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NURSING LEADERSHIP CMS REVIEW EXAM 2024/2025 QUESTIONS WITH COMPLETED & VERIFIED SOLUTIONS.
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NURSING LEADERSHIP CMS REVIEW EXAM 2024/2025 QUESTIONS WITH COMPLETED & VERIFIED SOLUTIONS.
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NURSING LEADERSHIP CMS REVIEWLEADERSHIP STYLE - AUTHORITATIVE
leader dictates decisions for the team
uses penalties and/or coercion to promote behavior change
LEADERSHIP STYLE - DEMOCRATIC
leader involves team members in decision-making process
characterized by team cooperation, resulting in higher quality results
LEADERSHIP STYLE - LAISSEZ-FAIRE
leader provides little direction or planning
(aka "lazy")
emphasis is on group decision-making
team results may be lacking
PRIORITIZATION OF CARE - FIRST LEVEL PRIORITY PROBLEMS
airway
breathing
circulation/cardiac
vital signs
PRIORITIZATION OF CARE - SECOND LEVEL PRIORITY PROBLEMS
altered mental status
acute pain
untreated medical problems
chronic pain
,acute elimination issues
abnormal lab values
risk for infection
safety
ABCDE PRINCIPLE
A = airway
B = breathing
C = circulation
D = disability
E = exposure
ABCDE PRINCIPLE = AIRWAY
ensure patient airway
stabilize cervical spine if neck/head trauma is suspected
ABCDE PRINCIPLE - BREATHING
assess for respirations
ABCDE PRINCIPLE - CIRCULATION
check heart rate
check blood pressure
check capillary refill
check pedal pulses
ABCDE PRINCIPLE - DISABILITY
assess patient's level of consciousness
,ABCDE PRINCIPLE - EXPOSURE
assess patient's body for trauma
assess for exposure to heat/cold
PRIORITIZATION OF PATIENT CARE - ASSESS BEFORE TAKING ACTION
Example: patient reports dyspnea
check O₂ and listen to lung sounds BEFORE calling provider
Example: diabetic patient
check blood sugar level BEFORE giving insulin
PRIORITIZATION OF PATIENT CARE - UNSTABLE VS. STABLE
patients with EXPECTED findings for their medical condition/Dx are stable
Examples
- COPD patient with SpO₂ in low 90s
- stroke patient with facial drooping
- MS patient with ataxia
PRIORITIZATION OF PATIENT CARE - ACUTE VS. CHRONIC
patient with an ACUTE condition will be prioritized over a patient with a chronic condition
Examples of ACUTE problem
- abnormal vital signs
- urine output less than 30 mL/hr
, Examples of CHRONIC problem
- pressure ulcer
PRIORITIZATION OF PATIENT CARE - URGENT VS. NON URGENT
patient who has an urgent need takes priority over a client who has a non-urgent need
Example of URGENT need
client femur fracture who reports feeling short of breath
clients with fracture have high risk for VTE event
Example of NON-URGENT need
facial drooping in a client who had a stroke 8 hours earlier
facial drooping is an expected finding in clients with stroke/CVA
PRIORITIZATION OF PATIENT CARE - SYSTEMIC VS. LOCAL
patient with systemic symptoms will be prioritized over a patient with local symptoms
"life before limb"
Examples of SYSTEMIC symptoms
- fever
- hypotension
- tachypnea
- tachycardia
Examples of LOCAL symptoms
- leg pain
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