RN Leadership Online Practice 2019 B Quiz & Flashcards

Questions and Answers

What is the correct order of the stages of conflict?

Latent conflict (correct)

Conflict aftermath (correct)

Perceived conflict (correct)

Felt conflict (correct)

Manifest conflict (correct)

Which of the following should the nurse recommend as a qualitative research method?

Experimental study

Meta-analysis

Phenomenology (correct)

Secondary analysis

Which statement by the client indicates an understanding of the Patient Protection and Affordable Care Act?

I can provide health insurance coverage for my children on my policy until they turn 21 years old.

My insurance will not provide coverage for preexisting conditions.

My insurance coverage no longer has lifetime coverage limits. (correct)

I can lose my insurance coverage since I have been sick so much this year.

Which statement should the nurse make to a client deciding on a plan of treatment for breast cancer?

Let's talk about the benefits of each treatment. Signup and view all the answers

Which statement should the nurse include when reviewing the components of surgical informed consent?

The nurse should ensure the client understands the information given by the surgeon. Signup and view all the answers

Which statement indicates an understanding of incident reports by a newly licensed nurse?

I should complete an incident report for an unexpected client occurrence. Signup and view all the answers

Which response should the nurse make to a child of a client with Alzheimer's disease who is expressing distress?

Let's discuss options for respite care. Signup and view all the answers

Which assessment finding should the nurse recognize as priority to report?

A client who is 2 days postoperative and has a urine output of 20 mL/hr. Signup and view all the answers

Which statement should the charge nurse make to the newly hired nurse who consistently does not finish client care tasks?

You should set aside time to plan your day at the beginning of your shift. Signup and view all the answers

Which leadership task is the nurse manager performing while preventing readmissions due to complications following joint arthroplasty?

Advocacy Signup and view all the answers

Which tasks should be delegated to assistive personnel (AP)? (Select all that apply)

Ambulating a client who uses a walker Signup and view all the answers

What is the priority action of the charge nurse when a fire alarm is heard?

Instruct ambulatory clients to go to a safe area. Signup and view all the answers

What action should the nurse manager take when sending home a nurse who is chemically impaired?

Set up a formal meeting with the nurse within 24 hours. Signup and view all the answers

Which client should the nurse assess first during change-of-shift report?

A client who had abdominal surgery 6 hours ago and has had a heart rate of 120/min for the last 2 hr. Signup and view all the answers

What action should the nurse take to advocate for a client who has renal failure who wants to stop hemodialysis?

Support the client's decision regarding treatment. Signup and view all the answers

Which action is the nurse manager's priority while planning daily work and activities for the unit?

Assign client care to staff. Signup and view all the answers

What statement by the AP indicates an understanding of caring for a client who has a DNR order?

I will call for the client's nurse to come to the room if I cannot detect the client's pulse. Signup and view all the answers

Which strategy should the nurse manager include in teaching about promoting client rights?

Verify that a provider prescription is in the medical record for clients who have restraints. Signup and view all the answers

Which client is safe to discharge during a massive community disaster?

A client who has multiple sclerosis and reports ataxia. Signup and view all the answers

What action should the nurse take upon overhearing two staff members discussing a client's care?

Report the incident to the nurse manager. Signup and view all the answers

Which statement is an example of using the conflict resolution strategy known as smoothing?

You always complete your work on time and do a great job. I believe you can handle the assignment well. Signup and view all the answers

Which statement indicates an understanding of telephone prescription guidelines by a newly licensed nurse?

I should repeat the prescription back to the provider. Signup and view all the answers

Which action demonstrates that the nurse is practicing ethically while caring for a terminally ill client?

Discuss end-of-life care goals with the client. Signup and view all the answers

Which client requires droplet precautions?

A client who has pertussis. Signup and view all the answers

Which condition is considered a nationally notifiable infectious disease?

Chlamydia trachomatis Signup and view all the answers

What should the first step be in addressing an increase in health care-associated UTIs?

