Leadership Practice 2019 A

21 August 2022
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60 test answers

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A nurse is caring for a pt who is comatose...
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Review the client's request with the family
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A nurse is developing a plan of care for a school-aged child whose family is homeless...
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The child has red fissures at the corners of the mouth
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A nurse manager needs to address an increased rate of client medication errors...
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Inform the staff of the penalties that can result from medication errors
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A charge nurse is leading a committee that is revising the policy for client discharge...
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Determine goals and objectives
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A nurse is caring for a client who is terminally ill and receiving nutritional support...
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Assist in weighing the options involved in the decision
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A nurse receives notification of a fire on the unit...
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Assist clients who are in immediate danger to a safe location
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A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hr...
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Obtain the client's serum potassium level
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A nurse is conducting an orientation class for new clients and their families at a long-term facility...
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The right to be treated with respect and dignity The right to refuse their medication The right to leave regardless of provider recommendations The right to be fully informed of their health conditions
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A nurse in an emergency department is admitting clients following an earthquake...
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A client who has a sucking chest wound
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A nurse manager is teaching about confidentiality requirements to the staff...
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"Change-of-shift report can be given at the client's bedside."
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A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a central venous catheter...
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Pick up the first sterile glove by grasping the folded cuff edge
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A nurse is caring for a client who is 3 days post following open heart surgery...
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The client's level of consciousness
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A nurse manager is planning an in-service for a group of nurses about caring for clients following stem cell transplants...
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Place clients in positive pressure airflow rooms
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A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal assessment...
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Place the client in a dorsal recumbent position for the examination
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A charge nurse is supervising the care of several clients...
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A nurse is photocopying their assigned client's diagnostic test results
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A nurse is reviewing a client's pathway upon discharge following hip arthroplasty...
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The length of the client's stay
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A nurse is caring for a client who has a terminal illness and voices concern about performing self-care after discharge...
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"Your case manager will coordinate the resources you will need."
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An assistive personnel tells a charge nurse that it is unfair that they have to take care of all the clients who are incontinent...
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"I delegate tasks to personnel based on their job descriptions."
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A nurse is caring for a client who is scheduled for outpatient surgery...
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Ask the client to explain the procedure that is being performed
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A nurse is caring for a client who is hospitalized and has expressive aphasia...
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"This is a procedure that does not require written informed consent."
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A charge nurse observes that a staff nurse's behavior has changed over the past few weeks...
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Frequent use of restroom
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Two nurses on a unit each contend that the other is not doing a fair share of work...
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Explore alternative solutions to address unit workflow with the nurses
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A client is considering having a tubal ligation and reports being uncertain about if it is the right thing to do...
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Discuss the client's feelings about the procedure
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A nurse on a quality improvement team is implementing a plan to decrease the rate of pressure injuries in a long-term care facility...
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Compare data from clients' records regarding skin integrity with established criteria
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A nurse is caring for four clients...
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A client who has a femur fracture and reports feeling shortness of breath
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A nurse is reviewing safe use of a wheelchair with a group of assistive personnel...
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Raise the footplates of the wheelchair before transferring the client
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A charge nurse is observing a nurse perform a sterile dressing change for a client...
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The nurse places the surface package with the top flap opening away from the body
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A charge nurse is observing a newly licensed nurse's use of time-management skills...
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Groups tasks that are in the same location
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A nurse is planning the discharge of a newborn who requires apnea monitoring at home...
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Home health
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A nurse if caring for a 19-year-old client who has just been informed that their cancer has metastasized...
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"I will gather information about palliative care for you."
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A nurse from a medical unit is asked to work on an orthopedic unit...
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A client who had a right above-the-knee amputation 24 hr ago
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A client who has back pain presents to an emergency department and is provided a prescription for oxycodone...
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"Clients are the experts on their own health."
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A nurse is caring for a client who requests pain medication...
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Fidelity
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A client on a general surgical unit tells a nurse that staff members are not answering the call light promptly...
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Ask the client to verbalize their expectations
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A nurse is planning discharge care for a client who had a stroke and now has left-sided weakness...
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Advise the client to install grab bars in the bathroom at home
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A charge nurse recognizes a trend of poor attendance at monthly staff meetings...
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Explore the reasons that staff are not attending meetings
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A nurse manager finds that there has been an increase in UTIs on the unit...
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Perform a chart review to gather data about the clients who developed infections
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A nurse on a medical-surgical unit is caring for a client transferred from another department...
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Receiving moderate sedation
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A nurse is receiving report from the assistive personnel assigned to the nurse's group of clients...
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"The client who had an indwelling urinary catheter removed 8 hr ago reports an inability to void."
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A charge nurse is planning client care assignments for a unit...
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Provide an enteral feeding to a client who has Crohn's disease
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A facility has been notified of a train derailment resulting in multiple clients experiencing life-threatening injuries...
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Identify stable clients for transfer to a surgical unit
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A nurse on a mental health unit is teaching a newly licensed nurse about client rights...
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"Clients on a mental health unit can refuse their medications."
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aA charge nurse is observing a newly licensed nurse who is caring for a client who has pulmonary TB...
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Wear an N95 respirator mask when in the client's room
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A nurse is preparing to administer medication to a client who has Crohn's disease...
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Inform the client of the consequences of refusing the medication
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A nurse on a medical-surgical unit is caring for four clients...
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A client who has peripheral vascular disease and has an absent pulse in the right foot
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A nursing unit is undergoing changes to accommodate new bariatric services that will be available on the unit...
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Role model a positive approach to the changes Encourage staff members who support the changes to discuss the issue with resistant staff
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A case manager is planning an interprofessional conference for a client who is 3 days post following an open reduction and internal fixation of the right hip...
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The client refuses to attend physical therapy sessions
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A hospice nurse is planning care for a client who does not have advance directives...
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Provide the clients with information about advance directives
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A nurse is assigning care for four clients...
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Determine a client's intake and output
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A nurse manager is duding client charts and identifies an increase in ventilator-associated pneumonia...
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Notify the quality improvement team
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A nurse walks into the nurses' station and sees several staff members looking at the EMR of a celebrity on another unit...
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Remind the staff members that this is a breach of confidentiality
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A nurse is caring for a client who is recovering from a stroke...
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Discuss the client's concerns about having the surgery
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A nurse asks a newly hired assistive personnel to remove a client's indwelling urinary catheter...
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Review the AP's skill competency checklist
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A nurse is reviewing the plan of care for a client following a total hip arthroplasty...
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Inform the assistive personnel of the client's weight-bearing status
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A nurse is serving on a committee that is considering the creation of a policy that will allow nurses to insert PICC...
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State Nurse Practice Act (NPA)
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A home health nurse is planning her daily visits and receives laboratory results for four adult clients...
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Platelets 100,000/mm^3
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A nurse on a medical-surgical unit has arrived late to work multiple times over the past several weeks...
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Schedule a meeting with the nurse Provide written reprimand Temporarily remove the nurse from the scheduled shifts Terminate the nurse's employment
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A nurse is providing prep teaching for a client who is scheduled for a total knee arthroplasty...
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Interpreter
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Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an assistive personnel...
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"Check the urinary output at 1100 for John Doe and report it to me immediately."
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A nurse is caring for a client who has osteoarthritis and reports difficulty buttoning their clothes...
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Occupational Therapist