Professional Behaviors/Professionalism
What is the ultimate goal of delegation? 1. To deliver patient care as a team. 2. To maximize patient care outcomes 3. To improve the working ability of the nurse 4. To maintain open lines of communication between delegator and the delegatee
The ultimate goal of the delegation is to maximize patient care outcomes. Delegation helps to deliver patient care as a team and improves the working ability of the nurse but these are not the ultimate goals of delegation. Maintaining open lines of communication between delegator and the delegatee creates a productive work environment in delivering patient care.
What critical thinking skill is applicable when knowledge and experience is used to care for clients? 1. Analysis 2. Evaluation 3. Explanation 4. Interpretation
Explanation When the nurse is using his or her experience to care for clients, the skill called explanation is involved. Analysis is applicable when the information is collected with an open mind. Evaluation is applicable when the information is used to determine nursing actions. Interpretation is involved when orderly data is collected.
Which model of nursing is focused on the task-oriented approach to client care? 1. Team model 2. Primary model 3. Functional model 4. Case management model
Functional model The functional model of nursing is a method of providing client care by which each licensed and unlicensed staff member performs specific tasks for a large group of clients. Team nursing is a small group of licensed and unlicensed personnel, with a team leader, responsible for providing client care to a group of clients. Primary nursing is a model of client care delivery whereby one registered nurse functions autonomously as the client's main nurse throughout the entire hospital stay. Case management is a model of delivering client care based on client outcomes and cost containment.
A pharmacy technician arrives on the nursing unit to deliver opioids and, following hospital protocol, asks the nurse to receive the medications. The nurse is assisting a confused and unsteady client back to the client's room. How should the nurse respond to the technician? 1. I can't receive them right now. Please wait a few minutes or come back 2. Please leave the medications and sign-out sheet where I can see them 3. Please bring them to me and I will be sure to put them away in a couple of minutes 4. I can't receive them right now. Please give them to the unlicensed health care worker
I can't receive them right now. Please wait a few minutes or come back.
How does a nurse leader effectively implement change in an organization? 1. By avoiding using managerial skills 2. By using personal and professional skills 3. By avoiding giving timely feedback to team members 4. By removing the ineffective team members from the group
By using personal and professional skills A nurse leader should use both personal and professional skills to ensure effective implementation of a change in an organization. A nurse leader should also use managerial skills, not avoid them, to ensure effective implementation of a change in an organization. A nurse leader should give regular and timely feedback to the team members to implement change effectively. A nurse leader should motivate the team members to work effectively rather than removing them from the team.
A male client with ascites is to have a paracentesis and has signed the consent. While the nurse is caring for him, he says that he has changed his mind and no longer wants the procedure. Which initial response by the nurse is best? 1. Why did you sign the consent? 2. Can you tell me why you decided to refuse the procedure? 3. You are obviously afraid about something concerning the procedure 4. Although the procedure is very important, I understand why you changed your mind
Can you tell me why you decided to refuse the procedure? The response "Can you tell me why you decided to refuse the procedure?" attempts to explore why the client is refusing the procedure; it promotes communication. The response "Why did you sign the consent?" is accusatory; the client has the right to withdraw consent at any time. The response "You are obviously afraid about something concerning the procedure" is a conclusion without appropriate data; it puts the client on the defensive. The response "Although the procedure is very important, I understand why you changed your mind" is a conclusion without appropriate data; it may raise the client's anxiety level.
A female nurse has been caring for a depressed 75-year-old woman who reminds her of her grandmother. The nurse spends extra time with her every day and brings her home-baked cookies. What does the nurse's behavior reflect? 1. Affiliation 2. Displacement 3. Compensation 4. Countertransference
Countertransference With countertransference the professional provider of care exhibits an emotional reaction to a client based on a previous relationship or on unconscious needs or conflicts. Affiliation is turning to others for support and help when stressed or conflicted. Displacement is the discharge of pent-up feelings onto something or someone else that is less threatening than the original source of the feelings. Compensation is attempting to balance deficiencies in one area by excelling in another area.