Establish best practice guidelines for reducing the incidence of UTIs. Signup and view all the answers

What should the nurse say to a client who wants to wait on rotator cuff surgery?

I will notify your provider of your decision. Signup and view all the answers

Which statement by the client indicates an understanding of advance directives?

These will outline my wishes for medication treatment. Signup and view all the answers

Which of the following clients should the nurse request the provider to assess first?

A client who has arm contusions and manifests asymmetrical thoracic movement. Signup and view all the answers

After notifying the surgeon about a client wanting to leave the hospital, which action should the nurse take next?

Inform the client about the risks she may encounter by leaving the facility. Signup and view all the answers

Which of the following information should the nurse include in the teaching about critical pathways?

Critical pathways prevent unnecessary expense. Signup and view all the answers

Which action should the nurse take to validate that the client understands the procedure for which they have signed an informed consent?

Ask the client to verbalize the purpose, risks, and benefits of the procedure. Signup and view all the answers

What action should the nurse take to ensure care is provided according to policy regarding pain assessment?

Report this issue to the nurse manager. Signup and view all the answers

Before discharge for a client needing daily home IV antibiotics, which action should the case manager perform?

Ensure that home infusion therapy has been arranged. Signup and view all the answers

What should a nurse do when documentation of client discharge teaching is below the expected benchmark?

Determine the factors that interfere with the documentation of client education. Signup and view all the answers

Which statement indicates the newly licensed nurse understands the facility's policies regarding electronic medical records?

After I finish with the printout of my assignment, I'll put it in the shredder receptacle. Signup and view all the answers

Which action should a charge nurse take if a client has a prescription for a wound irrigation twice per day?

Assign the procedure to a licensed practical nurse (LPN). Signup and view all the answers

What is the appropriate action for a staff nurse who detects alcohol on a colleague's breath?

Notify the charge nurse of the nurse's behavior. Signup and view all the answers

What should an RN do first after receiving an abnormal blood pressure reading from an LPN for a postoperative client?

Recheck the client's blood pressure. Signup and view all the answers

How should a nurse maintain client confidentiality?

Tell a client's partner that the client's laboratory tests cannot be disclosed without permission. Signup and view all the answers

Which strategies should be used in the annual performance review process for a staff nurse?

Include peer evaluations completed by other staff nurses. Signup and view all the answers

Which statement indicates that a newly licensed nurse understands electronic medical records?

My access to client electronic records might be tracked by my nurse manager. Signup and view all the answers

Which statement provides the right direction of communication to assistive personnel (AP) regarding tasks?

Tell me what time the client in room 205 voids for the first time after the catheter is removed. Signup and view all the answers

If a nurse finds that a client has not received a dose of warfarin in 2 days, what should be the first action?

Check the client's last INR. Signup and view all the answers

What should the charge nurse do to collect information on staff adherence to standards for postoperative vital sign measurement?

Conduct a retrospective chart audit of all surgical clients for the past 6 months. Signup and view all the answers

Which statement reflects an intrapersonal conflict as recognized by the charge nurse?

I'm not sure whether I want to apply for the unit manager's position or start a family this year. Signup and view all the answers

What actions indicate a newly licensed nurse understands how to use an aquathermia pad?

Asks the client to report if the aquathermia pad gets too warm. Signup and view all the answers

For a client with rheumatoid arthritis who has difficulty buttoning clothing, which referral should the nurse recommend?

Occupational therapy Signup and view all the answers

In a presentation on health care law, which information should the nurse include?

The Patient Self-Determination Act (PSDA) requires a nurse to give clients information about end-of-life options. Signup and view all the answers

Which task can a nurse assign to assistive personnel (AP)?

Check the residual of a client's gastrostomy tube. Signup and view all the answers

What action should the nurse take after attempting to notify the provider regarding a client with a potassium level of 3.2 mEq/L?

Notify the nursing supervisor. Signup and view all the answers

Which tasks should the charge nurse delegate to assistive personnel (AP) when planning assignments for the upcoming shift?

