Reviews and Rationales Chapter 1 – Creating a culture of care

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Reviews and Rationales Chapter 1 – Creating a culture of care 1. A staff nurse plans to interview for the position of Pediatric Nurse Manager. In self-reflection, the nurse concludes which emergent workforce attributes are pertinent for this position? Select all the apply. a. Democratic orientation b. Type A personality c. Commitment d. Stoicism e. Charisma 2. After a nurse manager notes leadership characteristics in one of the charge nurses, the nurse manager provides the charge nurse with guidance and leadership development courses. This nurse manager is using which concepts to improve the workforce? Select all that apply. a. Charisma b. Development c. Mentorship d. Improvement e. Fairness 3. The vision statement of a healthcare system is: “Provide quality, cost effective care to clients in our region.” The nurse manager best demonstrates this vision statement by: a. Instituting a cost-center checklist containing the units direct care costs to assist charge nurses b. Instituting care maps for clients with diabetes c. Purchasing fewer personal items and eliminating office supplies. d. Providing a series of in-services dedicated to cost containment

Transcript of Reviews and Rationales Chapter 1 – Creating a culture of care

Reviews and Rationales

Chapter 1 – Creating a culture of care

1. A staff nurse plans to interview for the position of Pediatric Nurse Manager. In self-reflection, the nurse concludes which emergent workforce attributes are pertinent for this position? Select all the apply.

a. Democratic orientation b. Type A personalityc. Commitmentd. Stoicisme. Charisma

2. After a nurse manager notes leadership characteristics in one of the charge nurses, the nurse manager provides the charge nurse with guidance and leadership development courses. This nurse manager is using which concepts to improve the workforce? Select all that apply.

a. Charismab. Developmentc. Mentorshipd. Improvemente. Fairness

3. The vision statement of a healthcare system is: “Provide quality, cost effective care to clients in our region.” The nurse manager best demonstrates this vision statement by:

a. Instituting a cost-center checklist containing the units direct care costs to assist charge nurses

b. Instituting care maps for clients with diabetesc. Purchasing fewer personal items and eliminating office

supplies. d. Providing a series of in-services dedicated to cost

containment

4. A nurse leader has the authority to assign beds on all the units, transfer clients, and respond to “codes”. This nurse leader functions in which roles?

a. Unit managerb. Supervisorc. Chief operating officerd. Charge nurse

5. A nurse manager plans quarterly in services to enhance clinical competence of the staff. The nurse would report theoutcomes of these in services to which of the four councils that set policies for shared governance?

a. Nursing practiceb. Quality improvementc. Education d. Management

6. The culture of a healthcare organization is changing. Nursesare now allowed to self-schedule, and administrators seek input rom the staff on major decisions. A nurse who has beeninterviewed for a nursing position in this organization concludes that there has been a shift to which type of managerial model?

a. Shared governanceb. Empowermentc. Compassionate leadershipd. Workforce support

7. A nurse leader observes a staff nurse as an articulate public speaker. The nurse leader asks the nurse to prepare in services on a new program and present the information to the staff. By this action the nurse leader demonstrates:

a. Shared governance b. Compassionate leadershipc. Empowerment d. Charismatic leadership

8. A nurse leader evaluates a CNA and notes positive qualitiesin the CNA. The nurse leader encourages the CNA to pursue a nursing degree. A RN on the unit who observes this interaction concludes that the leader is using which behavior to empower the CNA?

a. Motivation b. Communication c. Charismad. Partnership

9. A nurse manager rewards a staff nurse for creating teaching boards for parents. The nurse considers that this managers actions demonstrate which type of leadership?

a. Compassionate b. Empathetic c. Charismaticd. Influential

10. A nurse has difficulty scanning the clients ID band prior to administering medications. Frustrated, the nurse scans a sticker with a clients account number, name, and date of birth obtained from the face sheet of the clients chart. A nurse coworker notes that which element of medication safety has been compromised by the nurse?

