VATI- RN Leadership and Management UPDATED 2024/2025

VATI- RN Leadership and Management UPDATED 2024/2025 A nurse manager is anticipating a period when staffing will be especially short. The nurse manager decides to reorganize the delivery of care on the unit until staffing improves by appointing a charge nurse, a mediation nurse, and a treatment nurse. Which of the following delivery systems is the nurse manager using? - CORRECT ANSWER Functional nursing. Also called task nursing, involves the nurse manager breaking dawn the needs of the clients into tasks and assigning the tasks using the skill and licensure of each staff member appropriately and efficiently. This model of nursing is uncommon in acute care settings, except in crisis situations, or when there is a shortage in staffing numbers. A nurse manager suspects that a staff nurse on the night shift has a substance use disorder. Which of the following actions should the nurse manager take? - CORRECT ANSWER Document thoroughly any unusual behavior by the nurse. Collect reports from other employees, client concerns and observations, as well as statements detailing any related incidents that support the nurse managers suspicion that substances use may be involved. The nurse manager can then refer the nurse ot an employee assistance program. A nurse is teaching a group of newly licensed nurses about caring for a client who has clostridium difficile. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER Put on a gown when caring for the client. C. difficile requires contact precautions. A nurse is developing a plan of care for a client who is immobile and at risk for developing a pressure injury. Which of the following interventions should the nurse include in the plan? - CORRECT ANSWER Apply moisturizing lotion to the client’s skin after bathing. A client who has dry and irritated skin is at greater risk for skin breakdown and the development of pressure injury. The nurse minimize dryness by applying moisturizing lotions while the clients skin is moist after bathing. A nurse encounters a client sitting on the floor in the hallway. The client says they slipped on some water on the floor and now their arm hurts. Which of the following actions should the nurse take first? - CORRECT ANSWER Check the client for injuries. Asses the client, for injuries and make sure vital signs are stable. The nurse should also notify the provider of the clients fall and the assessment findings. A nurse in a long term care facility is caring for a group of clients. The nurse should prioritize which of the following clients for an interdisciplinary care conference? - CORRECT ANSWER A client who is 1 week postoperative following a hip fracture. Priority for an interdisciplinary care conference to address physical therapy, occupations therapy, dietary consultation, and social services. A charge nurse is following up on a task delegated to another nurse and discovers an error that could harm the client. Which of the following actions should the charge nurse take? - CORRECT ANSWER Implement interventions to ensure the clients safety. The charge nurse is accountable for supervision follow up, and interventions to safeguarded the client, as well as any corrective actions. After discovering a situation with potential client harm, the charge nurse first action should be those that promote clients safety and correct any harm done. A nurse manager is preparing a nurses performance appraisal. Which of the following actions should the nurse manager take? - CORRECT ANSWER Use a formalized system to discuss important issues. Formalized system to determine the employees level of meeting the objectives for their job. The goal of performance appraisal is to promote growth for the employee and provide recognition for areas of strength along with feedback for areas of concern. 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? - CORRECT ANSWER Zolpidem 5mg PO at bedtime. A nurse is assisting a client who is scheduled to undergo a hysterectomy after signing an informed consent form. The client’s states, "Signing this form makes me nervous." Which of the following responses should the nurse make? - CORRECT ANSWER Would you like to speak with the provider again? When witnessing informed consent, the nurse is responsible for notifying the provider if the client has questions or appears not to understand any of the information about the surgery. A nurse is using the SBAR communication tool for reporting a client’s condition to the provider. Which of the following information should the nurse include in the "S" portion of the tool? - CORRECT ANSWER The client is reporting a pain level of 8 on a scale from 0 to 10.