What qualities does the professional nurse require to lead, manage, and follow in a team? Select all that apply. 1. Being insensitive 2. Impeding relationships 3. Exercising self-awareness 4. Motivating self and others 5. Managing emotions in self and others
Exercising self-awareness; motivating self and others; managing emotions in self and others Managing emotions, such as fear, anxiety, and anger, and responding to those feelings in a healthy manner, as well as avoiding passive-aggressive behavior, are traits that the nurse should have to manage a team. The nurse should have the desire to deepen self-awareness and encourage others to do the same to follow in a team. Motivating or inspiring self and others towards a goal is another quality that the nurse should have to lead a team. The nurse should be empathetic and able to reveal others' perspective in a situation. Fostering and handling relationships is another one of the abilities the nurse should have when leading and managing a team.
Which skills would be essential for an effective nurse manager to develop and improve collaboration with others? Select all that apply. 1. Flexibility 2. Reacting hastily 3. Showing frustration 4. Ability to listen to others 5. Ability to share information and ideas
Flexibility Ability to listen to others Ability to share information and ideas In order to collaborate effectively, the nurse should be flexible, must be willing to listen to others, and must share information and ideas with others. The nurse manager should plan a thoughtful response, consider others' perspective first, and not react hastily. The nurse manager should not share his or her own anger or frustration with other staff.
A client with colitis inquires as to whether surgery eventually will be necessary. When teaching about the disease and its treatment, what should the nurse emphasize? 1. Medical treatment is curative; surgery is not required 2. For most clients, surgery is recommended only if nonsurgical treatments have been unsuccessful 3. For most clients, surgery is recommended early in the course of treatment 4. Medical treatment is all that will be needed if the client can maintain emotional stability
For most clients, surgery is recommended only if nonsurgical treatments have been unsuccessful Medical treatment is directed toward reducing motility of the inflamed bowel, restoring nutrition, and preventing and treating infection; surgery is used selectively for those who are acutely ill or have excessive exacerbations. That medical treatment for colitis is curative and that surgery is not required is untrue; medical treatment is symptomatic, not curative. It usually is performed as a last resort. Although there is an emotional component, the physiological adaptations determine whether surgery is necessary.
A student nurse is caring for a client with chronic kidney failure who is to be treated with continuous ambulatory peritoneal dialysis (CAPD). Which statement by the student nurse indicates to the primary nurse that the student nurse understands the purpose of this therapy? 1. It provides continuous contact of dialyzer and blood to clear toxins by ultrafiltration 2. It exchanges and cleanses blood by correction of electrolytes and excretion of creatinine 3. It decreases the need for immobility because it clears toxins in short and intermittent periods 4. It uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion
It uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion
The nurse should first discuss terminating the nurse-client relationship with a client during which phase? 1. Working phase, when the client initiates it 2. Orientation phase, when a contract is established 3. Working phase, when the client shows some progress 4. Termination phase, when discharge plans are being made
Orientation phase, when a contract is established. When the nurse and client agree to work together, a contract should be established and the length of the relationship should be discussed in terms of its ultimate termination. The client may discuss termination during the working phase; however, the subject should initially be discussed during the orientation phase. Termination and discharge plans may be discussed more thoroughly during this phase, but the subject should initially be discussed during the orientation phase.
Which professionals in a healthcare organization can be delegators? 1. Assistants 2. Technicians 3. RNs 4. Client care associates
RNs Registered nurses are professionals in a healthcare organization who can be delegators. The registered nurses allocate a portion of work related to client care to other individuals. Assistants, technicians, and client care associates in a healthcare organization can be delegatees.
Which nursing skill is associated with the self-regulation skill? 1. Reflecting on one's experience 2. Reflecting on one's behavior 3. Supporting one's findings and conclusions 4. Clarifying any data that one is uncertain about
Reflecting on one's experience. Self-regulation involves reflecting on the nurse's experience. Evaluation involves reflecting on the nurse's own behavior. Explanation involves supporting findings and conclusions. Interpretation involves clarifying any data about which the nurse is uncertain.
