Leadership Capstone Post Assessment Questions And
Answers
The home health nurse is visiting the home of a client that has been diagnosed with a brain tumor.
The family states that the client has been having more frequent seizures. What nursing care should be
provided? (Found in Adult Med Surg Review Module)
Maintain airway (monitor oxygen levels, administer oxygen as needed, monitor lung sounds).
Monitor neurological status — in particular, assessing for changes in level of consciousness,
neurological deficits, and occurrence of seizures.
Maintain client safety. (Assist with transfers and ambulation, provide assistive devices as
needed.)
Implement seizure precautions.
Administer medications as prescribed
A client's wife calls the charge nurse to the room and states she is very angry with the nursing staff
because her husband is "not receiving adequate nursing care". What problem solving strategies
should the charge nurse use in this situation?
• Conflict Management Strategies: Identify the problem – State it in objective terms, minimizing
emotional overlay.
• Discuss possible solutions – Brainstorming solutions as a group may stimulate new solutions to
old problems. Encourage individuals to "think outside the box. "Analyze identified solutions – The
potential pros and cons of each possible solution should be discussed in an attempt to narrow down the
number of viable solutions. Select a solution – Based on this analysis, select a solution for
implementation. Implement the selected solution – A procedure and timeline for implementation
should accompany the implementation of the selected solution. Evaluate the solution's ability to resolve
the original problem – The outcomes surrounding the new solution should be evaluated according to the
predetermined timeline. The solution should be given adequate time to become established as a new
routine before it is evaluated. If the solution is deemed unsuccessful, the problem-solving process will
need to be reinstituted and the problem discussed again.
Following a motor vehicle accident of a 21-year-old male, the client is pronounced brain dead. The
family states, “We would like to donate his organs and help someone who needs them.” How will the
nurse respond knowing their responsibility regarding organ donation?
The nurse’s role is to answer questions regarding the donation process and for providing
emotional support to families
The nurse knows the following detail is true regarding a client's care when exposed to botulism:
1. Vaccination administration markedly improves symptoms
Answers
The home health nurse is visiting the home of a client that has been diagnosed with a brain tumor.
The family states that the client has been having more frequent seizures. What nursing care should be
provided? (Found in Adult Med Surg Review Module)
Maintain airway (monitor oxygen levels, administer oxygen as needed, monitor lung sounds).
Monitor neurological status — in particular, assessing for changes in level of consciousness,
neurological deficits, and occurrence of seizures.
Maintain client safety. (Assist with transfers and ambulation, provide assistive devices as
needed.)
Implement seizure precautions.
Administer medications as prescribed
A client's wife calls the charge nurse to the room and states she is very angry with the nursing staff
because her husband is "not receiving adequate nursing care". What problem solving strategies
should the charge nurse use in this situation?
• Conflict Management Strategies: Identify the problem – State it in objective terms, minimizing
emotional overlay.
• Discuss possible solutions – Brainstorming solutions as a group may stimulate new solutions to
old problems. Encourage individuals to "think outside the box. "Analyze identified solutions – The
potential pros and cons of each possible solution should be discussed in an attempt to narrow down the
number of viable solutions. Select a solution – Based on this analysis, select a solution for
implementation. Implement the selected solution – A procedure and timeline for implementation
should accompany the implementation of the selected solution. Evaluate the solution's ability to resolve
the original problem – The outcomes surrounding the new solution should be evaluated according to the
predetermined timeline. The solution should be given adequate time to become established as a new
routine before it is evaluated. If the solution is deemed unsuccessful, the problem-solving process will
need to be reinstituted and the problem discussed again.
Following a motor vehicle accident of a 21-year-old male, the client is pronounced brain dead. The
family states, “We would like to donate his organs and help someone who needs them.” How will the
nurse respond knowing their responsibility regarding organ donation?
The nurse’s role is to answer questions regarding the donation process and for providing
emotional support to families
The nurse knows the following detail is true regarding a client's care when exposed to botulism:
1. Vaccination administration markedly improves symptoms