Leadership Practice 2019 Flashcards

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What should the client be asked to explain?

The procedure that is being performed

Which statement should the nurse make to a client concerned about self-care after discharge?

You should plan to go to a skilled nursing facility after discharge.

You will need hospice care until you feel stronger.

A social worker will address your concerns after discharge.

Your case manager will coordinate the resources you will need. (correct)

What action should the newly licensed nurse take for a client with pulmonary tuberculosis?

Wear a surgical mask when taking the client out of the room.

Place the client on droplet precautions.

Wear an N95 respirator mask when in the client's room. (correct)

Place the client in a room with positive-pressure airflow.

Which resource should the nurse consult when creating a policy for nurses to insert peripherally inserted central catheters?

State Nurse Practice Act (NPA) Signup and view all the answers

What represents an authoritarian approach to managing increased rates of client medication errors?

Inform the staff of the penalties that can result from medication errors. Signup and view all the answers

What action should the nurse take first upon notification of a fire on the unit?

Assist clients who are in immediate danger to a safe location. Signup and view all the answers

Which action demonstrates sterile technique during a dressing change?

The nurse places the sterile package with the top flap opening away from the body. Signup and view all the answers

What should the nurse instruct a group about safe use of wheelchairs?

Raise the foot plates of the wheelchair before transferring the patient. Signup and view all the answers

Which task should be assigned to an LPN?

Provide an enteral feeding to a client who has Crohn's disease. Signup and view all the answers

What should the nurse do for a client uncertain about having a tubal ligation?

Discuss the client's feelings about the procedure. Signup and view all the answers

What action should the nurse manager take if they identify an increase in ventilator-associated pneumonia?

Notify the quality improvement team. Signup and view all the answers

What should the ethics committee do regarding a disagreement about nutritional support among family members?

Assist in weighing the options involved in the decision. Signup and view all the answers

What should the nurse do when a client with Crohn's disease wants to skip a medication dose?

Inform the client of the consequences of refusing the medication. Signup and view all the answers

Which finding is the priority among the nursing assessments?

A client who has a femur fracture and reports feeling short of breath. Signup and view all the answers

Which client should be evaluated first in an emergency situation?

A client who has a sucking chest wound. Signup and view all the answers

Which client should the medical nurse be assigned?

A client who had a right above-the-knee amputation 24 hours ago. Signup and view all the answers

Which client rights should the nurse address in orientation?

The right to be fully informed of their health conditions. Signup and view all the answers

What action should the quality improvement team take to evaluate the effectiveness of decreasing pressure injuries?

Compare data from clients' records regarding skin integrity with established criteria. Signup and view all the answers

Which action should the nurse manager take first regarding increased UTIs?

Perform a chart review to gather data about the clients who developed infections. Signup and view all the answers

What behavior might indicate that a staff nurse is working while impaired?

Frequent use of restroom. Signup and view all the answers

What should the nurse do regarding a comatose client with a Living Will declining artificial enteral nutrition?

Review the client's request with the family. Signup and view all the answers

What should the nurse observing a newly licensed nurse performing a sterile dressing change identify as correct?

Pick up the first sterile glove by grasping the folded cuff edge. Signup and view all the answers

What response should the nurse give to a 19-year-old client who does not want to continue chemotherapy after hearing her cancer has metastasized?

I will gather information about palliative care for you. Signup and view all the answers

What is the priority assessment action for a client reporting vomiting and diarrhea for the past six hours?

Obtain the client's serum potassium level. Signup and view all the answers

What information should be included in the verbal report for a client three days post-open heart surgery?

The client's level of consciousness. Signup and view all the answers

What intervention should a hospice nurse include for a client without advance directives?

Provide the client with information about advance directives. Signup and view all the answers

Which client should the home health nurse visit first based on lab results?

Platelets 100,000/mm3 Signup and view all the answers

The nurse should verify informed consent before which procedure?

Receiving moderate sedation. Signup and view all the answers

Which response should the charge nurse make to the AP who feels it is unfair to care for all incontinent clients?

I delegate tasks to personnel based on their job descriptions Signup and view all the answers

Which client should the nurse recognize as the priority?

A client who has peripheral vascular disease and absent pulse in right foot Signup and view all the answers

Which instruction reflects effective communication regarding delegation of a task to an AP?

Check the UO at 11 o'clock for John Doe and report it to me immediately Signup and view all the answers

What should the nurse do first when a client requests to be transferred due to delayed call light responses?

Ask the client to verbalize their expectations Signup and view all the answers

If a client recovering from a stroke refuses recommended extracranial intracranial bypass surgery, what should the nurse do?

Discuss the client's concerns about having the surgery Signup and view all the answers

Which action by a nurse requires intervention by the charge nurse?

A nurse photocopying their assigned clients' diagnostic test results Signup and view all the answers

Which client should the nurse assess first when receiving a report from the AP?