A nurse identifies 12 mm of induration at the site of a tuberculin purified protein derivative (PPD) test when a client returns to the health office to have it read. What does the nurse explain to the client about this test? 1. Test result is negative and no follow-up is needed 2. Result indicates a need for further tests and a chest x-ray 3. Test was used for screening and a Tine test can now be given 4. Skin test in inconclusive and will have to be repeated in 6 weeks
Result indicates a need for further tests and a chest x-ray The tuberculin PPD is injected intradermally; it is the most accurate skin test for tuberculosis (TB) because of the testing material and the intradermal method used. No other skin test is appropriate as a follow-up; further tests are now warranted, including a chest x-ray film. The test result is positive, not negative; thus further testing is necessary. The Tine test is less accurate than the tuberculin PPD and is not used as a follow-up test. More than 10 mm of induration is a positive test result, not a doubtful test result.
As a part of informed consent, a surgeon explains to the client who is scheduled for surgery the details of the surgery and the related care. The nurse as a leader witnesses the complete procedure. What information does the nurse leader ensure was provided to the client? Select all that apply. 1. Surgery procedures 2. Name of surgeon 3. Description of risks 4. Anesthetic drug used during pre-operation 5. Name of staff members who will be in the surgery
Surgery procedures Name of surgeon Description of risks Informed consent must be done according to legal guidelines. It is an authorization by the client to perform a surgery or procedure on them. Therefore the detail about the procedure of the surgery must be provided. It also informs the client about the name of the person who is performing the procedure. A description of the possible risks of the procedure is conveyed through informed consent. The name and type of anesthetic drug to be used may not be included in the informed consent. The name of the staff members involved in the surgery may not be a part of the informed consent.
A nurse manager transfers the task of caring for a client who has undergone appendectomy to a registered nurse (RN). Which element of the healthcare system is the RN practicing? 1. delegation 2. leadership 3. supervision 4. assignment
assignment Both accountability and responsibility are transferred from one person to the other in assignment. When a nurse manager delegates the task of client care to an RN, responsibility is transferred to the RN. The nurse manager shares accountability with the RN in delegation. The nurse manager, as leader, manages the healthcare team and delegates tasks to members of the healthcare team. In supervision, the nurse manager oversees the RN in completing the task.
The registered nurse considers the qualification of the unlicensed nursing personnel (UNP) before delegating a task. Which right of delegation is followed by the nurse? 1. task 2. person 3. direction 4. supervision
person The knowledge and experience to perform the specific task safely by the delegatee is assessed by the qualification of the delegatee, which determines whether he or she is the right person. The right task involves assessing whether the task is legally appropriate to delegate or whether it is appropriate under institutional policies. The right direction involves the delegator providing clear and concise directions to perform the task. The right supervision is determined by whether the delegator is able to monitor and evaluate the client appropriately.
What entity outlined the principles of delegation for registered nurses? 1. Nurse practice act 2. Multilevel nursing model 3. ANA 4. NCSBN
ANA
Which statement does the nurse recognize as true according to chaos theory? 1. Health-care organizations must be self-organizing 2. Health-care organizations must accept that change is avoidable 3. Successful managers are those who are intolerant to ambiguity 4. Successful nurse leaders are those who committed to short-term learning
According to the proponents of chaos theory, organizations must be self-organizing and adapt readily to change in order to survive. Health-care organizations accept that change is unavoidable and unrelenting. Using creativity and flexibility, successful managers will be those who can tolerate ambiguity, take risks and experiment with new ideas. Successful nurse leaders will be those individuals who are committed to lifelong learning and problem solving.
How should nurses provide effective nursing care to clients from different cultural backgrounds? 1. By advising clients that some cultural practices may be harmful to health 2. By providing care that fits the clients' cultural beliefs 3. By strictly adhering to organization policies regarding nursing care 4. By ignoring the cultural aspect and focusing on the medical aspect of care
By providing care that fits the clients' cultural beliefs. When providing care to clients from different cultural backgrounds, nurses should be careful to provide care that fits the client's cultural beliefs. It helps provide effective nursing care to the satisfaction of the client. Advising clients against their cultural practices may offend them and should be avoided. Organization policies should be made flexible to incorporate cultural aspects of care. Ignoring the cultural aspect of client care may result in ineffective nursing care.
