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(Answered) VATI RN Leadership and Management 2019; answers further explained, an Absolute A grade solution work.

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VATI RN Leadership and Management 2019 A nurse is caring for a client when they erroneously administer a medication dosage that is greater than the amount prescribed. Which of the following ethical principles is the nurse demonstrating when they notify the provider of the medication error? A nurse is performing morning rounds for a client and finds the client's bedtime medication sitting at the bedside in a medication cup. Which of the following actions should the nurse take? A nurse is providing teaching to a client's adult child regarding the clients discharge to home with hospice care. Which of the following statements by the client's adult child indicates an understanding of the teaching? A nurse manager is scheduling a meeting to address a conflict between staff members and a client's family. In the meeting, staff and family members will identify common goals and express their concerns. Which of the following conflict resolution strategies is the nurse manger implementing? A nurse in an acute care facility is caring for a client who is leaving against medical advice (AMA). Which of the following actions should the nurse take? SATA A charge nurse is conducting an in-service on advocacy for a group of newly licensed nurses. Which of the following examples should the charge nurse include in the teaching as a demonstration of client advocacy? SATA A nurse manger is working with a team to resolve an ethical dilemma. Which of the following steps should the team take to make an informed decision? A nurse suspects a client is developing opioid use disorder and reduces the clients dosage of pain medication by 50% without a prescription from the provider. The nurse checks on the client 1hr later and sees the client sitting up in a chair. The client tells the nurse, "I am in too much pain to reach the nurse call button." The nurse is liable for which of the following legal violations? A nurse is providing teaching for a client about advance directives. Which of the following client statements indicates an understanding of the teaching? A nurse manger is providing disciplinary action for a staff nurse who is claiming 1hr of overtime every day for the past month to complete computer documentation. Which of the following actions should the nurse manager take first? A nurse is admitting a client who has heart failure and speaks a different language than the nurse. Which of the following actions should the nurse take when communicating with the client using an interpreter? A nurse manager is considering changing the policy for administering medications to clients on a unit. Which of the following actions should the nurse manager take first? A nurse is developing a plan of care for a client who has chronic kidney disease. The client gives the nurse copies of his advance directives which state that he does not want to begin dialysis. Which of the following actions should the nurse include in the plan? A nurse from an acute pediatric unit who has not cared for adult clients in more than 5 years is assigned to float to a medical surgical unit. Which of the following actions should the nurse take? A nurse is caring for a client who was involved in a motor vehicle crash with his partner. The client asks the nurse about his partner's condition. WHich of the following actions should the nurse take? A nurse manager is meeting with a staff nurse who is consistently late for work. Which of the following statements by the nurse manager demonstrates an assertive communication style? A nurse manager on a maternal newborn unit is completing a chart audit on discharged clients to evaluate the success of breastfeeding education by a lactation consultant. Which of the following types of audits is the nurse manager utilizing? A nurse is receiving change of shift report for a group of clients. Which of the following clients should the nurse assess first? A nurse is teaching a newly licensed nurse about do not resuscitate (DNR) orders. Which of the following information should the nurse include in the teaching? A nurse is performing mass casualty triage of clients following a tornado. Which of the following clients should the nurse identify as a priority for transportation to the acute care facility? A nurse is planning interdisciplinary care for a client experiencing an exacerbation of myasthenia gravis. Which of the following information should the nurse plan to communicate to an occupational therapist? A nurse manager is evaluating staffing needs for a unit, including the nurse for overtime hours. Which of the following actions should the nurse manage implement first? A charge nurse is assigning tasks for a group of clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)? A charge nurse is walking outside on the facility's grounds during break time and overhears two nurses discussing the biopsy results of a client who is on the unit. Which of the following actions should the nurse take? SATA A nurse is caring for a client who received pain medication 1hr ago. The client tells the nurse the medication is not working because they are still experiencing pain. Which of the following actions by the nurse demonstrates client advocacy? A nurse is planning care after receiving report for four clients. Which of the following clients should the nurse plan to assess first? A nurse in an acute care facility is preparing to discharge an older adult client to home. Which of the following actions by the nurse demonstrates client advocacy? A nurse is using the situation, background, assessment, recommendation (SBAR) format to provide hand off report for a client. In which of the following components of the SBAR report should the nurse include information about the clients current vital signs? A nurse is providing care to a group of clients. Which of the following steps should the nurse plan to take to manage time effectively? SATA A nurse is prioritizing care for four clients. Which of the following clients is the nurses priority? A charge nurse in an acute care facility is teaching a newly licensed nurse about caring for an adult client who is cognitively impaired. