VATI RN Leadership and Management 2019 Questions & Answers Updated Solution.

A nurse is caring for a client when they erroneously administer a med- ication 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?: Veracity. Holds that one should tell the truth. 2. 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?: 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. 3. 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?: 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 nonpro- fessional that offer a full range of services, supporting both the client and family through the dying process. 4. 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 follow- ing conflict resolution strategies is the nurse manger implementing?: Col- laboration 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. 5. 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: Request the client sign an AMA form. 1 / 13 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. 2 / 13 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 compli- cations of the clients medical condition. 6. 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 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. 7. 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?: 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. 8. 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?: 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. 9. A nurse is providing teaching for a client about advance directives. Which of the following client statements indicates an understanding of the teach- ing?: My health care proxy will make my health care decisions when I am no longer able. 3 / 13 The client should discuss her health care wishes with the health care proxy while she is able. 10. 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?: 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 unacceptable. If the remaining steps of the progressive disciple process become necessary, the nurse manager will give written reprimand, then a suspension, and finally the nurse manger will terminate the nurse if the behavior does not change. 11. 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?: Observe the clients nonverbal expressions. Body language and nonverbal expressions can assist the nurse to determine the client understanding of the information.