Leadership 1 Flashcards Quizlet PDF

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8/2/2021

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Terms in this set (60) A nurse is teaching a client

"This means I have outlined my wishes for

about advance directives.

medication treatment."

Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reviewing a client's

The length of the client's stay

clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist the nurse in evaluating the cost effectiveness of the care?

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A nurse asks a newly hired

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Review the AP's skill competency checklist

assistive personnel (AP) to remove a client's indwelling urinary catheter. Which of the following actions should the nurse take to ensure the AP is qualified to perform this task?

A client is considering having a

Discuss the client's feelings about the procedure.

tubal ligation, and she tells the nurse that she is uncertain if this is the right thing to do. Which of the following is an appropriate response by the nurse?

A facility has been notified of a

Identify stable clients for transfer to a surgical unit

train derailment resulting in multiple clients experiencing life-threatening injuries. The external disaster plan has been activated. Which of the following is an appropriate action of the charge nurse on the PACU?

A charge nurse on a medical-

Placing the client in a room near the nurses' station

surgical unit is planning care for a client who has dementia and is being admitted for surgery. Which of the following would promote safety when caring for this client?

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A home health nurse is making

an office chair with wheels at the client's computer

an initial visit to an older adult

desk

client who has COPD and is receiving oxygen. While

an oxygen tank standing on the floor next to the

assessing the home

client's recliner

environment for safety, which of the following findings

a throw rug over vinyl flooring in the client's

should the nurse recognize as

bathroom

increasing the client's risk for injury?

A nurse is caring for a client

ask the client to explain the procedure being

who is scheduled for

performed

outpatient surgery. Which of the following actions should the nurse take to verify the client gave informed consent?

An 18-year-old client in

The nurse states, "I can gather information about

remission with

palliative care for you."

rhabdomyosarcoma has just been diagnosed with metastasis to the bone. The client says that he does not want to have chemotherapy again. Which of the following statements is consistent with the client's rights?

A nurse in a long-term care

List of current medications

facility is transferring a resident to an acute care facility. Which of the following information should the nurse include in the

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A nurse on a medical-surgical

A client who has peripheral vascular disease and

unit is caring for four clients.

has an absent pulse in the right foot.

The nurse should recognize that which of the following clients is the priority?

A nurse is caring for four

Perform chest compressions on a client who is in

clients. Which of the following

cardiac arrest

tasks can the nurse assign to an assistive personnel (AP)?

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A nurse in a community health

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Chlamydia trachomatis

clinic is caring for four clients who each have a communicable disease. Which of the following conditions is considered a nationally notifiable infectious disease?

A nurse is planning discharge

Advise the client to install grab bars in her

care for a client who has a

bathroom at home

stroke and now has left-sided weakness. Which of the following interventions should the nurse include in the plan of care?

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A charge nurse is delegating

Assign the procedure to a licensed practical nurse

tasks on a nursing unit that is

(LPN)

short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following actions should the charge nurse take?

A nurse from a medical unit is

A client who had a right above-the-knee

asked to work on an

amputation 24 hours ago

orthopedic unit. The medical nurse has no orthopedic experience. Which of the following clients should be assigned to the medical nurse?

A nurse at an urgent care clinic

Report this issue to the nurse manager

notices that a pain assessment is not being performed for all clients as required by policy. Which of the following actions should the nurse take?

A nurse is applying restraints to

Use a quick release tie to secure the restraint

a client who is combative. Which of the following actions should the nurse take?

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A nurse is caring for a client

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Notify the nursing supervisor

who has a potassium level of 3.2 mEq/L. The nurse has been paging the provider for 1 hour to attempt to report the potassium level. Which of the following interventions should the nurse take next?

A nurse is caring for four

An adult client who has had a femur fracture reports

clients. Which of the following

feeling short of breath

assessment findings is the priority?

A charge nurse is observing a

The nurse places the sterile package with the top

nurse perform a sterile

flap opening away from her.

dressing change for a client. Which of the following actions should the charge nurse identify as appropriate sterile technique?

A nurse assumes care of a

Obtain a capillary blood glucose reading

client following change-of-shift report and notes that the client's morning laboratory results have not been received. Which of the following actions should the nurse take?

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A nurse is delegating tasks for

Tell me what time the client in Room 205 voids for

a group of clients to an

the first time after his catheter is removed

assistive personnel (AP). Which of the following statements by the nurse provides the right direction of communication with the AP?

A nurse is planning care for a

Measuring a client's hourly intake and output

group of clients on a medicalsurgical unit. Which of the following tasks should the nurse delegate to an assistive personnel?

A nurse in the emergency

A client who has arm contusions and manifests

department is performing

asymmetrical thoracic movement

triage for a group of clients following a motor vehicle crash. Which of the following clients should the nurse request the provider assess first?

A nurse on quality

Compare data from client's records regarding skin

improvement team is

integrity with established criteria

implementing a plan to decrease the rate of pressure ulcers in a long-term care facility. Which of the following actions should the team take to evaluate the effectiveness of the plan?

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A facility has identified an

Establish best practice guidelines for reducing the

increase in health care-

incidence of UTIs

associated urinary tract infections (UTIs) on the medical-surgical unit. A nurse is participating in quality improvement process to address this problem. Which of the following should be the first step in this process?