a. Right timeb. Right dosec. Right person d. Right documentation

11. A hospital uses a scan system to ID clients prior to administering medications. Nurses are frustruated because the new system in adding time to med administration. Instead

of scanning the clients ID bracelet, the RN scans the clients ID sticker found in the chart. Subsequently, the RN admins the wrong med to the client. The nurse manager concludes this error was possibly caused by which of the following? Select all that apply.

a. Inefficient systemsb. Inadequate processesc. Inept conditions d. Improperly labeled medse. Transcriber oversight

12. A RN is a unit rep to a hospital committee that review med errors. One error under current review occurred on a medunit that is poorly staffed, requiring each RN be assigned to 8 clients. The RN anticipates that this med error most likely occurred because of which of the following?

a. Faulty systemsb. Unit specific conditionsc. Failure in processd. Pharmacy errors

13. During an investigation of a med error made by an RN using the new med admin system, the RN states, “I wasn’t comfortable using the new system.” The nurse manager should plan to prevent this type of med error by doing which of thefollowing?

a. Verifying all nurses are licensedb. Encouraging all nurses to become certifiedc. Providing professional training for new equipmentd. Collaborating across health disciplines

14. A RN working in a nursing home on the 1900-0700 shift observes a person outside lurking behind the trees. Which action should the nurse take to prevent workplace violence?

a. Take shifts guarding doorsb. Call local police immediately

c. Report the suspicious behavior to the on call administrator

d. Keep all doors locked at all times15. Which strategies should the CNO utilize to create a

culture of evidence based practice? Select alla. Provide in service defining evidence based practice b. Delegate this task to the unit managersc. Seek changes in policies to reflect clinical researchd. Include evidenced based practice in the strategic plan e. Seek buy in from unit managers and coordinators

16. A nurse leader notes that the average length of hospital stay for clients ith DM is hight than for non DM pts. In investigating the reasons for this discrepancy, the nurse leader should first plan to review which of the following?

a. Current policies and proceduresb. Specific outcome indicatorsc. Evidenced based researchd. Current clinical practice

17. A nurse is preparing to lift a client who has right hemiplegia, Which measures should the RN take to prevent injuries? Select all that apply

a. Apply a back supportb. Use a lifting device such as a Hoyer liftc. Keep knees straightd. Use a partnere. Keep feet together

18. The RN has been chosen to be the unit rep to a hospitalcommittee focusing on quality and effectiveness of care. TheRN plans to gather data about which client care outcome indicators as part of the work of the committee? Select all that apply.

a. Infection ratesb. Med admin

c. Support systemsd. Diagnosise. Length of hospital stay

19. The nurse manager reviews the units policy and procedure for central line dressing changes. In determining the need for revisions, the manager should consider which ofthe following priority areas?

a. The development of practice guidelines b. Joint commission guidelines c. Most current clinical researchd. Clinical indicators of care

20. When interviewing for a position on a hospital nursing unit, the nurse learns that members of the nursing staff areallowed to develop and deliver in services and participate on hospital committees. The nurse concludes that this nursing unit utilizes which of the following models?

a. Nurse manager decision making modelb. Decision making model c. Client accountability model d. Shared governance model

Chapter 2 – Leading and Managing for a Safe and Effective Care Environment

1. A nurse leader persuades other staff nurses to buy intothe agencys vision, mission, and special projects and to embracechange. The RN working with this leader concludes that thesecharacteristics are consistent with those expected of a:

a. Case managerb. COOc. Nurse managerd. CFO

2. Which of the following strategies would the nurse leader select as having the greatest likelihood of being effective when empowering staff nurses participation in clinical decision making? Select all that apply

a. Implement decentralized unit based programs or team organization structures for decision making

b. Allow organization or system wide committees and communication structures that include staff nurse representation

c. Utilize review systems for nursing analysis and correction of clinical care erors and client safety concerns

d. Create additional team leaders among nurses and nursingassistants to report to the nurse manager weekly

e. Create staff forums that allow members to vent their frustrations about the facility