What is the status of the unit secretary as a member of the healthcare team, which is in the span of control of a registered nurse (RN)? 1. Devoid of legal authority 2. Answerable to the nurse manager 3. Answerable to registered nurse 4. Devoid of performing non-medical tasks
Devoid of legal authority A unit secretary is a member of the healthcare team who is devoid of formal preparation or legal recognition. RNs or healthcare providers who report to a designated delegator, such as a nurse manager, are answerable to the nurse manager. Members with dependent status such as unlicensed assistive personnel (UAP) and the licensed practical nurse (LPN) and licensed vocational nurse (LVN) who function under the direction of an RN or physician are answerable to the RN. The unit secretary's role in the healthcare team is to perform nonmedical tasks.
Which drawback indicates an improper follow-through on the part of a delegatee? 1. Failure to report results and findings 2. Failure to understand the skills and abilities 3. Failure to provide clear and concise directions 4. Failure to cooperate with other team members
Failure to report results and findings Improper follow-through on the part of a delegatee is failure to report results and findings. Improper follow-through occurs when the delegator does not understand the skills and abilities of the delegatee and does not provide clear and concise directions to the delegatee. The lack of cooperation with team members may be improved by educating, guiding, and monitoring the delegatee.
Which questions should the delegator assess to determine the right task? Select all that apply. 1. Is the task legally appropriate to delegate? 2. Is the environment conducive to completing the task safely? 3. Does the delegator provide clear and concise directions for the task? 4. Is the task appropriate to delegate based on institutional policies and procedures? 5. Does the delegate have the knowledge and experience to perform the specific task safely?
Is the task legally appropriate to delegate? Is the task appropriate to delegate based on institutional policies and procedures? The delegator has to determine right task by assessing whether the task is legally appropriate to delegate. The delegator must also check that the task is appropriate to delegate based on institutional policies and procedures. The right circumstance can be assessed by asking, "Is the environment conducive to completing the task safely?" The right direction and communication is assessed by asking, "Does the delegator provide clear and concise directions for the task?" The right person eligible to accomplish the task is assessed by asking, "Does the delegatee have the knowledge and experience to perform the specific task safely?"
While organizing a community health care program for polio vaccinations, the registered nurse delegates the task of administering vaccines to the members of the health care team. Who among the health care team is most suitable to carry out the task? 1. Technician 2. Patient care associate 3. CNA 4. LPN
LPN. The licensed practical nurse can be delegated the task of administering oral medications or vaccines. Technicians, patient care associates, and certified nursing aides are unlicensed assistive personnel who are not appropriate for delegation of tasks such as administering medication or vaccines as per the delegation rights. The scope of practice for unlicensed assistive personnel providing client care is limited to providing basic care, comfort, and hygiene.
Which work is automatically increased for the delegator when there is a decrease in direct client care? 1. Leadership 2. Supervision 3. Delegation 4. Assignment
Supervision After delegating tasks to other members of the health care team, the delegator's care towards the client in a direct way decreases, and the supervisory work of the delegator increases. Leadership work does not necessarily increase when there is a decrease in direct client care. Delegation and assignment of work does not increase, because the work has already been delegated to another health care team member.
A 3-year-old child with eczema of the face and arms has disregarded the nurse's warnings to "stop scratching, or else!" The nurse finds the toddler scratching so intensely that the arms are bleeding. The nurse then ties the toddler's arms to the crib sides, saying, "I'm going to teach you one way or another." How should the nurse's behavior be interpreted? 1. These actions can be construed as assault and battery 2. The problem as resolved with forethought and accountability 3. Skin must be protected, and the actions taken were by a reasonably prudent nurse 4. The nurse tried to reason with the toddler and expected understanding and cooperation
These actions can be construed as assault and battery. Assault is a threat or an attempt to do violence to another, and battery means touching an individual in an offensive manner or actually injuring another person. The nurse's behavior demonstrates anger and does not take into account the growth and developmental needs of children in this age group. Although the behavior (scratching) needs to be decreased, this can be done with mittens, not immobilization. A 3-year-old child does not have the capacity to understand cause (scratching) and effect (bleeding).
