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suncs suncs
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6 years ago
A nurse manager wants to improve hand-off communication among the staff. What actions by the manager would best help achieve this goal? (Select all that apply.)
 
  a. Attend hand-off rounds to coach and mentor.
  b. Conduct audits of staff using a new template.
  c. Create a template of topics to include in report.
  d. Encourage staff to ask questions during hand-off.
  e. Give raises based on compliance with reporting.

Question 2

The nurse utilizing evidence-based practice (EBP) considers which factors when planning care? (Select all that apply.)
 
  a. Cost-saving measures
  b. Nurse's expertise
  c. Client preferences
  d. Research findings
  e. Values of the client

Question 3

A nurse is interested in making interdisciplinary work a high priority. Which actions by the nurse best demonstrate this skill? (Select all that apply.)
 
  a. Consults with other disciplines on client care
  b. Coordinates discharge planning for home safety
  c. Participates in comprehensive client rounding
  d. Routinely asks other disciplines about client progress
  e. Shows the nursing care plans to other disciplines

Question 4

A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of competency. Which areas should the manager assess to determine if the nursing staff demonstrate competency according to the Institute of Medicine (IOM)
 
  report Health Professions Education: A Bridge to Quality? (Select all that apply.)
  a.
  Collaborating with an interdisciplinary team
  b.
  Implementing evidence-based care
  c.
  Providing family-focused care
  d.
  Routinely using informatics in practice
  e.
  Using quality improvement in client care

Question 5

A nurse is talking with a client who is moving to a new state and needs to find a new doctor and hospital there. What advice by the nurse is best?
 
  a. Ask the hospitals there about standard nurse-client ratios.
  b. Choose the hospital that has the newest technology.
  c. Find a hospital that is accredited by The Joint Commission.
  d. Use a facility affiliated with a medical or nursing school.

Question 6

A newly graduated nurse in the hospital states that, since she is so new, she cannot participate in quality improvement (QI) projects. What response by the precepting nurse is best?
 
  a. All staff nurses are required to participate in quality improvement here.
  b. Even being new, you can implement activities designed to improve care.
  c. It's easy to identify what indicators should be used to measure quality.
  d. You should ask to be assigned to the research and quality committee.

Question 7

A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive personnel (UAP). Four hours later, the nurse notes the client's blood pressure is much higher than previous readings, and the client's mental status has
 
  changed. What action by the nurse would most likely have prevented this negative outcome?
  a.
  Determining if the UAP knew how to take blood pressure
  b.
  Double-checking the UAP by taking another blood pressure
  c.
  Providing more appropriate supervision of the UAP
  d.
  Taking the blood pressure instead of delegating the task

Question 8

A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and has pain that is unrelieved by the prescribed narcotic pain medication. Which statement is part of the SBAR format for communication?
 
  a. A: I would like you to order a different pain medication.
  b. B: This client has allergies to morphine and codeine.
  c. R: Dr. Smith doesn't like nonsteroidal anti-inflammatory meds.
  d. S: This client had a vaginal hysterectomy 2 days ago.

Question 9

A student nurse asks the faculty to explain best practices when communicating with a person from the lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer by the faculty is most accurate?
 
  a. Avoid embarrassing the client by asking questions.
  b. Don't make assumptions about their health needs.
  c. Most LGBTQ people do not want to share information.
  d. No differences exist in communicating with this population.

Question 10

Which action by the nurse working with a client best demonstrates respect for autonomy?
 
  a. Asks if the client has questions before signing a consent
  b. Gives the client accurate information when questioned
  c. Keeps the promises made to the client and family
  d. Treats the client fairly compared to other clients
Textbook 
Legal & Ethical Issues in Nursing

Legal & Ethical Issues in Nursing


Edition: 7th
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samersamer
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suncs Author
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6 years ago
Nice!
wrote...
6 years ago
Happy Dummy
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