

a critical pathway is a multidisciplinary tool that guides client care and bases outcomes on an externally imposed timeline

a nurse manager is observing the staff working on her unit. which of the following observations should the nurse manager recognize as an example or paternalism?

a nurse practitioner withholding information from a client who is dying to avoid causing the client distress paternalism is a type of relationship between clients and health care providers in which the health care providers believe they know what is best for the clients. in this example, the nurse practitioner withholds information so as not to cause the client distress. this practitioner is making the decision for the client and denying the client her right to be informed.

after a disaster plan is put into effect, a nurse in a pediatric unit is asked to prepare a list of clients who can be discharged to home due to local incident involving many children. which of the following clients should the nurse place on the potential discharge list.

a preschooler who has asthma and has scattered wheezes that resolve with prn use of albuterol. a school-age child who has a femur fracture in an external fixation device and whose pain is controlled with PRN oral codeine an adolescent client who is developmentally delayed, has a PICC line, and needs 6 more weeks of antibiotics

democratic leader

acts as a facilitator and resource person and maintains a moderate degree of control among group members

a nurse enters the room of an older adult client and finds him attempting to crawl over the side rail. which of the following actions should the nurse take?

ask an assistive personnel to sit with the client this client is at risk for falling. having an AP sit with the client protects him from harm.

i cant remember my name

assess the client for injury

prepare a client scheduled for surgery

assist with placing the client onto the stretcher for transport to the surgical suite is a skill that is within the scope of practice for the AP.

in need of a liver transplant

collect information related to the issue

conflict between himself and another staff member

create a solution in which all parties are satisfied

delegates administration of a unit of packed red blood cells

decline to hang the blood the nurse has a legal duty to decline performing tasks that she cannot perform safely and competently. a float nurse from a psychiatric unit whould not be familiar with the current policy regarding blood administration, and this nurse might have limited experience with this procedure.

a nurse is planning care for a group of clients. which of the following actions should the nurse plan to take?

delegate the administration of an intermittent tube feeding to a LPN

a nurse manager establishes staff nurse committees to address unit issues, institutes an open-door policy for speaking about concerns, and supports the professional development of the staff. which of the following leadership styles is the nurse manager displaying?

democratic democratic manager encourages the staff to participate in decision making, communicates effectively, offers constructive criticism, and believes in the best in people.

a nurse is caring for a client who asks if the client in the next room is in pain because she cries out frequently. which of the following statements should the nurse make?

does the crying out bother you?

outcome audit

evaluates how the client's health status changed as a result of an intervention

structure audit

evaluates the relationship between quality care and appropriate structure and includes inputs such as the environment where the health care is delivered.

Which of the following behaviors in the workplace should the nurse recognize are consistent with substance use disorder?

extended lunch periods and breaks calling in sick frequently on mondays or fridays decrease in concern about personal appearance and grooming excessive use of cologne or mouthwash

A nurse manager observes a nurse entering the room of a client who is on contact precautions without donning personal protective equipment (PPE). which of the following is the priority action for the nurse manager to take?

have the nurse exit the room and don proper PPE safety vs reduction framwork

which of the following reported experiences by the client constitutes assault

i was threatened with a shot when i refused to take an oral medication i knew would make me groggy

a nurse is teaching a newly licensed nurse about advanced directives. which of the following statements. by the nurse indicates an understanding of the teaching?

i will assess the clients understanding of life-sustaining measures

float nurse tells the charge nurse on the unit that she has never worked on this unit

i will assign you to work with a registered nurse on the unit who is experienced and will act as a resource for you

does not want any more chemo treatments

i will inform your provider of your decision to discontinue the treatments

A nurse is caring for a client who has a history of severe multiple sclerosis and asks the nurse about competing a living will. which of the following statements should the nurse make?

i will provide you with the information you need to complete advanced directives under the patient self-determination act, health care institutions are required to provide educational materials advising clients of their rights to make their personal wishes known regarding treatment.

principle of justice

i will schedule staff so that each person works two holidays a year justice means treating everyone fairly. by scheduling each person to work two holidays per year, the nurse manager is requiring staff members to work their fair share of holidays.

does not want a male nurse assigned to care for her

i'll change the assignment so a female nurse is caring for you today clients right to respect and personal dignity

a nurse manager is implementing a team nursing approach on his unit, with licensed practical nurses (LPNs) and assistive personnel (AP) hired as additional staff. which of the following actions should the nurse manager take to facilitate acceptance of this change?

introduce the new approach and facilitate the development of a task force to plan for implementation

autocratic leader

is controlling and makes all of the decisions. this type of leader maintains a high degree of control and allows little freedom among group members.

strategic planning

is done as a part of the planning process. it typically examines the purpose, mission, philosophy, and goals of the organization.

transformational leader

is one who motivates employees by creating a work environment in which goals of the leader are shared by the employees. this common perception of unit goals allows the manager to provide opportunities for employees to feel like they are contributing on a high level, as well as developing personal goals that can be achieved by opportunities created or supported by the manager.

Non-maleficence

is the duty to do no harm and to protect clients from harm by eliminating threats. the actions taken by the nurse are important for the safety of the client by preventing aspiration.

Justice

is the obligation to be fair and treat people in an equal manner

Fidelity

is the obligation to be faithful to commitments made to self and others.

autonomy

is the right to self-determination, independence, and freedom of choice.

a new nurse manager on a busy oncology unit keeps her office door closed when she is in the office, and does not off to help resolve daily staffing issues. which of the following types of leadership behavior is the nurse manager displaying?

laissez-faire laissez-faire leader provides little support of guidance. the leader's activity is minimal and makes for a less efficient staff.

he no longer wants to have the surgery

let me call your surgeon while you tell me about your concerns

process audit

measures the interventions used to facilitate expected and desired outcomes in clients. early ambulation is essential for the p

a nurse enters a client's room and discovers a small fire in a trash can. what does nurse do first.

move the client out of the room safety and risk reduction framework.

a nurse is administering medications to a client who is recovering from a stroke and has right-sided paralysis. the nurse places the client's medication on the left side of the mouth and administers pills one at a time. which of the following ethical prinicples is the nurse displaying?

nonmaleficence

A nurse receives the morning change-of-shift report and delegates several tasks to an assistive personnel (AP) on the team. which of the following tasks should the nurse instruct the AP to perform first?

obtain the morning capillary blood glucose tests use the urgent vs non-urgent framework

a nurse is planning care for a client who has aphasia following a stroke. which of the following actions should the nurse plan to take?

offer pictures the client can point to as an alternative form of communication. the nurse should use alternative forms of communication as needed with the client such as offering pictures the client can point to or a communication board.

a nurse is providing teaching to a client about organ donation. which of the following statements by the client indicates an understanding of the teaching?

people age 18 and over have the right to decide to make an organ donation under the uniform anatomical gift act, individuals must be at least 18 years or older to make an anatomical gift.

A nurse is participating in a continuous quality improvement program. the nurse is reviewing medical records to determine the time of first postoperative ambulation of clients who had abdominal surgery. in which of the following quality audits is the nurse participating?

process

promote continuity of care

provide a written summary of the clients nursing plan of care

"My partner hurts me. I don't want to go home."

refer the client to social services for assistance in seeking safe housing it is the duty of the nurse to assist the client in finding safe housing and protection from the offending partner.

call light cord is frayed

replace the call light and send the frayed one to the repair department

a school nurse is assessing a child who has multiple bruises to the trunk and extremities. the child reports he fell out of a tree 2 days ago. the nurse's assessment findings show patterns of bruising not typically sustained during a fall from a tree.

report the findings to local police and social service agencies HCP are required to report suspected child abuse. The nurse's primary concern is for the safety of the child. procedures for reporting ill differ in various locations, but procedures involve notification of police and social services personnel who can investigate the situation.

a nurse is planning care for a client who is newly admitted to the medical unit. which of the following health care team members should the nurse pal to consult with regarding the benefit of chest physiotherapy for this client?

respiratory therapist a complete respiratory assessment is necessary to confirm the need for cpt.

mentor to a newly licensed nurse

serve as a guide and teacher for the newly licensed nurse in an established relationship

a nurse is admitting a client who has active gastrointestinal bleeding. which of the following tasks is appropriate for the nurse to delegate to an assistive personnel (AP)?

show the client how to use the nurse call light should not delegate obtaining initial set of vital signs. nurse should assess client prior to delegating tasks to determine if the client is medically stable. AP can not listen to bowl sounds (not in scope of practice) asking pt if they have allergies is part of admission assessment, no within ap scope of practice

a nurse in a provider's office observes a newly licensed nurse taking a client's health history while in the waiting area. which of the following actions should the nurse take?

speak to the nurse immediately in private violating confidentiality and federal HIPAA regulations.

a nurse is participating on a facility committee charged with developing and implementing new documentation forms. the nurse should recognize which of the following factors as a potential restraining force for implementing this change?

staff resistance to learn new forms for documentation

a nurse is walking with a client who falls after the wheel on a facility-issued walker falls off. which of the following actions should the nurse take regarding the completed incident report?

submit the variance report to the risk manager

a nurse is planning care for a client following a coronary arterial bypass graft procedure. the nurse places a referral for a case manager to visit with the client. which of the following information should the nurse provide the client about the role of case manager.

the case manager will coordinate and plan your care while you recover from your surgery role is to coordinate and plan the client care, collaborate with other health professionals, and monitor costs and quality of care.

a home health care nurse is conducting a home hazard assessment. for which of the following findings should the nurse intervene?

the clients household lamps have 40 watt light bulbs installed the nurse needs to intervene for low wattage light bulbs. inadequate lighting increases the risk for falls and presents a safety hazard for the client.

which of the following information should the charge nurse include in the teaching

the nurse should be familiar with the task she plans to delegate

a nurse is teaching a newly licensed nurse about the informed consent process for a client scheduled for a surgical procedure. which of the following information should the nurse include in the teaching?

the person who will perform the procedure is responsible for obtaining informed consent the person performing the procedure is legally responsible for obtaining informed consent. Informed consent includes telling the client about the risks and benefits of the procedure, alternative treatments available, and possible outcomes if the procedure is not performed.

a group of nurses on telemetry unit informs a nurse manager that there is a need to update the cardiac monitoring system to improve arrhythmia detection. which of the following responses should the nurse manager make?

this purchase will need to be addressed in the capital budget plan for the unit the capital budget plans for the expenditure of money for equipment and major purchases that have a long life of use.

a nurse is delegating tasks to an AP for the care of a group of clients. which of the following statements should the nurse make?

transport the client in room 203 to the radiology department at 1000

a nurse manager notes that a full-time nurse has been absent from work six times over the last 6 weeks. to take a non-punitive approach, which of the following actions should the nurse manager take?

verbally remind the employee about the facility's employment standards verbal admonishment is the first step in the disciplinary process for this type of infraction. the employee might not know or remember the existing standard, and verbal reminder might be all that the employee needs to change the behavior.

a nurse is caring for a pt with breast cancer and is to have a mastectomy. the client tells the nurse she is concerned about how her partner will react to the procedure. which of the following responses should the nurse make?

would you like me to have a member of a breast cancer support group visit with you nurse should serve as an advocate for this client.