The primary healthcare provider prescribes "bathroom privileges only" for a client with pulmonary edema. The client becomes irritable and asks the nurse whether it is really necessary to stay in bed so much. What would be the best reply by the nurse? 1. Why do you want to get out of bed? 2. Bed rest plays a role in most therapy. 3. Rest helps your body direct energy toward healing. 4. Would you like me to ask your primary healthcare provider to change the prescription?
3. A client's knowledge about the treatment program enhances compliance and reduces stress. The response "Why do you want to be out of bed?" does not answer the client's question and might produce frustration. The response "Bed rest plays a role in most therapy" does answer the client's question, but does not explain specifically why. The response "Would you like me to ask your primary healthcare provider to change the prescription?" does not support the treatment regimen; the client needs education.
What is the role of a case manager in a healthcare organization? 1. To delegate work on the unit suitably. 2. To follow up with the client after discharge. 3. To provide direct care for the client at the bedside 4. To unite the strategic direction of the organization
A case manager is an advanced practice nurse who coordinates a client's acute care in the hospital and follows up with the client after discharge. A nurse manager delegates work appropriately to the nursing staff on the unit. A registered nurse provides direct care to the client at the bedside. The nurse executive is often the vice president or strategic director of nursing in a healthcare organization.
A nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty? 1. Caring 2. Veracity 3. Advocacy 4. Confidentiality
Advocacy The nurse has a professional duty to advocate for a client by promoting what is best for the client. This is accomplished by ensuring that the client's needs are met and by protecting the client's rights. Caring is a behavioral characteristic of the nurse. Veracity relates to the habitual observance of truth, fact, and accuracy. Confidentiality is an ethical principle and legal right that the nurse will hold secret all information relating to the client unless the client gives consent to permit disclosure.
What should the nurse include in a teaching plan to help reduce the side effects associated with diltiazem? 1. Lie down after meals 2. Avoid dairy products in diet 3. Take the drug with an antacid 4. Change slowly from sitting to standing
Change slowly from sitting to standing Changing positions slowly will help prevent the side effect of orthostatic hypotension. Lying down after meals can relax the esophagus and lead to acid reflux. Avoiding dairy products and taking the drug with an antacid are not necessary.
Who functions as a liaison between team leaders and other healthcare providers? 1. charge nurse 2. RN 3. Nursing manager 4. Chief nursing officer
Charge nurse The charge nurse functions as a liaison between team leaders and other healthcare providers. Registered nurses function as accountable and responsible people for delegated tasks. Nursing managers are responsible for more than one unit and have other managerial responsibilities. Chief nursing officers are accountable for establishing systems to assess, monitor, verify, and communicate competency requirements related to delegation
Which process involves transferring responsibility to multiple players, usually with varying degrees of education and experience, while retaining the ultimate accountability for providing the client care? 1. Leadership 2. Delegation 3. Supervision 4. Assignment
Delegation Delegation is a process of sharing the responsibility of client care. It involves the transfer of responsibility for the performance of an activity from one individual to another, with the delegator retaining accountability for the outcome. Leadership is the use of individual traits and abilities in relationship with others, the ability to interpret the context where a situation is emerging, and entering that situation in the absence of a script or defined plan that could have been projected. Supervision is defined as the active process of directing, guiding, and influencing the outcome of an individual's performance of an activity. Assignment is the transfer of both the accountability and the responsibility from one person to another.
A nurse is conducting a therapy group whose objectives are to assist the members to gain insight and to change behavior so they are able to participate in life in a more satisfying manner. What leadership style will best help the nurse achieve these objectives? 1. Democratic, guiding 2. Hierarchical, directing 3. Autocratic, controlling 4. Laissez-faire, observing
Democratic, guiding A democratic, guiding type of leader stimulates, directs, and assists the group to develop its maximum potential by facilitating and balancing group forces. A hierarchal, directing type of leader makes most of the decisions and controls the group, thus limiting group growth potential. An autocratic, controlling type of leader makes most of the decisions and controls the group, thus limiting group growth potential. A laissez-faire, observing type of leader allows group members to take over the group; if the group has no leader or leaders, little is gained from the group.
