Transitions Final review: quizzes

The five rights of delegation are: Right..

..task ..circumstance ..PERSON ..direction and communication ..supervision and evaluation

Outcome indicators: A) Reflect desired outcomes B) reflects the setting in which care is provided C) Reflect on how the client care is provided and established by policies and procedures. D) the goals that are set to determine the level the outcome indicators should be met

A) Reflect desired outcomes

Structure Indicators: A) Reflect desired outcomes B) reflects the setting in which care is provided C) Reflect on how the client care is provided and established by policies and procedures. D) the goals that are set to determine the level the outcome indicators should be met

B) reflects the setting in which care is provided

Delegating an assignment to a CNA to administer enteral feedings to a patient has had a head injury. Is this the right task for a CNA? a. True b. False

B. False

Process Indicators: A) Reflect desired outcomes B) reflects the setting in which care is provided C) Reflect on how the client care is provided and established by policies and procedures. D) the goals that are set to determine the level the outcome indicators should be met

C) Reflect on how the client care is provided and established by policies and procedures.

Professional nurse attributes are: (List 3)

Communication skills Caring & Compassion Flexibility Problem solving skills

Benchmark: A) Reflect desired outcomes B) reflects the setting in which care is provided C) Reflect on how the client care is provided and established by policies and procedures. D) the goals that are set to determine the level the outcome indicators should be met

D) the goals that are set to determine the level the outcome indicators should be met

Name some Nursing stressors:

Long hours No lunch Heavy patient loads

You are working on a Medical/Surgical unit; someone comes up to you that you do not know and asks questions regarding your patient. You want to be helpful and you tell them updates on this patient. Was this okay? Yes or no?

No

What is a PPO?

Preferred Provider Organizations

Fill in the Blank: The Delegatee is still ________________ for the task is assigned to someone else.rect

Responsible

What can nurses do to protect themselves from burnout in the working environment?

Say no to extra shifts take needed breaks Balance of work and personal life

Nurses can only delegate tasks appropriate for the skill, education level of the health care team member who is receiving the assignment. True or False

TRUE

ABC magazine calls the hospital where you work asking for information on your patient who is a hero for saving a baby. What would you do? • Give the information so the hero and get the recognition they deserve. • Ask your co-workers what to do. • Tell the company you can not give out this information. •None of the above.

Tell the company you can not give out this information.

The US has 3 distinct different health care payment systems. Name the socialized medical payer?

Tricare, Champva, military coverage

Approximately 80% of Heroin users transitioned from legal drug sources. true or false?

True

Protected health information is also known as "Privacy Rule of Health and Insurance Portability and Accountability Act of 1996? True or false?

True

Select all that apply: A nurse manager is providing information about the audit process to members of the nursing team. Which of the following information should the nurse manager include? a) A structure audit evaluates the setting and resources available to provide care. b) An outcome audit evaluates the results of the nursing care provided. c) A root cause analysis is indicated when a sentinel event occurs. d) Retrospective audits are conducted while the client is receiving care. e) After data collection is completed, it is compared to a benchmark.

a) A structure audit evaluates the setting and resources available to provide care. b) An outcome audit evaluates the results of the nursing care provided. c) A root cause analysis is indicated when a sentinel event occurs. e) After data collection is completed, it is compared to a benchmark.

Matching: a) Code Red: b) Code Blue: c) Cody Pink: d) Code Orange: e) Code Gray: f) Code Black:

a) Code Red: Fire b) Code Blue: Medical Emergency c) Cody Pink: Newborn/infant/Child d) Code Orange: Chemical Spill e) Code Gray: Tornado f) Code Black: Bomb Threat

Multiple Choice (Select all that apply) Common causes of conflict include: a) Ineffective communication b) Incompatibility of individuals c) Diversity related to age, gender, race, or ethnicity d) Defined organizational structure e) Clear expectations of team members in their various roles

a) Ineffective communication b) Incompatibility of individuals c) Diversity related to age, gender, race, or ethnicity

Time savers include: a) Make a checklist/Plan your care b) Documenting at the end of the shift c) Not asking for help when needed d) Procrastinating

a) Make a checklist/Plan your care

A nurse's role in Quality improvement are: a) Serve as unit representative on committees, document thoroughly, assist with education. b) Never learn about policies and procedures c) Not helpful in collecting information/data

a) Serve as unit representative on committees, document thoroughly, assist with education.

