Quiz 7 CH 58/ATI

A nurse is observing the actions of a nurse they are supervising. Which of the following actions by the nurse requires the nurse manager to intervene?

- reviewing the health care record of a client assigned to another nurse - making a copy of a client's most current lab results for the provider during rounds - providing information about the client's condition to hospital clergy - participating in walking rounds that involve the exchange of client related information outside clients room

a nurse on an acute care unit is caring for a client following a total hip arthroplasty. The client is confused moving the affected leg into positions that could dislocated the new hip joint and repeatedly attempting to get out of bed. After determining that restraint application is indicated, which of the following actions should the nurse take?

- secure the restraint to the frame of the bed - get a prescription for restraints from the provider - have a family member sign the consent for restraints

A manager is concerned that one of the nurses on the unit is experiencing burnout. Which symptoms would support the concerns? (Select all that apply.) a. Fatigue b. Forgetfulness c. Increased energy d. Negative outlook e. Changes in eating habits

ANS: A, B, D, E Symptoms of burnout include fatigue, forgetfulness, decreased energy, negative outlook, and changes in eating habits.

A new graduate attempting to get others to do something believed necessary and influencing them to follow is demonstrating: a. management. b. leadership. c. influence. d. control.

ANS: B Leadership is the art of getting others to want to do something that is perceived as necessary.

Physical, emotional, and spiritual exhaustion can occur among caregivers and appears more often in people who have excessive expectations of themselves. This situation is called: a. excessiveness. b. burnout. c. fatigue. d. weariness.

ANS: B Physical, emotional, and spiritual exhaustion among caregivers is sometimes called burnout.

The type of leadership that uses four different styles—directing, coaching, supporting, and delegating—is: a. autocratic. b. situational. c. democratic. d. authoritative.

ANS: B Situational leadership identifies four typical styles for leaders.

New graduates should purchase their own malpractice insurance rather than depend on institutional insurance because their own policy will: a. not cover them unless they are on the job. b. carry liability coverage. c. protect them against all lawsuits. d. protect them from losing their license.

ANS: B The new graduate should purchase insurance in addition to that of the institution to ensure that there is personal liability coverage and also coverage should the graduate work in some other setting.

When a resumé reflects too many job changes, the employer may question it. It is best to remain at the first place of employment for at least: a. 6 months. b. 3 months. c. 1 year. d. 2 years.

ANS: C Resigning from a position properly is another skill that the LPN/LVN will need to have. Employers will sometimes question a resumé that reflects frequent job changes; therefore, it is best to remain at the first place of employment at least 1 year.

An RN on a medical surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LVN?

Obtain vitals for a client who is 2 hrs post procedure following a cardiac catheterization

Which orders do you read back? And why?

Telephone orders

State Boards of Nursing - main purpose

The state board requires nurses to be licensed and follow the legal guidelines for practice in an effort to protect the public

A nurse discovers that a client was administered an antihypertensive medication in error. Identify the appropriate sequence of steps that the nurse should take using the following actions. A. Call the provider. B. Check vital signs. C. Notify the risk manager. D. Complete an incident report. E. Instruct the client to remain in bed until further notice

Correct order: B, E, A, D, C

The 3 order types - under transcribing orders

written , verbal, via telephone

When transcribing orders, the LPN/LVN knows that which health care provider order takes priority?

Stat orders

When a nurse encounters a problem, it is best to follow the chain of command. Problems can best be resolved by: a. agreement. b. argument. c. communication. d. withdrawing.

ANS: C Any problem can best be resolved by communication at the most basic level.

The organization that specifically supports and meets the needs of the LVN/LPN is the: a. NAPNES. b. NLN. c. ANA. d. NFLPN.

ANS: A NAPNES is the professional organization that is specifically for LVN/LPNs.

What data are necessary to compile an effective end-of-shift report? (Select all that apply.)

ANS: A, B, C The patient's mental status, status of lung sounds, and pertinent nursing care performed during the shift should all be included in an end-of-shift report. The patient's favorite TV shows and visitors that the patient had during the shift would not normally be included in the end-of-shift report.

Which questions should the nurse consider before delegating care to another team member? (Select all that apply.) a. Is this the right task? b. Is this the right time? c. Is this the right person? d. Is this the right supervision? e. Is this the right circumstance?

ANS: A, C, D, E The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision. Right time is not included in the five rights of delegation.

A promotion is usually based on a person's qualifications, behavior, performance, and preparation. Another term for promotion is: a. reward. b. advancement. c. elevation. d. improvement.

ANS: B Advancement may result from additional preparation or additional experience. It may be gained by learning the position more thoroughly and by assuming new and greater responsibilities.

A setting in which the new graduate gives total care to one patient; is totally independent; provides care in the home, hospital, or other facility; is paid directly by the patient; and is legally responsible for his or her own actions is: a. home health nursing. b. private duty nursing. c. patient care nursing. d. agency care nursing.

ANS: B The private duty nurse gives total care to one patient.

Technical and scientific changes have resulted in a multiplicity and complexity of functions placed on nurses, and sometimes job descriptions have not been rewritten. The role of the LPN/LVN is constantly: a. enlarging. b. changing. c. improving. d. growing.

ANS: B The role of the LPN/LVN is constantly changing.

The commission of an act that a prudent nurse would not have done, or the omission of an act a prudent nurse would have done, that results in injury to a patient is termed: a. malpractice. b. negligence. c. neglect. d. disregard.

ANS: B To qualify as negligence, it must be proved that a prudent member of the profession would have acted differently.

Failure by the nurse or the employer to perform duties listed in the contract results in a: a. lawsuit. b. termination. c. breach of contract. d. reprimand.

ANS: C Failure by the nurse or employer to perform contractual duties is a breach of contract.

Which actions would best aid the new nurse in coping with working the night shift? (Select all that apply.) a. Eat large meals during the night to stay awake. b. Use dark shades to block out light when sleeping. c. Obtain a prescription for sedatives to aid sleep. d. Wear sunglasses on the drive home from work. e. Go directly to bed when arriving home from work.

ANS: B, D Dark shades or room darkening blinds will block the sunshine and allow for darkness when sleeping during the daytime hours. Wear sunglasses on the drive home from work to reduce the melatonin-reducing effect of sunshine. It is best to eat light, balanced meals during the night. Sedatives and alcohol should not be used as an aid to sleep. Allow time to unwind after work before going to bed, and try to follow the same routine daily.

A concise, one-page, comprehensive, well-organized, neat, accurate summary of educational and work experience that provides prospective employers with their first impression, is called a(n): a. introduction. b. review. c. resumé. d. composite.

ANS: C A resumé is a one-page written document that contains information about the applicant's education and experience.

The setting that provides a relaxed atmosphere, decreased patient load, a primarily daytime schedule, is becoming more common, and is less costly for insurance companies is: a. hospice. b. adult day care. c. home health. d. long-term care.

ANS: C The advantages of home health are a more relaxed atmosphere, decreased patient load, and less cost.

The type of leadership in which the leader displays little trust or confidence in employees and therefore makes all decisions is called: a. democratic. b. laissez-faire. c. autocratic. d. authoritative.

ANS: C The autocratic leader displays little trust in employees, and therefore makes all decisions.

The licensing law that (1) defines the title and regulations governing the practice of nursing and (2) states the requirements for licensure is called the: a. state practice act. b. nurse regulation act. c. nurse practice act. d. legislative act.

ANS: C The nurse practice act defines the title and regulations governing the practice of nursing.

The graduate may practice in another state if he or she has passed the NCLEX- PN® examination in his or her own state and meets the other state's educational requirements. This licensure from one state to another is called: a. auxiliary. b. co-licensure. c. endorsement. d. qualified licensure.

ANS: C This licensure from one state to another is called endorsement.

The setting in which an LPN/LVN can advance to charge nurse or staff developer and management and leadership skills can be developed, is a(n): a. acute care hospital. b. rehabilitation hospital. c. trauma center. d. long-term care facility.

ANS: D Management and leadership skills of the LPN/LVN can be developed in long-term care settings with RN supervision.

A nurse is preparing to transfer a client who is 72 hr post operative to a long term care facility. Which of the following information should the nurse include in the transfer report?

Advance directives, Medical diagnosis, Need for specific equipment

A nurse witnesses an AP they are supervising reprimanding a client for not using the urinal properly. The AP threatens to put a diaper on the client if the urinal is not used more carefully next time. Which of the following is the AP committing?

Assault