ATI Leadership Final, question well done 2023/2024

Which of the following behaviors in the workplace should the nurse recognize are consistent with substance use disorder? - answersextended lunch periods and breaks calling in sick frequently on mondays or fridays decrease in concern about personal appearance and grooming excessive use of cologne or mouthwash a school nurse is assessing a child who has multiple bruises to the trunk and extremities. the child reports he fell out of a tree 2 days ago. the nurse's assessment findings show patterns of bruising not typically sustained during a fall from a tree. - answersreport the findings to local police and social service agencies HCP are required to report suspected child abuse. The nurse's primary concern is for the safety of the child. procedures for reporting ill differ in various locations, but procedures involve notification of police and social services personnel who can investigate the situation. A nurse is participating in a continuous quality improvement program. the nurse is reviewing medical records to determine the time of first postoperative ambulation of clients who had abdominal surgery. in which of the following quality audits is the nurse participating? - answersprocess a nurse manager establishes staff nurse committees to address unit issues, institutes an open-door policy for speaking about concerns, and supports the professional development of the staff. which of the following leadership styles is the nurse manager displaying? - answersdemocratic democratic manager encourages the staff to participate in decision making, communicates effectively, offers constructive criticism, and believes in the best in people. A nurse is caring for a client who has a history of severe multiple sclerosis and asks the nurse about competing a living will. which of the following statements should the nurse make? - answersi will provide you with the information you need to complete advanced directives under the patient self-determination act, health care institutions are required to provide educational materials advising clients of their rights to make their personal wishes known regarding treatment. which of the following information should the charge nurse include in the teaching - answersthe nurse should be familiar with the task she plans to delegate a nurse manager is observing the staff working on her unit. which of the following observations should the nurse manager recognize as an example or paternalism? - answersa nurse practitioner withholding information from a client who is dying to avoid causing the client distress paternalism is a type of relationship between clients and health care providers in which the health care providers believe they know what is best for the clients. in this example, the nurse practitioner withholds information so as not to cause the client distress. this practitioner is making the decision for the client and denying the client her right to be informed. a nurse in a provider's office observes a newly licensed nurse taking a client's health history while in the waiting area. which of the following actions should the nurse take? - answersspeak to the nurse immediately in private violating confidentiality and federal HIPAA regulations. a nurse is admitting a client who has active gastrointestinal bleeding. which of the following tasks is appropriate for the nurse to delegate to an assistive personnel (AP)? - answersshow the client how to use the nurse call light should not delegate obtaining initial set of vital signs. nurse should assess client prior to delegating tasks to determine if the client is medically stable. AP can not listen to bowl sounds (not in scope of practice) asking pt if they have allergies is part of admission assessment, no within ap scope of practice a group of nurses on telemetry unit informs a nurse manager that there is a need to update the cardiac monitoring system to improve arrhythmia detection. which of the following responses should the nurse manager make? - answersthis purchase will need to be addressed in the capital budget plan for the unit the capital budget plans for the expenditure of money for equipment and major purchases that have a long life of use. a nurse is caring for a pt with breast cancer and is to have a mastectomy. the client tells the nurse she is concerned about how her partner will react to the procedure. which of the following responses should the nurse make? - answerswould you like me to have a member of a breast cancer support group visit with you nurse should serve as an advocate for this client. a home health care nurse is conducting a home hazard assessment. for which of the following findings should the nurse intervene? - answersthe clients household lamps have 40 watt light bulbs installed the nurse needs to intervene for low wattage light bulbs. inadequate lighting increases the risk for falls and presents a safety hazard for the client. delegates administration of a unit of packed red blood cells - answersdecline to hang the blood the nurse has a legal duty to decline performing tasks that she cannot perform safely and competently. a float nurse from a psychiatric unit whould not be familiar with the current policy regarding blood administration, and this nurse might have limited experience with this procedure. which of the following reported experiences by the client constitutes assault - answersi was threatened with a shot when i refused to take an oral medication i knew would make me groggy he no longer wants to have the surgery - answerslet me call your surgeon while you tell me about your concerns