Assisting a client who had a hip arthroplasty to a chair. Signup and view all the answers

What should the charge nurse ensure is part of the care plan for a client receiving a continuous NG tube feeding?

Use a 60-mL syringe to flush out a clogged tube. Signup and view all the answers

Which client should the nurse assess first if they have just received report on four clients?

A client who is postoperative following a total knee arthroplasty and has a capillary refill of 4 seconds. Signup and view all the answers

What action should the nurse take for a postoperative client with PCA exhibiting restlessness, an elevated pulse, and decreased blood pressure?

Place the client in a modified Trendelenburg position. Signup and view all the answers

Which communication tool should the nurse use for managing complications from a new medication?

SBAR framework Signup and view all the answers

Which statement by a newly licensed nurse indicates understanding of mechanical restraints use?

I should request the provider to examine the client within 1 hour of applying mechanical restraints. Signup and view all the answers

What must the RN perform upon the admission of a client with abdominal pain?

Completing the client's initial admission assessment. Signup and view all the answers

When reviewing a nurse's response to a fire in a room, which action should confirm appropriate procedures were followed?

Transported the client to the hallway. Signup and view all the answers

Study Notes

Emergency Triage

Prioritize clients based on severity: asymmetrical thoracic movement in a client with arm contusions is critical.
Peripheral paresthesia indicates possible nerve or vascular damage but is less urgent than respiratory compromise.

Patient Autonomy and Risks

Inform clients about risks before they decide to leave hospital care against medical advice (AMA).
Documentation of patient statements is vital for legal reasons but should follow risk assessment.

Critical Pathways in Nursing

Critical pathways aim to prevent unnecessary expenses rather than promote individualized care.
They help streamline processes, thus reducing administrative workload.

Nurses should confirm client understanding by having them verbalize the procedure’s purpose, risks, and benefits.

Reporting Issues

If pain assessments are not conducted, issues should be reported to nursing management to ensure compliance with policies.

Discharge Planning for Infection

Ensuring home infusion therapy is arranged is critical before discharging a patient requiring daily IV antibiotics.

Performance Improvement Audits

Identify barriers to documentation of client education before implementing training or incentives.

Electronic Medical Records

Nurses should secure electronic information by turning off monitors when not in use and safely disposing of printed materials.

Task Delegation

Licensed Practical Nurses (LPNs) can be assigned tasks like wound irrigation, while Assistive Personnel (AP) can perform basic care under supervision.
Nurses should ensure APs understand the tasks related to client monitoring and reporting.

Managing Substance Abuse

Immediate reporting of suspected impaired colleagues is necessary to ensure patient safety.
Do not confront the suspected nurse directly; instead, notify management.

Client Care Prioritization

Assess clients with poor capillary refill first, signaling potential circulatory issues after surgery.

Client Confidentiality

Protect client information by refusing to disclose test results without consent and ensuring names are used appropriately in educational contexts.

Performance Evaluations

Incorporate peer evaluations and self-appraisals for a comprehensive review process.

Understanding Electronic Medical Records

Access to electronic records may be monitored to maintain accountability among staff.

Communication with Assistive Personnel

Clear communication is essential; APs should provide information in a way that allows for proper client care (e.g., tracking voiding times).

Medication Administration Oversight

Review INR levels when clients miss doses of anticoagulants to assess potential complications.

Evaluating Adherence to Protocols

Utilize chart audits to verify compliance with established protocols for postoperative care.

Conflict Resolution Stages

Understand stages of conflict:
- Latent Conflict: Awareness of potential issues
- Perceived Conflict: Discussion of issues without emotional involvement
- Felt Conflict: Personal involvement in the conflict
- Manifest Conflict: Active engagement in dispute
- Conflict Aftermath: Recognition of the outcomes and learning.

Qualitative Research Methods

Recommend phenomenology for understanding client experiences and improving community health outcomes.