Which strategy of the nurse leader regarding the quality improvement (QI) process requires revising? 1. Focus on correcting errors 2. The task includes staff development 3. The leader involves the interprofessional team 4. Outcomes are set with input form clients and staff
Focus on correcting errors. The quality improvement process mainly focuses on preventing errors rather than correcting them. The task of the QI process includes staff development. The team of the QI process involves the interprofessional team and the outcomes are set with the input of clients and the staff.
Which generation of nursing professionals, being exposed to both terrorism and natural disasters, should be key members for disaster planning initiatives? 1. Veteran 2. Generation x 3. Generation y 4. Baby boomer
Generation Y Generation Y nurses are the future of the profession and have grown up with massive amounts of information and technology. They have experienced terrorism and natural disasters. This generation of nurses should be key members for disaster planning initiatives. While contributions from nurses from the Veteran, Generation X, and Baby Boomer generations are important, these individuals do not have the experience with these topics that the Generation Y possesses.
After determining that the nurses on the psychiatric unit are uncomfortable caring for clients who are from different cultures than their own, the nurse manager establishes a unit goal that by the next annual review the unit will have achieved what? 1. Increased cultural sensitivity 2. Decreased cultural imposition 3. Decreased cultural dissonance 4. Increased cultural competence
Increased cultural competence. Cultural competence encompasses sensitivity as well as knowledge, desire, and skill in caring for those who are different from one's self. The nurses are already somewhat sensitive to those from different cultures and now must move forward in their ability to care for these clients. The nurses are not imposing their culture on the clients; they are avoiding them. There is no clashing of cultures in this situation.
Which healthcare team member would the registered nurse state is most suitable to provide oral medication to a client? 1. Nurse manager 2. Patient care associate 3. LPN 4. Unlicensed assistive personnel (UAP)
LPN Activities such as providing oral medication to the client is the responsibility of the licensed practical nurse. The nurse manager is not most suitable to provide oral medication to the client because the nurse manager is mainly involved in delegating tasks and managing other emergency conditions. Patient care associates and unlicensed assistive personnel are unlicensed practitioners who are primarily responsible for providing hygienic care to the clients.
After a client has a total gastrectomy, the nurse plans to include in the discharge teaching the need for what treatment? 1. Monthly injections of cyanocobalamin 2. Regular daily use of a stool softener 3. Weekly injections of dextran 4. Daily replacement therapy of pancreatic enzymes
Monthly injections of cyanocobalamin Intrinsic factor is lost with removal of the stomach, and cyanocobalamin is needed to maintain the hemoglobin level once the client is stabilized; injections are given monthly for life. Adequate diet, fluid intake, and exercise should prevent constipation. Weekly injections of iron dextran are not considered routine. Daily replacement therapy of pancreatic enzymes does not affect pancreatic enzymes.
Which team member acts as a liaison between the health care facility and the media? 1. Triage officer 2. Public information officer 3. Medical command physician 4. Hospital incident commander
Public information officer. The public information officer acts as a liaison between the health care facility and the media. The triage officer applies disaster triage tags after evaluating the client's condition. The medical command physician decides the number, acuity, and resource needs of clients. The hospital incident commander assumes overall leadership for implementing the emergency plan.
Who is mainly responsible for analyzing the knowledge and work of newly hired unlicensed assistive personnel (UAP) before delegating a task? 1. charge nurse 2. associate nurse 3. RN 4. Nursing manager
RN The registered nurse must analyze any individual's knowledge before delegating a task. The charge nurse mainly functions as a liaison between team leaders and other healthcare providers. The associate nurse follows the care plan in the absence of a registered nurse. The nursing manager is responsible for more than one unit and has other managerial responsibilities.
The registered nurse (RN) is caring for a client who underwent a hysterectomy. Which tasks can be delegated to the unlicensed assistive personnel (UAP) to provide quality care to the client? Select all that apply. 1. Recording vital signs 2. Assisting the client with bathing 3. Administering oral medications 4. Preparing the care plan for the client 5. Administering IV antibiotics
Recording vital signs; assisting the client with bathing The tasks within the scope of unlicensed assistive personnel (UAP) include recording vital signs and providing basic hygiene, such as assisting the client with activities of daily life such as bathing. Administering oral medications is under the scope of licensed practical nurse (LPN) or licensed vocational nurse (LVN), but not the UAP. Depending on the state, administering intravenous antibiotics can be performed by either the RN or an LPN/LVN. Preparing the care plan for the client should be performed by the registered nurse only.