3. The nurse striving to be a leader would focus on continued development of which of the following characteristics? Select all that apply

a. Compassion b. Loyaltyc. Employee drivend. Mission driven e. Process oriented

4. A RN who is self analyzing personal leadership characteristics would correctly conclude that the presence of which characteristics are consistent with those of an effective nurse leader? Select all that apply.

a. Power and influence on othersb. Reluctance to change without substantial evidence of

needc. Ability to motivate othersd. Avoidance of changing the behavior of otherse. Consistent actions and beliefs

5. A RN leader openly shares clinical expertise with staff nurses and provides learning opportunities for these RNs. The staff nurse concludes that his nurse leader is using which strategy to improve staff members?

a. Personal attention b. Role modelingc. Preceptingd. Mentoring

6. An interim nurse manager has been given authority to schedule the work of employees and reprimand staff s needed.The nurse manager is aware that the type of leadership that results from this situation is which of the following?

a. Formal b. Informalc. Compassionate d. Shared

7. A nurse leader seeks to gain respect of the staff by providing rewards and supporting each staff members personalgoals. Which of the following rationales is the nurse leaderlikely using to support these actions?

a. A good leader must gain the respect of othersb. A leader should use the country club approach of

leadershipc. A leader should be able to identity with the simple

individual d. Socialization will boost support from the staff

8. A nurse leader would draw on which management skill set to identify goals that must be accomplished and encourage staffto apply for positions suited to their work ability?

a. Planning and setting directionb. Organizing and aligning people

c. Getting others to believe in the messaged. Controlling

9. A nurse leader has been appointed as the manager of the quality improvement department by the COO. In thinking aboutthe skills needed to fulfill the responsibilities of this position, the nurse leader first considers that the type of leadership associated with this position is:

a. Informalb. Formalc. Charismaticd. Compassion

10. A nurse leader needs to restructure the units of an acute care medical center as determined by executive level management. In considering how to design the restructuring, the nurse leader should base the restructure on which of thefollowing primary goals?

a. Focusing on nurse safetyb. Rewarding successc. Improving client care outcomesd. Revising inadequate policies and procedures

11. A nurse has been employed by a healthcare facility for 20 years. The nurse is knowledgeable, has excellent ideas, and actively participates in meetings. The nurse manager submits the nurse’s name for an agency award to reward whichtype of leadership exemplified by the nurse?

a. Informal b. Formalc. Charismatic

d. Compassionate12. A nurse manager delegates some tasks to the charge

nurse, such as assisting with the development of the schedule, evaluations, employment, and termination of staff.The charge nurse is promoted to nurse manager of a surgical unit. The new nurse manager is aware that which type of leadership is inherent in the new position?

a. Informal b. Formalc. Compassionated. Charismatic

13. A nurse leader reinforces the healthcare agency’s vision of client centered care. The manager supports the clinical environment by doing which of the following? Selectall

a. Putting the nurses needs firstb. Putting clients needs firstc. Enhancing quality cared. Focusing on early client dischargee. Focusing on safety

14. A staff nurse mentors new nurses and provides advice and guidance for staff. The nurse accepts voluntary tasks and jobs. The nurse manager identifies that this nurse uses which form of leadership?

a. Formal b. Informal c. Democraticd. Laissez-faire

15. The new nurse manager plans to engage in which of the following actions as part of the role expectations of this new position

a. Plan, organize, superviseb. Delegate and coordinate daily unit tasksc. Restructure the organization

d. Critique the mission of the organization16. A nurse manager assists other staff to support the

agency’s client centered vision by installing a client conference room The manager demonstrates which function of the management process?

a. Planning and setting direction b. Organizing and aligning peoplec. Getting others to believe the messaged. Controlling

17. A charge nurse often provides guidance to the staff and helps with problem solving as challenges arise. The charge nurse uses which strategy to develop staff members?

