1
Management of Care (5) Questions
and Answers (100% Correct
Answers) Already Graded A+
A registered nurse (RN) must determine how best to assign co-
workers (another RN and one licensed practical nurse [LPN]) to
© 2026 Assignment
provide care to a group of clients. Which of the following is the
best assignment? Ans: The RN is assigned to care for a
woman with newly diagnosed leukemia who has a newborn at
Guru01 - Stuvia
home.
Expert
Rationale: To determine what may and may not be delegated to
the various co-workers, the RN making the assignment must
take into account several factors: the level of care required by
each client, both immediately and in the future; the
competencies possessed by the co-workers; and the legal
limitations on the practice of those co-workers. Self-
administration of insulin and discharge instructions on
dressing changes and medications require teaching, a
professional responsibility that the RN may not delegate to
anyone except another RN. Although the RN might care for a
client being discharged, the question tells you that an LPN is
available. The RN would be best used to care for the client with
more critical or complicated needs. Assigning an RN to a client
who is being discharged with no medications is, therefore,
incorrect. The client with newly diagnosed leukemia who has a
newborn at home is likely to be in need of the skills of an RN
in terms of both physiological and psychosocial needs, making
this an appropriate assignment.
A man who is visiting his wife in a long-term care facility for
people with Alzheimer's disease collapses and is transported
, 2
to a hospital. The client remains unconscious, and testing
reveals that he has cancer that has metastasized to bone,
brain, and liver. The nursing staff at the wife's care facility
report to the hospital physician that the client has no other
family members and that his wife is mentally incompetent.
What information regarding do-not-resuscitate (DNR) orders
does the nurse remember? Ans: That a DNR order may be
written by a client's physician
Rationale: In a situation in which a client has no family
members who can provide permission for treatment, the
© 2026 Assignment
physician may write a DNR order if he or she is reasonably and
medically certain that resuscitation would be futile. Therefore
the other options are inaccurate.
Guru01 - Stuvia
Expert
A registered nurse (RN) is supervising a nursing assistant
ambulating a client with right-sided weakness. The RN would
conclude that the nursing assistant is performing the
procedure incorrectly after observing that the nursing
assistant: Ans: Stands behind the client
Rationale: When walking with a client, the nurse should stand
on the affected side and grasp the security belt in the
midspine area of the small of the client's back. The nurse
should position the free hand at the shoulder area so that the
client may be pulled toward the nurse in the event that there is
a forward fall. The client is instructed to look up and outward
rather than at his or her feet.
A nurse manager has announced a change to computerized
documentation of nursing care. A licensed practical nurse
(LPN) on the team, resistant to the change, is not taking an
active part in facilitating implementation of the new
procedure. Which of the following strategies would be the best
approach to dealing with the conflict? Ans: Confronting the
LPN and encouraging him to express his feelings regarding the
change
, 3
Rationale: Confrontation is an important strategy in dealing
with resistance. Face-to-face meetings to confront the issue at
hand allow verbalization of feelings, identification of problems
and issues, and development of strategies to solve the
problem. Ignoring the resistance does not address the
problem. Providing a temporary solution to the resistance by
having the registered nurse do all of the computer work and
having the LPN perform only specific documentation will not
specifically address the concern. Telling the LPN that the
noncompliance will be documented in his personnel record
may produce additional resistance.
© 2026 Assignment
A nurse and a nursing assistant enter a client's room to
provide care and find the client lying on the floor. The nurse
Guru01 - Stuvia
should first: Ans: Check the client's level of consciousness
Expert
and vital signs
Rationale: When a client sustains a fall, the nurse must first
assess the client. The nurse should check the client's level of
consciousness and vital signs and look for any bruises or
injuries sustained in the fall. If the nurse determines that the
client has not sustained any injuries and that it is safe to move
the client, the nurse should ask the nursing assistant to assist
in getting the client into bed. The nurse should then contact
the physician and file an incident report.
A nurse is taking a morning break with the unit secretary in
the nurses' lounge. The unit secretary says to the nurse, "I read
in Mr. Gage's medical record that he has gonorrhea." How
should the nurse respond to the secretary? Ans: "We can't
discuss a client's medical condition."
Rationale: A client's medical condition is confidential and
should never be discussed with anyone other than the client
and the client's healthcare provider. Therefore the nurse must
tell the unit secretary that the client's condition is not to be
discussed. The statements "Yes, he does, but be sure not to
, 4
discuss this with anyone else" and "Yes, that's why we've
imposed contact precautions" both confirm the client's disease
and are therefore inappropriate. Responding, "Oh, really? I
didn't see that!" promotes further discussion of the client's
condition and is inappropriate.
A married couple is attending a hospital program about in
vitro fertilization. During the program, a crew from a local
television station arrives to film the proceedings because the
station is publicizing a series on hospital services. The nurse
conducting the program should: Ans: Explain to the
© 2026 Assignment
television crew that videotaping is not allowed
Guru01 - Stuvia
Rationale: Privacy is a client's right to be free from unwanted
Expert
intrusion into his or her private affairs. Videotaping
constitutes an invasion of a client's privacy, and written
permission is required from the client for an action such as
photographing or videotaping. Therefore the nurse must
explain to the television crew that videotaping is not allowed.
The other options are incorrect and constitute invasions of
client privacy.
A nurse on the day shift is assigned to care for four clients.
