Leadership
A client who has arm contusions and manifests asymmetrical thoracic movement. What
could that mean? - answer A client who has asymmetry of the thorax likely has a
tension pneumothorax and requires immediate intervention for survival.
A nurse manager is planning an in-service for a group of nurses about caring for clients
following stem cell transplants. What would you instruct? - answer Place the clients in
positive-pressure airflow rooms.
A charge nurse is managing conflict with a staff nurse who does not agree with the
client care assignment. Which of the following statements is an example of using the
conflict resolution strategy known as smoothing? - answer "You always complete your
work on time and do a great job. I believe you can handle the assignment well."
-Complimenting or focusing on shared ideas to reduce the emotional component of the
conflict.
When changing or revising a policy you should first do what? - answer Develop the
initial plan
After developing the initial plan in changing a policy then you should do what? - answer
Determine goals and objectives.
A nurse in a community health clinic is caring for four clients who each have a
communicable disease. Which of the following conditions is considered a nationally
notifiable infectious disease? - answer Chlamydia trachomatis
-Is a nationally notifiable infectious disease in all 51 jurisdictions.
What are the 5 rights of delegation the nurse has to hit when delegating a task to an
AP? - answer Provide specific information about the task, expectation, timeframe, and
when to report the information back to the nurse.
-Ex: "Tell me what time the client in room 205 voids for the first time after his catheter is
removed."
How often should the provider check on a client with mechanical restraints on? - answer
The provider should evaluate the client within 1 hour of initiation of the mechanical
restraint
RNs cannot delegate what? - answer RNs cannot delegate the nursing process, client
education, or tasks that require clinical judgment to PNs or AP
What can you delegate to a LPN - answer Monitoring findings (as input to the RN's
ongoing assessment)
Reinforcing client teaching from a standard care plan
Performing tracheostomy care
, Leadership
Suctioning
Checking NG tube patency
Administering enteral feedings
Inserting a urinary catheter
Administering medication (excluding IV medication in some states)
What can you delegate to a AP - answer Activities of daily living (ADLs)
Bathing
Grooming
Dressing
Toileting
Ambulating
Feeding (without
swallowing precautions)
Positioning
Routine tasks
Bed making
Specimen collection
Intake and output
Vital signs (for stable clients
What are the five rights of delegation - answer Right task
Right circumstance
Right person
Right direction and communication
Right supervision and evaluation
Steps in providing educational programs - answer 1. Identify and Respond
2. Analyze
3. Research
4. Plan
5. Implement
6. Evaluate
Novice nurse - answer has no experience with specific patient populations and uses
rules to guide performance.
Advanced beginner - answer A nurse who has had some level of experience with the
situation. This experience may only be observational in nature, but the nurse is able to
identify meaningful aspects or principles of nursing care.
Competent nurse - answer usually been in practice 2-3 years
demonstrate increasing levels of skill and proficiency and clinical judgment
Proficient nurse - answer significant amount of experience.
More holistic
A client who has arm contusions and manifests asymmetrical thoracic movement. What
could that mean? - answer A client who has asymmetry of the thorax likely has a
tension pneumothorax and requires immediate intervention for survival.
A nurse manager is planning an in-service for a group of nurses about caring for clients
following stem cell transplants. What would you instruct? - answer Place the clients in
positive-pressure airflow rooms.
A charge nurse is managing conflict with a staff nurse who does not agree with the
client care assignment. Which of the following statements is an example of using the
conflict resolution strategy known as smoothing? - answer "You always complete your
work on time and do a great job. I believe you can handle the assignment well."
-Complimenting or focusing on shared ideas to reduce the emotional component of the
conflict.
When changing or revising a policy you should first do what? - answer Develop the
initial plan
After developing the initial plan in changing a policy then you should do what? - answer
Determine goals and objectives.
A nurse in a community health clinic is caring for four clients who each have a
communicable disease. Which of the following conditions is considered a nationally
notifiable infectious disease? - answer Chlamydia trachomatis
-Is a nationally notifiable infectious disease in all 51 jurisdictions.
What are the 5 rights of delegation the nurse has to hit when delegating a task to an
AP? - answer Provide specific information about the task, expectation, timeframe, and
when to report the information back to the nurse.
-Ex: "Tell me what time the client in room 205 voids for the first time after his catheter is
removed."
How often should the provider check on a client with mechanical restraints on? - answer
The provider should evaluate the client within 1 hour of initiation of the mechanical
restraint
RNs cannot delegate what? - answer RNs cannot delegate the nursing process, client
education, or tasks that require clinical judgment to PNs or AP
What can you delegate to a LPN - answer Monitoring findings (as input to the RN's
ongoing assessment)
Reinforcing client teaching from a standard care plan
Performing tracheostomy care
, Leadership
Suctioning
Checking NG tube patency
Administering enteral feedings
Inserting a urinary catheter
Administering medication (excluding IV medication in some states)
What can you delegate to a AP - answer Activities of daily living (ADLs)
Bathing
Grooming
Dressing
Toileting
Ambulating
Feeding (without
swallowing precautions)
Positioning
Routine tasks
Bed making
Specimen collection
Intake and output
Vital signs (for stable clients
What are the five rights of delegation - answer Right task
Right circumstance
Right person
Right direction and communication
Right supervision and evaluation
Steps in providing educational programs - answer 1. Identify and Respond
2. Analyze
3. Research
4. Plan
5. Implement
6. Evaluate
Novice nurse - answer has no experience with specific patient populations and uses
rules to guide performance.
Advanced beginner - answer A nurse who has had some level of experience with the
situation. This experience may only be observational in nature, but the nurse is able to
identify meaningful aspects or principles of nursing care.
Competent nurse - answer usually been in practice 2-3 years
demonstrate increasing levels of skill and proficiency and clinical judgment
Proficient nurse - answer significant amount of experience.
More holistic
