Leadership Proctored Review 2023 with complete solution questions and answers

Professional Responsibilities: Client Advocacy the nurse ensures that the client has the information he needs to make decisions about health care Nurses must act as advocates even when they disagree with clients' decisions. Advocacy is one of the most important roles of the nurse, especially when clients are unable to speak or act for themselves Managing Client Care: Assigning Client Care to a Float Nurse The nurse leader should recognize limitations and use available information and resources to make the best possible decisions at the time. decisions are based on individual client needs, facility policies and job descriptions, state nurse practice acts, and professional standards. Nurses must follow the ANA codes of standards in delegating and assigning tasks Managing Client Care: Resource Management The five major management functions are planning, organizing, staffing, directing, and controlling. Make decisions about the function of the organization, including resources, budget, hiring, and firing The leadership role assumed by a manager that influences and motivates staff to perform assigned roles Managing Client Care: Appropriate Use of Supplies to Control Cost Strategies that promote efficient and competent client care while also producing needed revenues for the continued productivity of the organization Strategies that achieve optimal results in relation to the money spent to achieve those results. Providing clients with needed education to decrease or eliminate future medical costs associated with future complications Coordinating Client Care: Roles and Responsibilities of the Health Care Team one of the primary roles of nursing is the coordination and management of client care in collaboration with the health care team Coordinate the inter-professional team Have a holistic understanding of the client, the client's health care needs, and the health care system. Facility Protocols: Securing Client Valuables The patient will need to remove valuables such as jewelry, dentures, glasses and prosthetics before surgery. The first option for the patient's valuables is to leave them with family while they are in surgery. The other option for the patient's valuables is to have the nurse safely store them before surgery. Professional Responsibilities: Priority Action for a Breach of Electronic Health Information The Privacy Rule of HIPAA requires that nurses protect all written and verbal communication about clients Only health care team members directly responsible for the client's care are allowed access to the client's records Clients have a right to read and obtain a copy of their medical record Respiratory Diagnostic Procedures: Assessing Client's Understanding of Pulmonary Function Tests PFTs measure lung volumes and capacities, diffusion capacity, gas exchange, flow rates, and airway resistance, along with distribution of ventilation If client is smoker, instruct client not to smoke 6 to 8 hr prior to testing If a client uses inhalers, withhold 4 to 6 hr prior to testing. Information Technology: Receiving a Telephone Prescription repeat the medication's name, dosage, time or interval, route, and any other pertinent information back to the provider. have another nurse listen to the telephone prescription as a safety precaution. make sure the provider signs (in person) the prescription within the time frame the facility requires which is usually 24 hours. Facility Protocols: Actions for Reporting Violation of Procedure Should be completed by the person who identifies that an unexpected event has occurred. (This might not be the individual most directly involved in the incident.) Should be completed as soon as possible and within 24 hr of the incident. Considered confidential and are not shared with the client. (Nor is it acknowledged to the client that one was completed. Managing Client Care: Identifying a Quality Improvement Task The quality improvement process begins with identification of standards and outcome indicators based on evidence Outcome (clinical) indicators reflect desired client outcomes related to the standard under review. Structure indicators reflect the setting in which care is provided and the available human and material resources Coordinating Client Care: Assessing Potential Need for Referral Specialized equipment (cane, walker, wheelchair, grab bars in bathroom) Specialized therapists (physical, occupational, speech) Care providers (home health nurse, hospice nurse, home health aide) Facility Protocols: Situations Requiring Report incident reports are records of unexpected or unusual incidents that affected a client, employee, volunteer, or visitor in a health care facility. Examples when an incident report should be filed ~Medication errors ~Procedure/treatment errors ~Equipment-related injuries/errors ~Needlestick injuries ~Client falls/injuries ~Visitor/volunteer injuries ~Threat made to client or staff ~Loss of property (dentures, jewelry, personal wheelchair)Nurses Facility Protocols: Caring for a Client Who Has Been Exposed to Anthrax Take measures to protect self and avoid contact. Try to contain the material in one place prior to the arrival of the hazardous materials team Decontaminate affected individuals as much as possible at or as close as possible to the scene Tuberculosis: Discharge Teaching With a Client Airborne precautions are not needed in the home setting because family members have already been exposed. Exposed family members should be tested for TB. Educate the client and family to continue medication therapy for its full duration of 6 to 12 months, even up to 2 years for multidrug‑resistant TB. Emphasize that failure to take the medications can lead to a resistant strain of TB Maintaining a Safe Environment: Prioritizing Client Tasks Complete a fall risk assessment on the client upon admission and at regular intervals. Be sure the client knows how to use the call light, that it is in reach, and encourage its use. Maintain the bed in low position.