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A nurse in an emergency department is assessing a adult client from a long term care facility who has a developmental disability. The nurse observes bruises in various stages of healing. The client denies any abuse and tells the nurse not to report the findings. Which of the following actions should the nurse take? A charge nurse is planning an in service for a group of nurses about caring for clients who have active tuberculosis. Which of the following information should the charge nurse include in the in service? A nurse at a long term care facility discovers flames coming from a trash can in the day room. Which of the following actions should the nurse take first? A nurse manager is changing the ratio of registered nurses (RNs) to licensed practical nurses (LPNs) on a unit to decrease costs. Which of the following strategies should the nurse manage implement to reduce resistance from the staff? A nurse manager is planning the staff annual performance appraisals. Which of the following locations should the nurse manager choose to conduct the appraisals? A charge nurse is observing a newly licensed nurse administer a unit of packed RBCs to a client. The charge nurse should identify the nurse has completed the procedure correctly when he completes the steps in which order? A nurse is preparing a client for a surgical procedure to continue the revision of a large burn scar on the left arm. The client tells the nurse that they want to cancel the procedure. Which of the following responses should the nurse make? The nurse should recognize that the client has the right to refuse treatment at any time. A nursing supervisor in an acute care facility has to recommend a client for discharge to make room for a client who was injured during an explosion. Which of the following clients should the nurse recommend for discharge? A nurse is delegating client care on a labor and delivery unit. Which of the following tasks should the nurse delegate to assistive personnel (AP)? A charge nurse is teaching a newly licensed nurse about providing written discharge instructions for a client who is postoperative following an arthroplasty. The charge nurse should identify that which of the following discharge instructions written by the newly licensed nurse indicated understanding of the teaching? A nurse manager calls a staff nurse to come in and work due to staffing shortage on several units. The staff nurse is at home and has influenza. Which of the following actions by the staff nurse demonstrates the ethical principle of nonmaleficence? A nurse manager witnesses an assistive personnel (AP) using incorrect procedure when transferring a client using a mechanical lift. After reinforcing proper procedure, which of the following methods should the nurse manager use to evaluate the APs understanding of the teaching? A nurse is assessing a client who is 4hrs postoperative following an open appendectomy. Which of the following manifestations should indicate to the nurse that the client requires a nasogastric tube with low intermittent suction? A nurse is planning for the discharge of a client who has advanced lung cancer. The clients partner tells the nurse that she plans to manage the clients care at home but she is concerned about leaving the client alone to attend to personal errands. Which of the following services should the nurse suggest? A nurse is planning care for a client who has hemiparesis and dysphagia following a strike. The nurse should collaborate with which of the following members of the interprofessional team to assist the client with managing ADLs? SATA A nurse manager is conducting a disaster preparedness drill and observes nurses applying triage tags to clerical staff who are posing as injured clients. The manager should expect the nurses to apply which of the following tags to a client who has an ankle sprain? A nurse in an emergency department is admitting a 15-year-old client who is accompanied by her grandparent. The client requires an open reduction and internal fixation of several fractures. The nurse confirms that the clients parents are out of the country. Which of the following actions should the nurse take? A nurse manager is anticipating a period when staffing will be especially short. The nurse manager decides to reorganize the delivery of care on the unit until staffing improves by appointing a charge nurse, a mediation nurse, and a treatment nurse. Which of the following delivery systems is the nurse manager using? A nurse manager suspects that a staff nurse on the night shift has a substance use disorder. Which of the following actions should the nurse manager take? A nurse is teaching a group of newly licensed nurses about caring for a client who has clostridium difficile. Which of the following instructions should the nurse include in the teaching? A nurse is developing a plan of care for a client who is immobile and at risk for developing a pressure injury. Which of the following interventions should the nurse include in the plan? A nurse encounters a client sitting on the floor in the hallway. The client says they slipped on some water on the floor and now their arm hurts. Which of the following actions should the nurse take first? A nurse in a long term care facility is caring for a group of clients. The nurse should prioritize which of the following clients for an interdisciplinary care conference? A charge nurse is following up on a task delegated to another nurse and discovers an error that could harm the client. Which of the following actions should the charge nurse take? and correct any harm done. A nurse manager is preparing a nurses performance appraisal. Which of the following actions should the nurse manager take? A nurse manager is performing a record audit as part of the units quality improvement program. The nurse should identify that which of the following examples demonstrates the correct use of approved abbreviations in a medical record? A nurse is assisting a client who is scheduled to undergo a hysterectomy after signing an informed consent form. The clients states, "Signing this form makes me nervous." Which of the following responses should the nurse make? A nurse is using the SBAR communication tool for reporting a clients condition to the provider. Which of the following information should the nurse include in the "S" portion of the tool? A nurse manager is implementing a plan to motivate unit personnel to provide quality care to clients on the unit. Which of the following leadership strategies should the nurse manager implement to improve client care?