Patient Protection and Affordable Care Act

Key rights include the removal of lifetime coverage limits and coverage for pre-existing conditions; young adult children can remain on their parent's plans until age 26.### Treatment Discussions
Discuss benefits of treatment options with clients to encourage informed decisions.
Emphasize importance of following healthcare provider recommendations.

Surgeons must explain the procedure to clients.
Nurses must ensure clients comprehend the information provided.
Important to disclose risks involved in procedures, even if not life-threatening.

Incident Reports

Incident reports are necessary for unexpected occurrences.
Documentation of incident completion should not be included in the client's medical record.

Support for Family Caregivers

Offer options for respite care to family members managing severe caregiver stress.

Prioritizing Patient Assessment

Key assessment: 2 days post-operative client with low urine output, indicating potential complications.

Effective Shift Planning

Encourage nurses to plan their day at the beginning of shifts to ensure task completion.

Role of Nurse Manager

Advocacy is crucial in nursing, especially when discussing patient care and needs.

Delegation of Tasks

Tasks suitable for assistive personnel (AP) include client ambulation and modifying food consistency.

Fire Emergency Protocol

Instruct ambulatory clients to evacuate during a fire alarm as the priority action.

Addressing Chemical Impairment

Timely meetings with chemically impaired staff are essential for addressing concerns.

Client Care Prioritization

Assess post-operative clients with elevated heart rates urgently to prevent deterioration.

Advocacy for Patient Decisions

Support clients' choices regarding treatment and respect their autonomy.

Assignment of Client Care

Assigning client care to staff should be the primary concern of the nurse manager.

Understanding DNR Orders

In the event of not detecting a pulse, staff must call the nurse instead of initiating CPR.

Promoting Client Rights

Verification of provider prescriptions for clients under restraint is imperative for patient rights.

Safe Discharge Criteria

Stable clients, like those with multiple sclerosis reporting ataxia, can be safely discharged.

Breach of Confidentiality

Report any staff discussions regarding client care to the nurse manager for resolution.

Conflict Resolution in Nursing

Acknowledging staff strengths helps resolve conflicts and reinforces team confidence.

Telephone Prescription Guidelines

Nurses must repeat prescriptions back to providers for accuracy.

Ethical End-of-Life Care

Discussing end-of-life care goals with clients demonstrates ethical nursing practice.

Infection Control Protocols

Droplet precautions are necessary for clients diagnosed with pertussis.

Nationally Notifiable Infectious Diseases

Chlamydia trachomatis is classified as a nationally notifiable infectious disease.

Quality Improvement in Healthcare

Establishing best practice guidelines is the first step to reduce urinary tract infections in healthcare facilities.

Patient Decision-Making

Nurses should inform providers of patient decisions regarding postponing surgical procedures.

Understanding Advance Directives

Advance directives can be modified and outline patient wishes regarding medical treatments.

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Description

Test your knowledge on triage and emergency nursing practices with these flashcards. This quiz focuses on assessing prioritization in emergency situations for nursing students. Use it to prepare for clinical practice and leadership roles in nursing.

RN Leadership Online Practice 2019 B

Questions and Answers

What is the correct order of the stages of conflict?

Which of the following should the nurse recommend as a qualitative research method?

Which statement by the client indicates an understanding of the Patient Protection and Affordable Care Act?

Which statement should the nurse make to a client deciding on a plan of treatment for breast cancer?

Which statement should the nurse include when reviewing the components of surgical informed consent?

Which statement indicates an understanding of incident reports by a newly licensed nurse?

Which response should the nurse make to a child of a client with Alzheimer's disease who is expressing distress?

Which assessment finding should the nurse recognize as priority to report?

Which statement should the charge nurse make to the newly hired nurse who consistently does not finish client care tasks?

Which leadership task is the nurse manager performing while preventing readmissions due to complications following joint arthroplasty?

Which tasks should be delegated to assistive personnel (AP)? (Select all that apply)

What is the priority action of the charge nurse when a fire alarm is heard?

What action should the nurse manager take when sending home a nurse who is chemically impaired?