a. Personal attention b. Role modeling c. Preceptingd. Mentoring

18. A nurse manager who is confident, committed, and ambitious is implementing which managerial theory as a guideto personal leadership style?

a. Behavioral theory b. Trait theory c. Contemporary theory d. Contingency theory

19. A nurse leader analyzes data on the number of UTI’s in clients on a med unit. This leader uses which function of management?

a. Planning and setting direction b. Organizing and aligning peoplec. Getting others to believe in the messaged. Controlling

20. RNs on a clinical nursing units are frustrated with thenumber of client falls on the unit during the last 3 months and a plan needs to be developed to reduce the units fall rate. The staff have voiced a number of ideas on how to

accomplish this. Which situational leadership style would bebest for the nurse leader to use in this situation to support staff in meeting this goal?

a. Telling/directing styleb. Selling/coaching stylec. Participating/supporting styled. Delegating and monitoring style

Chapter 3 – Ethics1. A nurse is newly assigned to the care of a client who has

not been involved in the plan of care and instead, decisionshave been made for the client. The nurse is concerned that which principle is of greatest concern in this clients situation?

a. Maleficenceb. Deontologyc. Autonomyd. Beneficence

2. A nurse manager observes a staff nurse access a client’s financial records. When asked about this behavior, the nurseresponded, “As a nurse, I have a right to know the clients financial status.” What is the best response of the nurse manager?

a. “You are not planning for this clients discharge.”b. “This is a breach in the clients confidentiality.”c. “What is your purpose in accessing the financial

record?”d. While partial access is necessary, access to the

clients financial record is not necessary.”3. A 15-year old teenager confides in a nurse that she is ready

to engage in sexual activity with her boyfriend. How should the nurse respond?

a. “Unfortunately, Ill have to tell your mother about this.”

b. “We can make an appointment with a gynecologist.”

c. “How do you plan to pay for your doctors visit?”d. “Have you had any conversations with your parents about

this?”4. A client scheduled for cardiac cath in two hours requests

more info about the risks and benefits of the procedure. Thenurse calls the cardiologist who demands that the nurse provide the client with the information and tell the client to sign consent. What is the nurses best response?

a. “This is inappropriate; this client deserves this information from you.”

b. “Informed consent is the physicians responsibility. When are you coming in?”

c. “I will refer this case to the medical director for further input and guidance.”

d. “My legal role in informed consent is to act as a witness, not to provide information about the procedureand its risks and benefits.”

5. State boards of nursing protect the public from incompetent nurses. The safety of the public is secured by which of the following? Select all that apply

a. National licensure examb. Practice regulationc. Definition of practice by each state. d. Differentiated educatione. Continuing education credits.

6. A client who is scheduled for surgery has signes the consent. The client is in the preop area of the OR and tellsthe nurse that he has decided to not have the surgery. What is the best response by the nurse?

a. “You have signed consent, you must have surgery.”b. “You have the right to refuse the surgical procedure.”c. “You may refuse the surgical procedure. Can you share

your concerns with me?”

d. “Ill have the surgeon speak to you at once.”7. A client who is about to receive preop meds before surgery

expresses doubts about the surgery and tells the nurse she is thinking about not having surgery. In considering what reply to make to the client, the nurse determines that whichnursing role is of highest priority at this time?

a. Advocateb. Care managec. Direct caregiverd. Educator

8. A nursing assistant asks the nurse, “Why is a national exam required to get a license as a nurse?” What is the nurses best response?

a. “The exam identifies whether nurses are safe or unsafe to practice.”

b. “The exam tests the physical skills that nurses must have to practice.”

c. “The exam helps the state boards of nursing track the success of their nursing programs.”

d. “The exam filters out weak nursing students just beforethey graduate.”