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VATI RN Leadership and Management 2019
A nurse is caring for a client when they erroneously administer a medication dosage that is
greater than the amount prescribed. Which of the following ethical principles is the nurse
demonstrating when they notify the provider of the medication error?

*ANS* - Veracity.
Holds that one should tell the truth.

A nurse is performing morning rounds for a client and finds the client's bedtime medication
sitting at the bedside in a medication cup. Which of the following actions should the nurse take?

*ANS* - Document the missed medication administration in the client's medical record.
It is the responsibility of the nurse to record the facts of the missed medication administration in
the clients medical record.

A nurse is providing teaching to a client's adult child regarding the clients discharge to home
with hospice care. Which of the following statements by the client's adult child indicates an
understanding of the teaching?
*ANS* - The hospice team will provide services for the entire family, not just my father.

Hospice services are provided by a team of health care professionals and nonprofessional that
offer a full range of services, supporting both the client and family through the dying process.

A nurse manager is scheduling a meeting to address a conflict between staff members and a
client's family. In the meeting, staff and family members will identify common goals and express
their concerns. Which of the following conflict resolution strategies is the nurse manger
implementing?
*ANS* - Collaboration

Collaboration involves both parties agreeing to work towards a common goal rather than
individual goals to fins a mutually satisfying solution to the conflict. The goal becomes what is
best overall, rather than what each individual wants or thinks is best.

A nurse in an acute care facility is caring for a client who is leaving against medical advice
(AMA). Which of the following actions should the nurse take? SATA
*ANS* - Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.

A signed AMA form can assist with a counterclaim of negligence.
The nurse should immediately notify the provider of the clients intent to leave AMA.
The nurse should discuss the potential dangers of leaving AMA, such as complications of the
clients medical condition.

, A charge nurse is conducting an in-service on advocacy for a group of newly licensed nurses.
Which of the following examples should the charge nurse include in the teaching as a
demonstration of client advocacy? SATA
*ANS* - A nurse reports a procedure was completed incorrectly by another nurse to the charge
nurse.
A nurse arranges for an interpreter for a client who speaks a different language.

The nurse should report improper completion of a procedure to the charge nurse and complete an
incident report describing the incident. Reporting to the charge nurse is an act of client advocacy,
which allows the charge nurse to further monitor the clients condition and prevent negative
outcomes.
Requesting an interpreter for a client who speaks a different language than the nurse. An
interpreter will facilitate understanding of the teaching and allow the client to communicate their
needs to the nurse.

A nurse manger is working with a team to resolve an ethical dilemma. Which of the following
steps should the team take to make an informed decision?
*ANS* - Identify and state the nature of the ethical dilemma.
List actions to take based on a list of alternatives.
Decide to select one alternative.
Communicate the justification for the decision.

A nurse suspects a client is developing opioid use disorder and reduces the clients dosage of pain
medication by 50% without a prescription from the provider. The nurse checks on the client 1hr
later and sees the client sitting up in a chair. The client tells the nurse, "I am in too much pain to
reach the nurse call button." The nurse is liable for which of the following legal violations?
*ANS* - Gross negligence

Gross negligence is an extreme breach of care with an intentional, reckless disregard of
consequences. The nurse's actions were intentional and reckless, in opposition of the provider's
prescription, and placed the client at risk for pain and injury.

A nurse is providing teaching for a client about advance directives. Which of the following client
statements indicates an understanding of the teaching?
*ANS* - My health care proxy will make my health care decisions when I am no longer able.

The client should discuss her health care wishes with the health care proxy while she is able.

A nurse manger is providing disciplinary action for a staff nurse who is claiming 1hr of overtime
every day for the past month to complete computer documentation. Which of the following
actions should the nurse manager take first?
*ANS* - Speak with the nurse regarding the incident.

Evidence based practice indicate the nurse manager should first provide a verbal waring to the
nurse as the initial step of the progressive disciplinary process. This allows the nurse manager to
meet with the nurse privately to address the behavior and explain why this conduct is

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