The nurse manager is planning

Assign client care to staff

daily work and activities for the unit. Which of the following actions is the nurse manager's priority?

A nurse manager is auditing

Notify the quality improvement team

charts and identifies an increase in ventilatorassociated pneumonia (VAP). Which of the following actions should the nurse manager take?

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An RN delegates the task of

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Recheck the client's blood pressure

obtaining the blood pressure of a client who is 2 hours postoperative following a cholecystectomy to a licensed practical nurse (LPN). The LPN reports a blood pressure that is significantly higher than the client's previous reading. Which of the following actions should the RN take first?

A charge nurse is leading a

Determine goals and objectives

committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next?

A nurse in a mental health

I should request the provider to examine the client

facility is teaching a newly

within 1 hour of applying mechanical restraints

licensed nurse about the use of mechanical restraints. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?

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A nurse on a medical surgical

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Issue an informal verbal reprimand

unit has arrived late to work multiple times over the past

Give the nurse a formal written reprimand

several weeks. The nurse manager is planning to use

Suspend the nurse without pay

progressive discipline to address this problem. Identify

Terminate the nurse's employment

the sequence the nurse should follow.

A nurse walks into the nurses'

Remind the staff members that this is a breach of

station and sees several staff

confidentiality

members looking at the electronic medical record for a celebrity client on another unit. Which actions should the nurse take first?

A nurse is caring for a client

Fidelity

who requests pain medication. The nurse fulfills a promise to return with the medication within 15 min. The nurse is demonstrating which of the following ethical principles?

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A nurse manager observes a

" I would like for you to approach the AP to resolve

newly licensed nurse and an

the problem"

assistive personnel (AP) arguing about the failure of the AP to restock unit supplies. The AP leaves the room. Which of the following is an appropriate statement at this time by the nurse manager to the newly licensed nurse?

A nurse on a medical-surgical

Receiving moderate sedation

unit is caring for a client transferred from another department. The nurse should verify that the client has given informed consent prior to which of the following procedures?

A nurse is caring for a client

SBAR framework

who is experiencing adverse effects after receiving a new medication. Which of the following communication tools should the nurse use for management of this complication?

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A nurse manager is reviewing

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Transported the client to the hallway

the actions a staff nurse took when she observed smoke coming from a wastebasket in a client's room. The nurse manager should verify that the nurse acted appropriately when she performed which of the following actions first?

A nurse manager is presenting

Advocacy

an in-service about preventing readmission of clients due to complications following joint replacement surgery. Which of the following leadership tasks is the nurse performing?

A nurse is providing change-

Miss Graves needs her pain reassessed within the

of-shift report on four clients.

half hour

Which of the following statements would the nurse include in the report?

A charge nurse is supervising

A student nurse is photocopying his assigned

the care of several clients.

client's diagnostic test results.

Which of the following actions requires intervention by the charge nurse?

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A nurse in a mental health unit

Clients on a mental health unit can refuse their

is teaching a newly licensed

medication

nurse about client rights. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A client on a general surgical

Ask the client to verbalize his expectations

unit tells a nurse that staff members are not answering his call light promptly. The client requests to be transferred to another unit. Which of the following actions should the nurse take first?

A charge nurse recognizes a

Explore the reasons that staff are not attending the

trend in poor attendance at

meetings

monthly staff meetings. To address this issue, which of the following actions should the charge nurse take first?

A charge nurse is orienting a

"After I finish with the printout of the assignment, I'll

newly licensed norse to the

put it in the shredder receptacle"

facility's policies regarding electronic medical records. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions?

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A charge nurse is discussing

"i'm not sure whether I want to apply for the unit

issues with a staff nurse. When

manager's position or start a family this year"

evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflict?

A nurse manager confronts a

Set up a formal meeting with the nurse within 24

nurse who has the smell of

hours

alcohol on her breath. After the nurse is sent home, which of the following actions should the nurse manager take?

A nurse notices a frayed cord

Report the pump with the frayed cord to the

attached to an infusion pump in

maintenance department

a clients room. Which of the following actions should the nurse take?

A nurse is caring for a client

Mop the floors with a bleach solution

who has cancer and vomits blood on the bed linens and the floor. Which of the following action should the nurse take to safely clean the environment?

A nurse is reviewing safe use of

Raise the footplates of the wheelchair before

a wheelchair with a group of

transferring the client

assistive personnel. Which of the following should the nurse

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A charge nurse is managing

"You always complete your work on time and do a

conflict with a staff nurse who

great job. I believe you can handle the assignment

does not agree with the client

well."

care assignment. Which of the following statements is an example of using the conflict resolution strategy known as smoothing?

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A nurse is teaching an assistive

"I will call for the client's nurse to come to the room

personnel (AP) about caring

if I cannot detect the client's pulse."

for a client who has a do-notresuscitate (DNR) order. Which of the following statements by the AP indicated an understanding of the teaching?

A RN is working on the surgical

Completing the client's initial admission assessment

unit when a client who has abdominal pain is admitted. Which of the following activities must be performed by the RN?

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