9. A nurse wonders about the morality of an individual who had an abortion. What should the nurse recall about morals? Select all that apply.

a. Morals are influenced by environmental factorsb. Morals are unchanging, private, and personal. c. Morals are principles of right conduct. d. Morals are applied to daily life circumstances. e. Morals require deep religious connections.

10. The CEO decides to provide the health maintenance organization services to employees to provide follow up carefor chronic conditions. Approximately 70% of the employees have some form of chronic conditions that require follow up medical services. However, employees who do not have chronic

illnesses do not benefit from this service and must continueto pay for all preventative care. A nurse employee concludesthat which ethical theory most likely guided the CEO’s decision?

a. Deontologyb. Utilitarianismc. Justiced. Beneficence

11. A nurse responds to a combative client by hitting the client on the legs. The nurse manager bases disciplinary actions solely on the nurses response to the client. The CNOwho is reviewing the case concludes that the nurse manager used which ethical principle to discipline the nurse

a. Deontologyb. Utilitarianismc. Justiced. Beneficence

12. A client who is terminally ill with cancer has a choiceof 3 tx options. The healthcare provider decides the client will benefit from one option and leaves the client out of the decision-making process. The staff nurse on the unit considers whether to contact the ethics committee after concluding that the healthcare provider has breached which ethical principle?

a. Beneficenceb. Nonmaleficencec. Justiced. Autonomy

13. The clinical rule for a nursing school is that studentswho arrive late to clinical must fuction in a nursing assistant role for the day. An instructor upholds the rule for student A, but does not uphold the rule for student B.

Student B concludes that the instructor has breached which ethical principle?

a. Justiceb. Deontologyc. Utilitarianismd. Fidelity

14. A client who has right hemiparesis calls for assistanceto go to the bathroom. The nurse who answers the call bell completes a few additional tasks on the way to the client’s room. The client becomes impatient, attempts to go to the bathroom, and falls. Upon learning of this incident, the nurse manager uses which statement to discuss the appropriate ethical principle with the nurse?

a. “This incident directly challenges your veracity with clients”

b. “This incident indicates that you have a lack of respect for your clients.”

c. “This incident exemplifies that you have failed to act in a manner consistent with beneficence to the client.”

d. This incident shows that you have little regard towardsfidelity to your client.”

15. A nurse seeking to huphold which ethical principle would allow a client who has residual deficits form a stroketo complete as much of the bath as possible while remaining at the bedside to provide assistance when needed?

a. Justiceb. Veracityc. Autonomyd. Fidelity

16. In a healthcare system, the average length of stay for clients who have Medicaid is two days shorter than clients

with private insurance. This issue has been referred to the ethics committee of the hospital. A nurse representative on this committee makes which statement to identify the best ethical principle that might be applied to this case?

a. “This practice is not treating some clients well, so what we are dealing with in this case is an issue of beneficence.”

b. “Some clients were not aware that other clients were able to remain in the hospital longer, so we are faced with an issue of veracity.”

c. “We are supposed to be acting in the best interests of our clients and so therefore the clearest issue is a breach of fidelity.”

d. “Some clients are being treated differently from othersand therefore this case is clearly about the issue of justice.”

17. It is discovered that a healthcare provider has been adding charges to clients bills for services that were neverrendered. When this matter is referred to the hospital ethics committee, the nurse representative considers that which ethical principles may be at issue in this case? Select all that apply.

a. Justiceb. Beneficence c. Veracityd. Fidelitye. Nonmaleficence

18. A nurse leader uses education and socialization to guide leadership decisions. This nurse leader has made a choice to be guided by which of the following in the decision making process?

a. Cultureb. Valuesc. Purpose

d. Preference

19. A nurse is time-oriented and persistent in getting tasks done. The nurse manage notes these qualities in the employee and recognizes that these characteristics emerge from the nurse’s: (Select all that apply)

a. Cultureb. Family groupc. Academic preparation d. Occupatione. Spirituality

20. A nurse seeking to maintain ethical personal behavior would gocus on doing which of the following in clinical practice? Select all that apply.

a. Use standard methods of practiceb. Use ethical principlesc. Evaluate personal morals d. Refer ethical decisions to the appropriate committeee. Familiarize oneself with ANA code of ethics

Chapter 4 Safety First: Legal Rights and Responsibilities 1. The nursing unit education explains to a group of new nurse

orientees that the nursing shortage has impacted medical cases in which of the following ways in society?

a. It has led to an increase in medical errors due to understaffing

b. It has reduced autonomy and independence of individual nurses

c. It has raised to a new level the need for delegation tounlicensed personnel

d. It has ed to refined narrow definitions of liability

2. Which of the following is the best measure for the professional nurse to use in redcing personal liability for malpractice litigation?

a. Offer an expression of regret to the client when you make an error

b. Maintain a clear and open line of communication with each client

c. Adhere to professional national standards of cared. Develop policies to ensure adequate client assessment

3. After an incident occurred that involved the use of a medical device and the incident resulted in serious injury to a client, the nurse manager explains to staff that the report will forwarded to which federal agency?

a. FDAb. CDCc. CMMSd. NIH

4. On admission to the hospital a client gives the nurse a document naming an individual to make choices in the case ofthe client becoming incapacitated. The document also includes the client end of life wishes. The nurse communicates during intershift report that the client has a copy of which document in the medical record?

a. Living willb. Durable POAc. Last will and testamentd. DNR

5. An nurse accidentally admins an OD of a med that subsequently leads to the clients death. The RN understands that this is a sentinel event that ay have financial consequences under which of the following types of laws?

a. Constitutional lawb. Administrative lawc. Civil lawd. Statutory law

6. A nurse wrongfully administers a large dose of insulin via IVP route, which causes complications for the client and an extended hospital stay. The nurse anticipates that the client may file which of the following claims against the nurse to cover the additional expenses incurred?

a. Intentional tortb. Breach of dutyc. Tortd. Respondeat superior

7. A nurse manager lives in a state that does not allow LPN to admin IVP meds. A charge nurse give in to time pressures andallows two LPN’s to give IVP meds. The nurse manager is aware that which agency will take action after being notified of this incident?

a. ANAb. National league for nursing (NLN)c. Joint commission d. State board of nursing

8. The state board of nursing disciplines a nurse with a publicreprimand. How should the nurse interpret this disciplinary action?

a. The nurse does not have an infraction against his or her nursing license

b. The nurse is not allowed to practice in the state the incident occurred

c. The nurse must practice only in public hospitalsd. The nurse may practice, but has an infraction against

his or her nursing license

9. A nurse smells alcohol on the breath of a nurse coworker. The nurses behavior is consistent with intoxication. The nurse witnessing the coworkers behavior reports this to the nursing supervisor, understanding that this incident may be reported to which organization?

a. ANAb. State board of nursingc. American nurses credentialing centerd. National league for nursing

10. A nurse uses a new intravenous pump for the first time.The client receives too much IV fluid and develops heart failure. The nurse manager concludes that which type of law benefits the client in this case?

a. Constitutional lawb. Administrative lawc. Statutory lawd. Tort

11. A newly licensed nurse is explaining to a potential applicant to nursing school how nursing practice is regulated. The nurse identifies which of the following as a state statute that constitutes statutory law>

a. Nurse practice actb. State board of nursingc. Good Samaritan lawd. Active labor act

12. A nurse does not use a moist heating pad correctly and a client with diabetic neuropathy of the legs suppers a burninjury. The nurse contacts the professional insurance carrier, fearful of which type of legal consequence to this level of care>

a. Respondeat superiorb. Defamation c. Wrongful injury

d. Malpractice 13. A college student who is contemplating transferring

into the nursing major asks a neighbor, who is a nurse aboutthe NCLEX. The nurse explains that this test is the Nationalcouncil licensing exam which is designed to ensure which of the following?