List the clients in order of priority for nurse. Ans: The correct
order is:
A client with asthma who had shortness of breath during the
night
A client scheduled to have a chest x-ray at 9 am
A client scheduled for an echocardiogram at 10 am
A client with pneumonia who is scheduled for discharge home
Management of Care (5) Questions
and Answers (100% Correct
Answers) Already Graded A+
A registered nurse (RN) must determine how best to assign co-
workers (another RN and one licensed practical nurse [LPN]) to
© 2026 Assignment
provide care to a group of clients. Which of the following is the
best assignment? Ans: The RN is assigned to care for a
woman with newly diagnosed leukemia who has a newborn at
Guru01 - Stuvia
home.
Expert
Rationale: To determine what may and may not be delegated to
the various co-workers, the RN making the assignment must
take into account several factors: the level of care required by
each client, both immediately and in the future; the
competencies possessed by the co-workers; and the legal
limitations on the practice of those co-workers. Self-
administration of insulin and discharge instructions on
dressing changes and medications require teaching, a
professional responsibility that the RN may not delegate to
anyone except another RN. Although the RN might care for a
client being discharged, the question tells you that an LPN is
available. The RN would be best used to care for the client with
more critical or complicated needs. Assigning an RN to a client
who is being discharged with no medications is, therefore,
incorrect. The client with newly diagnosed leukemia who has a
newborn at home is likely to be in need of the skills of an RN
in terms of both physiological and psychosocial needs, making
this an appropriate assignment.
A man who is visiting his wife in a long-term care facility for
people with Alzheimer's disease collapses and is transported
, 2
to a hospital. The client remains unconscious, and testing
reveals that he has cancer that has metastasized to bone,
brain, and liver. The nursing staff at the wife's care facility
report to the hospital physician that the client has no other
family members and that his wife is mentally incompetent.
What information regarding do-not-resuscitate (DNR) orders
does the nurse remember? Ans: That a DNR order may be
written by a client's physician
Rationale: In a situation in which a client has no family
members who can provide permission for treatment, the
© 2026 Assignment
physician may write a DNR order if he or she is reasonably and
medically certain that resuscitation would be futile. Therefore
the other options are inaccurate.
Guru01 - Stuvia
Expert
A registered nurse (RN) is supervising a nursing assistant
ambulating a client with right-sided weakness. The RN would
conclude that the nursing assistant is performing the
procedure incorrectly after observing that the nursing
assistant: Ans: Stands behind the client
Rationale: When walking with a client, the nurse should stand
on the affected side and grasp the security belt in the
midspine area of the small of the client's back. The nurse
should position the free hand at the shoulder area so that the
client may be pulled toward the nurse in the event that there is
a forward fall. The client is instructed to look up and outward
rather than at his or her feet.
A nurse manager has announced a change to computerized
documentation of nursing care. A licensed practical nurse
(LPN) on the team, resistant to the change, is not taking an
active part in facilitating implementation of the new
procedure. Which of the following strategies would be the best
approach to dealing with the conflict? Ans: Confronting the
LPN and encouraging him to express his feelings regarding the
change
, 3
Rationale: Confrontation is an important strategy in dealing
with resistance. Face-to-face meetings to confront the issue at
hand allow verbalization of feelings, identification of problems
and issues, and development of strategies to solve the
problem. Ignoring the resistance does not address the
problem. Providing a temporary solution to the resistance by
having the registered nurse do all of the computer work and
having the LPN perform only specific documentation will not
specifically address the concern. Telling the LPN that the
noncompliance will be documented in his personnel record
may produce additional resistance.
© 2026 Assignment
A nurse and a nursing assistant enter a client's room to
provide care and find the client lying on the floor. The nurse
Guru01 - Stuvia
should first: Ans: Check the client's level of consciousness
Expert
and vital signs
Rationale: When a client sustains a fall, the nurse must first
assess the client. The nurse should check the client's level of
consciousness and vital signs and look for any bruises or
injuries sustained in the fall. If the nurse determines that the
client has not sustained any injuries and that it is safe to move
the client, the nurse should ask the nursing assistant to assist
in getting the client into bed. The nurse should then contact
the physician and file an incident report.
A nurse is taking a morning break with the unit secretary in
the nurses' lounge. The unit secretary says to the nurse, "I read
in Mr. Gage's medical record that he has gonorrhea." How
should the nurse respond to the secretary? Ans: "We can't
discuss a client's medical condition."
Rationale: A client's medical condition is confidential and
should never be discussed with anyone other than the client
and the client's healthcare provider. Therefore the nurse must
tell the unit secretary that the client's condition is not to be
discussed. The statements "Yes, he does, but be sure not to
, 4
discuss this with anyone else" and "Yes, that's why we've
imposed contact precautions" both confirm the client's disease
and are therefore inappropriate. Responding, "Oh, really? I
didn't see that!" promotes further discussion of the client's
condition and is inappropriate.
A married couple is attending a hospital program about in
vitro fertilization. During the program, a crew from a local
television station arrives to film the proceedings because the
station is publicizing a series on hospital services. The nurse
conducting the program should: Ans: Explain to the
© 2026 Assignment
television crew that videotaping is not allowed
Guru01 - Stuvia
Rationale: Privacy is a client's right to be free from unwanted
Expert
intrusion into his or her private affairs. Videotaping
constitutes an invasion of a client's privacy, and written
permission is required from the client for an action such as
photographing or videotaping. Therefore the nurse must
explain to the television crew that videotaping is not allowed.
The other options are incorrect and constitute invasions of
client privacy.
A nurse on the day shift is assigned to care for four clients.
List the clients in order of priority for nurse. Ans: The correct
order is:
A client with asthma who had shortness of breath during the
night
A client scheduled to have a chest x-ray at 9 am
A client scheduled for an echocardiogram at 10 am
A client with pneumonia who is scheduled for discharge home
