What can be delegated to Assistive personnel (AP)? - answer-- ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients
A nurse on a med surg unit has recieved change of shift report and will ...
RN Comprehensive Predictor Nursing -
Study Guide
What can be delegated to Assistive personnel (AP)? - answer-- ADLs - bathing
- grooming - dressing - ambulating - feeding (w/o swallow precautions) -
positioning - bed making - specimen collection - I&O - VS (stable clients
A nurse on a med surg unit has recieved change of shift report and will care
for 4 clients. Which of the following clients needs will the nurse assign to an
AP?
A. Feeding a client who was admitted 24 hours ago with aspiration
pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - answer-C
A nurse is delegating the ambulation of a client who had knee arthroplasty 5
days ago to an AP. Which of the following info should the nurse share with
the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - answer-B
C
D
An RN is making assignments for client care to an LPN at the beginning of
the shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted
on the previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - answer-D
A nurse is preparing an inservice program about delegation. Which of the
following elements should she identify when presenting the 5 rights of
delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
,E. Right circumstances - answer-B
C
E
A nurse manager of a med surg unit is assigning care responsibilities for the
oncoming shift. A client is waiting transfer back to the unit from the PACU
following thoracic surgery. To which staff member should the nurse assign
the client?
A. Charge nurse
B. RN
C. LVN
D. AP - answer-B
What is the study of conduct and character? - answer-Ethics
What are the values and beliefs that guide behavior and decision making? -
answer-Morals
What is the right to make ones own personal decisions, even tho those
decisions might not be in the persons best interest - answer-Autonomy
What are positive actions to help others - answer-Beneficience
What is an agreement to keep promises - answer-Fidelity
What is fairness in care delivery and use of resources - answer-Justice
What is avoidance of harm or injury - answer-Non-maleficence
A nurse is caring for a client who decides not to have surgery despite
significant blockages in his coronary arteries. The nurse understands that
this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - answer-B
A nurse offers pain meds to a client who is postop prior to ambulation. The
nurse understands that this aspect of care delivery is an example of which of
the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience - answer-D
,A nurse is instructing a group of nursing students about the responsibilities
involved with organ donation and procurement. When the nurse explains
that all clients waiting for a kidney transplant have to meet the same
qualifications, the students should understand that this aspect of care
delivery is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - answer-C
A nurse questions a med prescription as too extreme and light of the clients
advanced age and unstable status. The nurse understands that this action is
an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence - answer-D
Which of the following situations can be identified as an ethical dilemma?
A. A nurse on a med surg unit demonstrates signs of chemical impairment
B. A nurse over hears another nurse telling an older adult client that if he
doesnt stay in bed she will restrain him
C. A family has conflicting feelings about the initiation of enteral tube
feedings of their father who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on her durable
power of attorney form - answer-C
Most managers can be categorized as - answer-authoritative, democratic,
and laissez faire
makes decisions of the group
motivates by coercion
communication occurs down the chain of command
Work output by the staff is usually high-good for crisis situations and
bureaucratic settings - answer-Authoritative
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-good when cooperation and
collaboration is necessary - answer-Democratic
makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between
group members
, Work output is low unless an informal leader evolves from the group
*the use of any of these styles may be appropriate depending on the
situation - answer-Laissez faire
The nurse should consider the hierarchy of human needs when prioritizing
interventions, which are? - answer-- Physiological needs first (oxygen,
shelter, food)
- Safety & security needs (physical safety)
- Love and belonging
- Self esteem
- Self actualization
The ABC framework identifies, in order, the three basic needs for sustaining
life - answer-Airway
Breathing
Circulation
Nurses must follow what code of standards in delegating and assigning tasks
- answer-ANA codes of standards
What values would a nurse possess to be a client advocate? - answer-- caring
- autonomy
- respect
- empowerment
What do the nurse need to keep in mind about the client when being their
advocate? - answer-Client's religion & culture
When should planning discharge process begin?
a. at time of admission
b. 2 days after client is admitted
c. whenever the nurse has the time to do planning
d. when the physician has the discharge order - answer-A
What is an interdisciplinary team? - answer-A group of health care
professionals from different disciplines
Fill in the blank:
1. _______ is used by interdisciplinary team to make health care decisions
about clients with multiple problems. 2. ________, which may take place at
team meetings, allows the achievement of results that the participants would
be incapable of accomplishing if working alone. - answer-1 & 2 =
collaboration
What is the nurse's contribution to an interdisciplinary team? - answer--
knowledge of nursing care & its management
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