a. Nurses are competent to function in critical care unitsb. Nurses function at an expert levelc. Nurses are competent in providing safe cared. Baccalaureate nurses are able to practice at an

advanced level

14. A nurse is caught stealing narcs. The nurse manager reports this incident to which of the regulating bodies?

a. State board of nursingb. ANAc. National league of nursingd. Department of health and environmental control

15. A RN wrongfully admins K via IVP, and the pt experiences cardiac arrest and cannot be resuscitated. The nurse manager counsels the nurse that which types of law arelikely to be applied to this case? Select all that apply

a. Criminal lawb. Statutory lawc. Civil lawd. Common lawe. Administrative law

16. A nurse completes an application for renewal of the nurse licensure but accidentally does not mail it out. Whichagency should the nurse contact when the nurse finds the unmailed application after the license expiration date has passed?

a. ANAb. National league for nursing (NLN)c. American nurses credentialing center (ANCC)d. State board of nursing (BON)

17. During a severe hurricane, accusations surface around healthcare providers who allegedly euthanized clients to make better use of limited resources. A RN working in a facility that is target of this accusation considers that these accusations could fall under: select all

a. Common lawb. Intentional lawc. Statutory lawd. Administrative lawe. Criminal law

18. A nurse inserted a catheter without properly cleaning the clients perineal area according to agency policy and thedirections on the prepackaged kit. Subsequently, the client developed urosepsis and died. The nurse understands that, ina court of law, these actions could be considered grounds for which of the following most specific charges?

a. Negligence b. A tortc. Criminal action d. Respondeat superior

19. A RN uses a new IV pump for the first time. The client receives too much IV flied and develops heart failure. Then ruse is aware that which type of negligence is involved in this case?

a. Standardsb. Equipmentc. Communicationd. Documentation

20. A state board of nursing mandates that LPN are not permitted to draw blood from central lines. The nurse recognizes that this regulation is based on which type of law?

a. Constitutional lawb. Statutory lawc. Common lawd. Standard law

Purple book questions

Pg 40 #6: The day surgery admission nurse is obtaining operativepermits for clients having surgery. Which client should the nursequestion signing the consent form?

a. the 84 year old client diagnosed with COPDb. the 16 year old married client who is diagnosed with

ectopic pregnancyc. The 50 year old who admits to being a recovering

alcoholicd. The 39 year old diagnosed with paranoid schizophrenia

pg 68 #10 Which data would warrant immediate intervention from the pediatric nurse?

a. proteinuria for the child diagnosed with nephrotic syndrome

b. petechiae for the child diagnosed with leukemiac. drooling for a child diagnosed with epiglottitisd. elevated temp in a child diagnosed with otitis media

pg 213 #12 The newly hired nurse manager has identified that whenever a particular UAP is unhappy with an assignment, the entire unit has a bad day. Which action should the unit manager take to correct this problem?

a. meet with the uap to see why the UAP is unhappy

b. discuss the UAP’s attitude and the way it affects the unit

c. place the UAP on a counseling record for the behaviord. suspend the UAP until the behavior improves

pg 213 #13 The healthc are facility where then urse works uses email to notify the staff of in services and mandatory requirements. Which is important information for the nurse manager to remember when utilizing email to disseminate information?

a. give as much information as possible in each emailb. use email for all communications with the staffc. use capital letters to get a point across with emphasisd. make the email notices quick and easy to read

Bonus********************This was on my test*******************

If dr needs to speak with roommate what can nurse do with other pt—take pt for a walk it can help while dr speak to roommate

Controlling and leading –job of a nurse manager

Calcium and twitching –don’t remember ques but this was answer

Student nurse cant have pt sign permit

A german speaking pt can legally sign permit

A married 16 year can also

Code blue – authoritarian leadership

Ad-Hoc committee – democratic leadership

Laissez-faire – disperses decision making throughout with little/no direction

Transformational – focusus on vision and empowerment

Joint commission – hospital accrediting body