NUR 4120 LEADERSHIP

15 year old 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 client's parents are out of the country. Which of the following actions should the nurse take? Inform the provider to ask the grandparent to provide consent. AP 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)? Collect a urine sample for urinalysis. AP 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 AP's understanding of the teaching? Observe the AP's technique with the lift at random times throughout the day. Advanced lung cancer A nurse is planning for the discharge of a client who has advanced lung cancer. The client's partner tells the nurse that she plans to manage the client's 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? Respite care Assertive communication style 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? "When you come to work late, I am concerned that client care will be jeopardized." Advance directives A nurse is providing teaching for a client about advance directives. Which of the following client statements indicates an understanding of the teaching? "My health care proxy will make my health care decisions when I am no longer able." Approved abbreviations A nurse manager is performing a record audit as part of the unit's quality improvement program. The nurse should identify that which of the following examples demonstrates the correct use of approved abbreviations in a medical record? Zolpidem 5 mg PO at bedtime Against medical advice 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? (Select all that apply.) Request the client sign an AMA form. Notify the provider of client's intent. Advise the client about the dangers of leaving. Audit A nurse manager on a maternal newborn unit is completing a chart audit to determine the percentage of clients over the past 3 months who breastfed their newborns successfully prior to discharge. Which of the following standards is the nurse using to complete this audit? Outcome Active TB 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? Place clients in a negative pressure room. Appendectomy A nurse is caring for a client who is 4 hr postoperative following an appendectomy. While reviewing the client's postoperative prescriptions, the nurse notes a medication dosage greater than twice the expected amount and notifies the provider for clarification. Which of the following ethical principles is the nurse demonstrating? Nonmaleficence Biopsy results 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? (Select all that apply.) Plan an in-service program for the nurses about HIPAA privacy rules. Ask the nurses to stop discussing the client's protected health information. Inform the nurse manager about the confidentiality breach. Cognitively impaired 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? "I will assign the client to a room close to the nurses' station." Client advocacy 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? (Select all that apply.) 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. Client advocacy 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? Contacting a social worker to assist the client with daily meal delivery services Client advocacy A nurse is caring for a client who received pain medication 1 hr 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? Attempt to obtain a prescription for a different analgesic medication. Change of shift report A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse