Management of Care quiz

the nurse finds a victim under the wreckage of a collapsed building. the individual is conscious, supine, breathing satisfactorily, reports experiencing back pain and an inability to move the legs. which action would the nurse implement first?

leave the individual lying on the back with instructions not to move, and seek additional help; cannot move without backboard

which amount of time is appropriate for the nurse to spend triaging each client during a mass casualty incident (MCI)?

less than 15 seconds

which term describes the expected outcomes for a client who is admitted for a recurrent mental health problem?

measurable objectives

who has the authority to decide is a postmortem will be conducted if a client dies 2 hours after being admitted to the hospital?

medical examiner

which activity indicates improper follow-through on the part of the delegatee?

failure to report results in a timely manner

which question using the 5 rights of delegation would the nurse consider before delegating a task to nursing assistive personnel?

is the environment conductive to completing the task safely?; the environment needs to be safe before delegating

which questions would the delegator assess to determine the right task?

is the task legally appropriate to delegate? is the task appropriate to delegate based on institutional policies and procedures?

which is true about prescriptive theory?

it focuses on medication

which statement accurately describes a health care policy as it relates to health care economics?

it provides overarching goals and helps in setting priorities and values for the distribution of health resources

which health care team member is the designated delegator?

nurse manager

which is the subset of clinical health care informatics?

nursing informatics

which action by the nurse would be priority for a male client with a history of schizophrenia who comes to the emergency department accompanied by his spouse?

observing and evaluating his behavior

which of these is a part of the health belief model?

perception of susceptibility to an illness

which nursing intervention would the nurse carry out to open the airway in an unconscious client with a spinal injury?

perform jaw-thrust maneuver

assignment

the transfer of both the accountability and responsibility from one person to another

which description by the nurse is a correct explanation of delegation?

the transfer of responsibility for the performance of an activity

which test is used to confirm cephalopelvic disproportion?

ultrasound

which act allows the client to donate his or her organs?

uniform anatomical gift act

which term originating in the 1960s describes case management?

utilization management

which function is performed by the emergency department nurse leader?

directing ancillary departments to deliver resources to meet service demands

an adolescent girl is concerned about her body image after amputation of a leg for bone cancer. after the nurse has obtained the girl's consent, which action is most therapeutic?

encouraging her peers to visit bc peer acceptance is crucial during this period

Disaster triage tag system

green - "walking wounded" red - life threatening black - expected to die or may be dead yellow - major injuries

which statement is true about the nursing model of team nursing?

hierarchical communication exists from charge nurse to charge nurse, charge nurse to team leader, and team leader to team members

which client statement leads the nurse to conclude that the client has been experiencing menorrhagia?

i have severe bleeding during my menstrual periods

which statement by an unliscensed assistive personnel who is assisting the nurse in caring for a group of clients indicates a correct understanding of the UAP's role?

i will take the clients' vital signs after their procedures are over

which strategy would the nurses use to minimize aggressive behaviors from the client with a neurocognitive disorder?

identify nursing staff members whom the client prefers; type of care requires trust in caregiver

which surgical procedure involves urinary diversion in which the ureters are transplanted to a resected section of the small intestines, with one end attached to the abdominal wall?

ileal conduit

which of these refers to the accountability element of the decision-making process?

individuals being answerable for their actions

which disaster management team provides voluntary medical service to people?

medical reserve corps (MRC)

which primary task is achieved by a delegator when delegating a task to a delegatee for an effective outcome?

motivating

how are profits used in a for-profit health care organization?

profits are paid out to shareholders

nonmaleficence

refers to avoiding harm to an individual

fidelity

refers to the agreement to keep promises

which does the nurse understand by the term regulatory law as applied to nursing practice?

reflects the decisions made by administrative bodies such as state boards of nursing

which action by the student nurse may inhibit clients from disclosing personal information?

sharing clients' data with family members

a 17 yo mother is to sign the consent for her son's myringotomy. which statement would be most appropriate?

tell me what you know about this procedure; informed consent requires that the responsible person understand the procedure

a client at 36 weeks' gestation has a blood pressure of 140/90. which additional sign of preeclampsia would the nurse assess for?

urine dipstick positive for protein; preeclampsia is characterized by HTN and proteinuria

which would the nurse understand by the quality improvement competency, according to QSEN?

using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems

which critical thinking skills is being used when the nurse applies knowledge and experience to client care?

explanation; analysis: applicable when information is collected with an open mind evaluation: applicable when information is used to determine nursing actions interpretation: involved when orderly data is collected

which action would the nurse take for a client who is a psychologist and has questioned the authority of the treatment team and advised other clients that their treatment plans are wrong?

accept that the client is unable to control this behavior while setting appropriate limits

which describes the role of the nurse in this situation when he or she informs the health care provider the client is requesting pain medication after surgery?

advocate

which organization provides scope and practice guidelines on the roles and responsibilities for nursing and nursing specialties?

american nurses association

which statement characterizes the use of a satisficing decision-making model by the nurse leader?

an acceptable solution that minimally meets the decision objective is identified

which is the definition of a tort?

an illegality committed by one person against the property or person of another

which is the most important action the nurse would take in preparation for a lumbar puncture for a child with a tentative diagnosis of bacterial meningitis?

asking the parents what they were told about the test; informed consent is required

which inpatient admission orders for a child with viral pneumonia would the nurse question?

aspirin 325mg q4prn for fever higher than 101.4; aspirin should not be given to children under the age of 16 with viral infections

which examples mentioned by the nursing student regarding quasi-intentional torts needs correction?

assault, battery, malpractice; intentional tort is a willful act that violates the rights of other people

which personnel of the institutional emergency response plan serves as a liaison between hospital administration and the media during a mass casualty incident such as an earthquake or a terrorist attack?

community public information officer

supervision

defined as the active process of directing, guiding and influencing the outcome of an individual

personal liability

defines each person's responsibility and accountability for individual actions or omissions

which definition of delegation given by the nurse is correct

delegation refers to the process for the nurse to direct another person to perform nursing tasks and activities

which description is correct in defining accountability?

determination of appropriate actions and providing detailed explanations of the actions

which does beneficence in health ethics refer to?

taking positive actions to help others

which instruction would the nurse suggest to a 14 yo girl who suspects her friend is using self-induced vomiting to keep weight down?

talk to the school nurse about her concerns

health belief model

3 components 1. an individual's perception of susceptibility to an illness 2. individual's perception of the seriousness of an illness 3. preventative actions taken by person

which is priority nursing action when admitting a child to the ED who was bitten by a stray dog and sustained a soft tissue injury on the inner aspect of the left forearm?

assessing the injury and the child's VS and health hx

which component of delegation is suitable to all members of the health care team?

authority

which tort involves intentional touching without the client's consent?

battery