Which client should the nurse assess first during change-of-shift report?

What action should the nurse take to advocate for a client who has renal failure who wants to stop hemodialysis?

Which action is the nurse manager's priority while planning daily work and activities for the unit?

What statement by the AP indicates an understanding of caring for a client who has a DNR order?

Which strategy should the nurse manager include in teaching about promoting client rights?

Which client is safe to discharge during a massive community disaster?

What action should the nurse take upon overhearing two staff members discussing a client's care?

Which statement is an example of using the conflict resolution strategy known as smoothing?

Which statement indicates an understanding of telephone prescription guidelines by a newly licensed nurse?

Which action demonstrates that the nurse is practicing ethically while caring for a terminally ill client?

Which client requires droplet precautions?

Which condition is considered a nationally notifiable infectious disease?

What should the first step be in addressing an increase in health care-associated UTIs?

What should the nurse say to a client who wants to wait on rotator cuff surgery?

Which statement by the client indicates an understanding of advance directives?

Which of the following clients should the nurse request the provider to assess first?

After notifying the surgeon about a client wanting to leave the hospital, which action should the nurse take next?

Which of the following information should the nurse include in the teaching about critical pathways?

Which action should the nurse take to validate that the client understands the procedure for which they have signed an informed consent?

What action should the nurse take to ensure care is provided according to policy regarding pain assessment?

Before discharge for a client needing daily home IV antibiotics, which action should the case manager perform?

What should a nurse do when documentation of client discharge teaching is below the expected benchmark?

Which statement indicates the newly licensed nurse understands the facility's policies regarding electronic medical records?

Which action should a charge nurse take if a client has a prescription for a wound irrigation twice per day?

What is the appropriate action for a staff nurse who detects alcohol on a colleague's breath?

What should an RN do first after receiving an abnormal blood pressure reading from an LPN for a postoperative client?

How should a nurse maintain client confidentiality?

Which strategies should be used in the annual performance review process for a staff nurse?

Which statement indicates that a newly licensed nurse understands electronic medical records?

Which statement provides the right direction of communication to assistive personnel (AP) regarding tasks?

If a nurse finds that a client has not received a dose of warfarin in 2 days, what should be the first action?

What should the charge nurse do to collect information on staff adherence to standards for postoperative vital sign measurement?

Which statement reflects an intrapersonal conflict as recognized by the charge nurse?

What actions indicate a newly licensed nurse understands how to use an aquathermia pad?

For a client with rheumatoid arthritis who has difficulty buttoning clothing, which referral should the nurse recommend?

In a presentation on health care law, which information should the nurse include?

Which task can a nurse assign to assistive personnel (AP)?

What action should the nurse take after attempting to notify the provider regarding a client with a potassium level of 3.2 mEq/L?

Which tasks should the charge nurse delegate to assistive personnel (AP) when planning assignments for the upcoming shift?

What should the charge nurse ensure is part of the care plan for a client receiving a continuous NG tube feeding?

Which client should the nurse assess first if they have just received report on four clients?

What action should the nurse take for a postoperative client with PCA exhibiting restlessness, an elevated pulse, and decreased blood pressure?

Which communication tool should the nurse use for managing complications from a new medication?

Which statement by a newly licensed nurse indicates understanding of mechanical restraints use?

What must the RN perform upon the admission of a client with abdominal pain?

When reviewing a nurse's response to a fire in a room, which action should confirm appropriate procedures were followed?

Study Notes

Emergency Triage

Patient Autonomy and Risks

Critical Pathways in Nursing

Informed Consent Validation

Reporting Issues

Discharge Planning for Infection

Performance Improvement Audits

Electronic Medical Records

Task Delegation

Managing Substance Abuse

Client Care Prioritization

Client Confidentiality

Performance Evaluations

Understanding Electronic Medical Records

Communication with Assistive Personnel

Medication Administration Oversight

Evaluating Adherence to Protocols

Conflict Resolution Stages