A root cause analysis is commonly done for a sentinel event. a) True b) False

a) True

ADT Admission, Discharge & Transfer - ADT system allows nurses to obtain basic biographical information on clients before they arrive to the unit a) True b) False

a) True

EHR - Electronic Healthcare Records cuts down on human error by alerting nursing staff to possible drug interactions, and keeps track of diagnostic test results. a) True b) False

a) True

Facilities accredited by the Joint Commission must have an EOP (emergency operating plan) and are mandated to test the plan at least twice a year. a) True b) False

a) True

Interpersonal conflict is a significant issue in nursing, especially in relation to new nurses, who bring new personalities and perspectives to various health care settings. a) True b) False

a) True

Nursing Informatics is a nursing speciality for the application of computer and information science to promote and support the practice of nursing and the delivery of nursing care. a) True b) False

a) True

Quality improvement is the process used to identify and resolve performance deficiencies. a) True b) False

a) True

What nurses can do to take care of themselves in their work: take time for yourself, schedule time for breaks and meals, and take physical and mental breaks from work and the unit. a) True b) False

a) True

An 87-year-old woman is brought to the ER for treatment of a fractured arm. On the physical assessment, the nurse notes old and new ecchymosis areas on the client's chest and legs and asks the client, although reluctant, tells the nurse in confidence that her son frequently hits her if supper is not prepared on time when he arrives home from work. Which is the most appropriate nursing response? a. "As a nurse, I am legally bound to report abuse. I will stay with you while you give report and help find a safe place for you to stay." b. "Oh, really. I will discuss this situation with your son". c. "Let's talk about ways you can manage your time to prevent this from happening". d. "Do you have any friends that can help you with you son"?

a. "As a nurse, I am legally bound to report abuse. I will stay with you while you give report and help find a safe place for you to stay."

A hospitalized client tells the nurse that a living will is being prepared and that the lawyer will be bringing the will to the hospital today for witness signatures. The client asks the nurse for assistance in obtaining a witness to the will. Which is the most appropriate response to the client? a. "I will call the nursing supervisor to seek assistance regarding your request". b. "I will sign as a witness to your signature". c. "You will need to find a witness on your own". d. "Whoever is available at the time will sign as a witness for you".

a. "I will call the nursing supervisor to seek assistance regarding your request".

What is the Hippocratic oath? (really the Florence nightingale law thing.) a. Nurses oath to state "Nurses pledge to do their best for their patients". b. Nurses don't have a Hippocratic oath. c. Oath that states that nurses are protected from legal action. d. Oath no longer exists.

a. Nurses oath to state "Nurses pledge to do their best for their patients".

A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and asks a nursing student to identify a situation that represents an example of invasion of client PRIVACY. Which situation, if identified by the student, indicates an understanding of a violation of this client right? a. Observing care provided to the client without the client's permission. b. Threatening to give client a medication. c. Performing a procedure without consent d. Telling the client that he or she cannot leave the hospital

a. Observing care provided to the client without the client's permission.

