Managing Care
The new graduate nurse is having difficulty managing the time required to care for a group of complex clients and is several hours behind in completing nursing interventions. Of the following outstanding tasks, which nursing intervention should the nurse complete first?
Administer a dose of digoxin (lanoxin) that is two hours behind schedule.
The charge nurse on a unit receives a report that a licensed practical nurse (LPN) is taking clients' narcotics and hiding them in the nurses' lounge. The charge nurse disregards the report and continues to work on a scheduled task. Which conflict resolution style is the charge nurse using?
Avoiding
Derrick is the nurse manager for the psychiatric unit. There are major conflicts between the day and night shift staff. Derrick suggests that each shift put aside their differences for a time and determine a common major goal. Which of the following conflict resolution styles does Derrick display?
Collaborating
In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which statement denotes the right communication for the nursing assistant?
Dispose of the disconnected IV set.
How should a nurse leader best address nurses' resistance to a change in the shift-scheduling protocol on their hospital unit?
Explain the benefits of the change and elicit honest feedback
A nursing facility has recently implemented new policies regarding nurse-to-patient ratios. The nursing staff seems very resistant to the change. How can the nurse manager help the staff accept the change?
Hold a unit meeting to discuss how the changes will benefit staff.
A nurse is considering the delegation of administering medications to an unskilled assistant. What is the first question the nurse must ask herself before doing so?
Is the delegated task permitted by law?
How might one define leadership?
Leadership is the process of guiding, teaching, motivating, and directing others.
A nurse on a telemetry unit is admitting a client and has an unlicensed assistive person (UAP) helping with the admission process. Which task can the nurse delegate to the UAP?
Obtaining an admission weight for the client utilizing the clients bed scale
A registered nurse is delegating activities to UAPs on a hospital unit. Which activities could this nurse normally delegate? (Select all that apply.)
Taking routine vital signs Transferring a patient to another floor Giving a bed bath to a patient
The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate?
The nurse practice act or facility's policy and procedures
A nurse can improve his or her skill with time management by doing which of the following?
Evaluating success with accomplishment of goals in client care
John is a nursing student who is working to improve his time management. Which of the following would assist John in accomplishing his goal? Choose all that apply.
Evaluate at the day's end Establish a reasonable time line Identify priorities for the day
A nurse plans the nursing activities for the shift. Which of the following activities should the nurse assign to the nursing assistant?
Assist a client to ambulate and sit on a bedside chair
Which of the following nursing care tasks is acceptable for a graduate nurse to delegate to unlicensed assistive personnel (UAP)?
Assisting a patient with ambulation
A nurse manager and the charge nurse have two employees who are disagreeing with the accomplishment of client care. The manager determines a mutually agreed-upon time to discuss this situation with all the members involved. This activity is
Conflict resolution
The nurse and unlicensed assistive personnel (UAP) are working together to admit a pediatric client to a nursing unit. Which task would be inappropriate to delegate to the UAP?
Initiating intravenous therapy
Which is a task that the nurse can delegate to the unlicensed assistive personnel (UAP)?
Obtaining intake and output on a client with a foley catheter
Megan is the nurse manager for a surgical unit and is planning a significant change in how the unit functions. She plans to include some things that will help to overcome any resistance to the change from the staff. Which of the following might help overcome resistance to Megan's planned change?
Provide incentives, such as time off
The registered nurse (RN) wants to delegate measuring a client's urinary output to an unlicensed assistive personnel (UAP). Which factors should the nurse consider before delegating the task?
The stability of the patient's condition, potential for harm, and complexity of the activity
Nurse L. is having an exceptionally busy shift on an obstetrical unit. Which of the following tasks is Nurse L. justified in delegating to an unlicensed care provider?
Emptying a patient's Foley catheter bag and reporting the volume to Nurse L.