Client whose indwelling urinary catheter was removed eight hours ago and reports inability to void Signup and view all the answers

What instruction should the nurse manager include in teaching about caring for clients following a stem cell transplant?

Place clients in positive pressure airflow rooms Signup and view all the answers

What finding should the nurse identify as a priority for a homeless child?

Child has red fissures at the corners of their mouth Signup and view all the answers

What action should the charge nurse take first to address declining attendance at monthly staff meetings?

Explore the reasons that staff are not attending the meetings Signup and view all the answers

What should the nurse do first when encountering several staff members looking at a celebrity client's EMR record?

Remind the staff members that this is a breach of confidentiality Signup and view all the answers

Who should the nurse include in preoperative teaching for a client who speaks a different language?

Interpreter Signup and view all the answers

What information can assist in evaluating the cost effectiveness of a client’s care after hip arthroplasty?

Length of the client's stay Signup and view all the answers

Which action should the nurse plan to take for a client following total hip arthroplasty?

Inform the AP of the client's weight bearing status Signup and view all the answers

What concern should be prioritized for discussion at an interprofessional conference for a post-ORIF hip client?

Client refuses to attend PT sessions Signup and view all the answers

Which team member should the nurse recommend for a referral for a client with osteoarthritis who reports difficulty with daily tasks?

Occupational therapist Signup and view all the answers

What action indicates effective time management by a newly licensed nurse?

Groups tasks that are in the same location Signup and view all the answers

When caring for a client requesting pain medication, what ethical principle is the nurse demonstrating by fulfilling a promise to return promptly?

Fidelity Signup and view all the answers

What intervention should the nurse include in the discharge plan for a client who has left side weakness after a stroke?

Advise the patient to install grab bars in the bathroom at home Signup and view all the answers

After developing an initial discharge policy plan, what should the charge nurse do next?

Determine goals and objectives Signup and view all the answers

Which actions should a charge nurse take regarding staff resistance to new bariatric services? (Select all that apply)

Encourage staff members who support the changes to discuss the issue with resistant staff Signup and view all the answers

Which statement by a newly licensed nurse shows understanding of client rights in a mental health unit?

Clients on a mental health unit can refuse their medication Signup and view all the answers

Identify the sequence the nurse manager should follow when disciplining an employee who arrives late multiple times.

Schedule a meeting with the nurse Signup and view all the answers

To which community agency should the nurse refer the guardian of a newborn requiring apnea monitoring at home?

Home health Signup and view all the answers

What should the charge nurse say in response to a staff nurse who suspects a client is seeking drugs?

Clients are the experts on their own pain Signup and view all the answers

What action should a nurse take to ensure an AP is qualified to remove a client's indwelling urinary catheter?

Review the AP's skill competency checklist Signup and view all the answers

Which staff comment indicates an understanding of confidentiality requirements?

Access to client information is limited to direct care providers. Signup and view all the answers

How should a charge nurse approach a conflict between two nurses claiming the other is not doing fair work?

Explore alternative solutions to address unit workflow with the nurses Signup and view all the answers

What task can the nurse delegate to an AP?

Determine client intake and output Signup and view all the answers

What statement should the nurse make if a family claims the nurse failed to obtain written informed consent before a procedure?

This is a procedure that does not require written informed consent. Signup and view all the answers

What action should the charge nurse on the PACU take when the external disaster plan has been activated?

Identify stable clients for transfer to a surgical unit Signup and view all the answers

What position should the charge nurse expect the newly licensed nurse to place the client in for a routine abdominal assessment?

Dorsal recumbent position for the examination Signup and view all the answers

Which action should the nurse take to verify client informed consent before outpatient surgery?

Ask the client to explain the procedure that is being performed Signup and view all the answers

Study Notes

Delegation and Communication

Effective delegation requires clear communication and includes specific data collection instructions, client details, timelines, and expectations for reporting back.
To address concerns about workload, engaging staff in discussions to reorganize workflows is more constructive than dismissive responses.

Prioritization of Care

Prioritizing clients is crucial; those with the most critical conditions, like absent pulses in PVD, should be addressed first.
Clients expressing distress before surgeries also require timely intervention, though their conditions may not be as acute.

Interprofessional Collaboration

Involving interpreters for clients who speak different languages is essential in preoperative education.
Occupational therapists can assist clients with activities of daily living (ADLs) when conditions impact their independence, such as osteoarthritis.

Client Rights and Ethical Principles

Clients in mental health settings maintain the right to refuse medications.
Ethical principles like fidelity emphasize the importance of keeping promises made to clients concerning their care.

Client Care Management

Effective discharge planning includes identifying community resources and ensuring safe environments, like installing grab bars for clients with mobility issues.
Communicating clearly the necessity of therapy sessions post-surgery can prevent complications related to immobility.

