TEST BANK For Nursing Leadership, Management, and
Professional Practice for the LPN/LVN, 7th Edition by
Tamara R. Dahlkemper
Explain the following and give their meanings?
Medicare vs. Medicaid - ANSWER:-Medicare: for patients who are over 65 or have a
permanent disability
-Medicaid: for those who have low incomes
Preventative Care - ANSWER:Prevents diseases, focuses on educating pt to
reduce/control risk factors
Ex- Screenings, pursed lip breathing, stress management, immunizations, seat belt
use
Primary Care - ANSWER:Emphasizes health promotion
Ex- Urgent care, office/clinic visits, prenatal care, nutrition counseling, hearing/vision
screenings
Secondary care - ANSWER:Includes dx and tx of acute illness/injury
Ex: Has to go to hospital (med surg, ED)
Tertiary Care - ANSWER:CCU or ICU
Restorative care - ANSWER:Restoring health and promoting self-care
Ex- Rehab centers, home health care, SNFs
Continuing care - ANSWER:Requires continuous care (long term/chronic health care
needs)
Ex- Hospice/palliative care, ALFs, in home respite
Types of Torts - ANSWER:Intentional and unintentional
Intentional tort - ANSWER:Assault: verbal threat
Battery: physically touch pt w/out permission
False imprisonment: Don't allow pt to leave when they a+o
Unintentional tort - ANSWER:**- failure to do something/error
Negligence: a nurse fails to implement safety measures for a client at risk for falls
Malpractice: a nurse administers a large dose of medication due to a calculation
error. The client has a CA and dies
, Informed consent - ANSWER:Nurses just witness
HIPAA - ANSWER:-don't share passwords
-Keep patient information private
-Not a breach of HIPAA to report suspicions of abuse and infectious diseases (this is
mandatory)
Five Rights of Delegation - ANSWER:a) Right Task
b) Right Circumstance
c) Right Person
d) Right Direction/Communication
e) Right Supervision
CANT DELEGATE ANY PART OF THE NURSING PROCESS TO A CNA
Right task - ANSWER:Should I perform this task?
Ex- delegate an AP to assist a pt who has pneumonia to use a bedpan
Right circumstance - ANSWER:Can only delegate nonurgent/recurrent
Ex- delegate an AP to measure the VS of a pt who is postoperative and stable
Right person - ANSWER:Can I delegate this task to this person? Do they have the
skills/knowledge to perform the task?
Ex- delegate a PN to administer enteral feedings to a pt who has a head injury
Right direction/communication - ANSWER:Communicate exactly what you want the
person to do
Ex- delegate an AP to assist Mr. Martin in room 312 with a shower before 0900
Right supervision/evaluation - ANSWER:Pt is still your responsibility, go back and
check to see if task was performed and documented
Examples of what UAP, LPN and RN can do - ANSWER:UAP: bathing
LPN: oral meds/IM
RN: hanging blood, initial assessment
Client interview (assessment) helps w/what? - ANSWER:-Developing nurse to patient
relationship
- Collect subjective data and health hx
Nursing Dx vs Medical Dx - ANSWER:Nursing: "impaired gas exchange"
** stating the problem
Medical: "COPD"
Professional Practice for the LPN/LVN, 7th Edition by
Tamara R. Dahlkemper
Explain the following and give their meanings?
Medicare vs. Medicaid - ANSWER:-Medicare: for patients who are over 65 or have a
permanent disability
-Medicaid: for those who have low incomes
Preventative Care - ANSWER:Prevents diseases, focuses on educating pt to
reduce/control risk factors
Ex- Screenings, pursed lip breathing, stress management, immunizations, seat belt
use
Primary Care - ANSWER:Emphasizes health promotion
Ex- Urgent care, office/clinic visits, prenatal care, nutrition counseling, hearing/vision
screenings
Secondary care - ANSWER:Includes dx and tx of acute illness/injury
Ex: Has to go to hospital (med surg, ED)
Tertiary Care - ANSWER:CCU or ICU
Restorative care - ANSWER:Restoring health and promoting self-care
Ex- Rehab centers, home health care, SNFs
Continuing care - ANSWER:Requires continuous care (long term/chronic health care
needs)
Ex- Hospice/palliative care, ALFs, in home respite
Types of Torts - ANSWER:Intentional and unintentional
Intentional tort - ANSWER:Assault: verbal threat
Battery: physically touch pt w/out permission
False imprisonment: Don't allow pt to leave when they a+o
Unintentional tort - ANSWER:**- failure to do something/error
Negligence: a nurse fails to implement safety measures for a client at risk for falls
Malpractice: a nurse administers a large dose of medication due to a calculation
error. The client has a CA and dies
, Informed consent - ANSWER:Nurses just witness
HIPAA - ANSWER:-don't share passwords
-Keep patient information private
-Not a breach of HIPAA to report suspicions of abuse and infectious diseases (this is
mandatory)
Five Rights of Delegation - ANSWER:a) Right Task
b) Right Circumstance
c) Right Person
d) Right Direction/Communication
e) Right Supervision
CANT DELEGATE ANY PART OF THE NURSING PROCESS TO A CNA
Right task - ANSWER:Should I perform this task?
Ex- delegate an AP to assist a pt who has pneumonia to use a bedpan
Right circumstance - ANSWER:Can only delegate nonurgent/recurrent
Ex- delegate an AP to measure the VS of a pt who is postoperative and stable
Right person - ANSWER:Can I delegate this task to this person? Do they have the
skills/knowledge to perform the task?
Ex- delegate a PN to administer enteral feedings to a pt who has a head injury
Right direction/communication - ANSWER:Communicate exactly what you want the
person to do
Ex- delegate an AP to assist Mr. Martin in room 312 with a shower before 0900
Right supervision/evaluation - ANSWER:Pt is still your responsibility, go back and
check to see if task was performed and documented
Examples of what UAP, LPN and RN can do - ANSWER:UAP: bathing
LPN: oral meds/IM
RN: hanging blood, initial assessment
Client interview (assessment) helps w/what? - ANSWER:-Developing nurse to patient
relationship
- Collect subjective data and health hx
Nursing Dx vs Medical Dx - ANSWER:Nursing: "impaired gas exchange"
** stating the problem
Medical: "COPD"