The definition of Nursing Ethics is: The values and ethical principles governing nursing practice, conduct and relationships. a. True b. False

a. True

A community experiences an outbreak of meningitis, and hospital beds are urgently needed. Which of the following patients should the nurse recommend for discharge? a) A client admitted the day before with pneumonia and dehydration b) A client who has type 2 diabetes mellitus and was admitted for a rotator cuff surgery c) A client newly admitted with angina and a history of myocardial infarction 1 year ago d) A client who has a fractured hip and is scheduled for a total hip replacement the next day

b) A client who has type 2 diabetes mellitus and was admitted for a rotator cuff surgery

If a bomb like device is located, pick it up and take it to the security office? a) True b) False

b) False

Once you are a nurse, you never have to learn anything else a) True b) False

b) False

A nurse on the sixth floor medical-surgical unit is advised that a severe weather alert code has been activated. Which of the following actions should the nurse take? (Select all that apply) a) Use the elevators to move clients to a lower level b) Move beds of non-ambulatory clients away from windows c) Turn the radio on for severe weather warnings d) Relocate ambulatory clients into the hallways e) Open window shades or drapes to provide better visibility the external environment

b) Move beds of non-ambulatory clients away from windows c) Turn the radio on for severe weather warnings d) Relocate ambulatory clients into the hallways

A nurse employed in a hospital is waiting to receive a report from the laboratory via the facsmile (fax) machine. The fax machine activates and the nurse expects the report, but instead receives a sexually oriented photograph. Which is the most appropriate nursing action? a. Call the police. b. Call the nursing supervisor and report the incident. c. Cut the photograph and throw it away. d. Call the laboratory and ask for the individual's name who sent the photograph.

b. Call the nursing supervisor and report the incident.

What is the definition of "non-maleficence"? a. It means you need to perform clinical tasks. b. It means "do no harm" c. All the above d. None of the above.

b. It means "do no harm"

An accreditation body that requires a quality improvement project for the institution to attain accreditation status? a) The CDC b) Heath Department c) Joint Commission d) Salt Lake Community College

c) Joint Commission

Manager is demanding, stating "It's my way or the highway"! What leadership style does this represent? a. Laissez-faire style b. Democratic style c. Autocratic style d. None of the above

c. Autocratic style

The nurse who works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around the upper arm. The co-worker is about to insert a needle, attached to the syringe containing a clear liquid, into the ante-cubital area. Which is the most appropriate action by the nurse. a. Lock the co-worked in the medication room until help is obtained b. Call security c. Call the nursing supervisor d. Call the police

c. Call the nursing supervisor

Characteristics of a Leader are: a. Initiative, Inspiration, Energy b. Positive Attitude, Communication skills c. Problem Solving, Critical Thinking Skills d. All of the above e. None of the above

d. All of the above

The nurse calls the health care provider (HCP) regarding a new medication prescription because the dosage prescribed is higher than the recommended dosage. The nurse is unable to locate the HCP, and the medication is due to be administered. Which action should the nurse take? a. Administer the recommended dose until the HCP can be located. b. Hold the medication until the HCP can be contacted. c. Administer the dose prescribed d. Contact the nursing supervisor

d. Contact the nursing supervisor

A nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which action first? a. Call the nursing supervisor b. Call the hospital lawyer c. Refuse to float to the ICU d. Identify tasks that can be performed safely in the ICU

d. Identify tasks that can be performed safely in the ICU

The nurse has just assisted a client back to bed after a fall. The nurse and health care provider has assessed the client and have determined that the client is not injured. After completing the incident report, the nurse should implement which action next? a. Conduct a staff meeting to describe the fall. b. Document in the nurse's notes that an incident report was completed. c. Contact the nursing supervisor to update the information regarding the fall. d. Reassess the client

d. Reassess the client

Nursing staff members are sitting in the lounge taking their morning break. An unlicensed assistive personnel (UAP) tells the group that she thinks that the unit secretary has acquired immunodeficiency syndrome (AIDS) and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. Which legal tort has the UAP violated? a. Negligence b. Libel c. Assault d. Slander

d. Slander

What are the traits of a leader? a. Passion b. Vision c. Confidence d. None of the above e. All of the above

e. All of the above

What is a HMO?

health maintenance organization

What is the difference between Medicare and Medicaid?

•Medicare is a federal program that provides health coverage if you are 65 and older or have a severe disability. •Medicaid is a state and federal program health insurance coverage if you have very low income.