Quality Improvement and Team Dynamics

Examining reasons behind poor meeting attendance helps address underlying issues rather than imposing mandates.
Role modeling positive behaviors and encouraging open discussions can aid in overcoming staff resistance to changes in practice.

Confidentiality and Ethics

Confidentiality must be upheld, and breaches should be reported immediately to maintain ethical standards in patient care.
Guidelines state that change-of-shift reports can be conducted at the bedside, ensuring transparency while safeguarding client privacy.

Policy Development and Implementation

Establishing clear goals and objectives prior to policy changes lays the foundation for successful implementation.
It’s essential to consult the State Nurse Practice Act when developing policies that expand nursing roles, as this defines the professional scope of practice.

Patient Safety and Compliance

The staff should understand the procedures that don't require written consent, like urinary catheter insertions, to streamline care.
N95 respirators must be worn in cases of airborne infections to protect both staff and patients effectively.

Conflict Resolution

Exploring alternative solutions collaboratively among staff experiencing conflict enhances teamwork and improves unit cohesion.
Clear pathways for reporting issues and implementing corrective actions ensure effective conflict management.

Evidence-Based Practice

Length of stay can provide insights into care cost-effectiveness, critical for evaluating clinical pathways.
Consulting relevant evidence-based guidelines supports nursing decisions in practice and fosters improved patient outcomes.

Care Coordination

After a major event like a train derailment, identifying stable patients for transfer ensures optimal resource allocation in emergency situations.
It’s essential to coordinate resources efficiently for clients facing long-term care challenges post-discharge.### Professional Organizations
AAN (American Association of Nurses) focuses on generating and sharing nursing knowledge to influence health policy and enhance nursing practice.
AHRQ (Agency for Healthcare Research and Quality) operates under the U.S. Department of Health and Human Services, aimed at improving health care outcomes and quality.

Medication Errors Management

Authoritarian strategy involves informing staff about penalties for medication errors to enforce compliance.
Encouraging double-checking medication orders is a collaborative approach, rather than authoritarian.

Emergency Response

In case of fire notification, the immediate action is to assist clients in danger to a safe location.

Sterile Technique

Correct sterile technique includes placing the sterile package with the top flap opening away from the body.

Wheelchair Safety

Important instruction when transferring patients is to raise footplates of the wheelchair.

LPN Assignments

An LPN can be assigned to provide enteral feeding to a client with Crohn's disease.

Client Decision-Making

When a client is uncertain about a tubal ligation, discussing their feelings about the procedure is essential.

Quality Improvement

For increasing ventilator-associated pneumonia, notifying the quality improvement team is necessary to address the issue effectively.

Ethical Dilemma in Care

Ethics committees assist in weighing options related to ethical dilemmas and provide guidance based on facts.

Medication Refusal

It is crucial to inform clients about the consequences if they refuse medication, as understanding implications supports informed decision-making.

Prioritizing Client Needs

The highest priority in assessments involves clients with shortness of breath after a femur fracture due to potential complications like DVT and pulmonary embolism.

Disaster Response

In a mass casualty scenario, a sucking chest wound requires immediate evaluation over other injuries.

Appropriate Client Assignments

A medical nurse can safely care for a client post-above-the-knee amputation since special care isn't needed immediately.

Client Rights

Important rights include being treated with respect and dignity, refusing medications, leaving against medical advice, and being fully informed about health conditions.

Pressure Injury Prevention

To evaluate the effectiveness of a pressure injury prevention plan, comparing data on skin integrity with established criteria is necessary.

Addressing Infection Rates

Conducting a chart review provides insight into the increased incidence of UTIs, which is crucial for developing interventions.

Impaired Nurse Behavior Indicators

Frequent restroom use may indicate a nurse is working while impaired alongside other signs such as increased errors and mood swings.

Living Will Considerations

A living will that declines enteral nutrition should be honored, and reviewing this with the family is essential for clarity and compliance.

Sterile Dressing Change Techniques

Correct technique includes picking up gloves by the cuff edge and monitoring sterile field guidelines.

Palliative Care Options

When a client refuses chemotherapy, offering information about palliative care is a supportive approach.

Assessing Client Conditions

For a client with vomiting and diarrhea, obtaining serum potassium levels is the priority assessment due to the risk of hypokalemia.

Information for Client Transfers

Key information to transfer includes the client's level of consciousness to ensure continuity of care.

Planning for Advance Directives

Providing information about advance directives is a critical step in planning care for clients without existing directives.

Home Health Care Prioritization

A home health nurse should prioritize visiting a client with a platelet count of 100,000 due to the increased risk of bleeding.

It is essential to verify informed consent before proceeding with moderate sedation procedures.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on effective leadership responses in nursing scenarios with our 2019 flashcards. This quiz focuses on communication and delegation strategies, empowering you to improve client care through teamwork and organization.