An x-ray film indicates that an older client has a fractured femur. The client asks the nurse, "Will I be able to walk again?" What is the best response by the nurse? 1. I have no idea only time will tell 2. You only broke a bone. It could have been worse. 3. You'll walk again. this is a common issue in older people. 4. Tell me more about your concerns about being able to walk.
Tell me more... The phrase "Tell me more" shows interest in the client's concerns, is nonjudgmental, and encourages expression and exploration of feelings. First the client's feelings must be explored before providing a direct answer that may cut off communication. The responses "I have no idea" and "You only broke a bone. It could have been worse" places the client on the defensive; it is demeaning to the client and discourages further communication. The general response "You'll walk again. This is a common issue in older people" dismisses the client's concerns; the client is not recognized as an individual whose injury is a traumatic and personal event.
Which member of the health care team is accountable for initial assessment and ongoing evaluation of client care? 1. RN 2. LPN 3. Primary Health Provider 4. Unlicensed nursing personnel
The registered nurse is accountable for the initial assessment and ongoing evaluation of the client. A licensed practical nurse is not accountable for initial assessment and ongoing evaluation of the client. The primary health care provider is accountable for diagnosing the problem and reviewing the client responses. An unlicensed nursing personnel performs the tasks delegated by the registered nurse or other delegators.
The nursing manger wants to transfer a nurse to the intensive care unit (ICU) and describes the roles and responsibilities of the position in detail to the nurse. After disclosing all details, the nurse manager inquires about the nurse's decision. Which type of principle is the nurse manger following? 1. Justice 2. Veracity 3. Nonmaleficence 4. Respect for others
Veracity Veracity concerns telling the truth and demands involved, giving all the facts of a situation truthfully, and then assisting employees to make appropriate decisions. Justice is the principle of treating all persons equally and fairly, and it often arises in times of short supplies for resources. Nonmaleficence states that one should do no harm. Respect for others acknowledges the right of individuals to make decisions and to live by these decisions.
In a health care setting, there are a limited number of unlicensed nursing personnel. Who would take up the responsibility of delegation in place of the registered nurse? 1. charge nurse 2. chief nursing officer 3. patient care associate 4. LPN
charge nurse Charge nurses act as delegators as they also have knowledge and expertise in the clinical setting. In cases where there are a limited number of unlicensed nursing personnel, the registered nurse does not delegate tasks. In this instance the charge nurse usually becomes a delegator and delegates the tasks. The chief nursing officer is not the immediate person to delegate the tasks in such instances. Patient care associates and licensed practical nurses act as delegatees.
The nurse leader is teaching the nursing staff about conflicts in an organization. Which statement is inaccurate regarding conflict in an organization? 1. Conflict may result in poor performance 2. conflict is detrimental and should be prevented 3. conflict can be constructive if the conflict is excessive 4. conflict can be prevented by having open communication
conflict can be constructive if the conflict is excessive f the conflict is too excessive, it may be destructive. Conflicts in an organization may result in poor performance of the employees. Conflict may not be beneficial and should be prevented. The nurse leader should foster open communication and collaboration, which may help in preventing conflicts.
What is the function of the Professional Standards Review Organizations (PSROs) set up by the federal government? 1. to identify "never events" in health care 2. to set up national priorities to transform health care 3. to review the quality, quantity, and cost of hospital care 4. to eliminate overuse of diagnostic and treatment services
to review the quality, quantity, and cost of hospital care The federal government set up PSROs to review the quality, quantity, and cost of hospital care. The National Quality Forum defined a list of 28 "Never Events" in health care. Death or injury due to medication error is an example of a "Never Event." The National Priorities Partnership is a group of 28 organizations from a variety of health care disciplines that work together to transform health care on a national level. Medicare-qualified hospitals have utilization review committees to review admissions and identify and eliminate overuse of diagnostic and treatment services for clients on Medicare.
