Exam 21: Managing Patient Care

A staff nurse delegates a task to a nursing assistive personnel (NAP), knowing that the NAP has never performed the task before. As a result, the patient is injured, and the nurse defensively states that the NAP should have known how to perform such a simple task. Which element of the decision-making process is the nurse lacking?

A staff member verbalizes satisfaction in working on a particular nursing unit because of the freedom of choice and responsibility for the choices. This nurse highly values which element of shared decision making?

A nursing assistive personnel (NAP) reports seeing a reddened area on the patient's hip while bathing the patient. Which action should the nurse take?

A nurse is working in a facility that has fewer directors with managers and staff able to make shared decisions. In which type of organizational structure is the nurse employed?

A nurse manager sent one of the staff nurses on the unit to a conference about new, evidence-based wound care techniques. The nurse manager asks the staff nurse to prepare a poster to present at the next unit meeting, which will be mandatory for all nursing staff on the unit. Which type of opportunity is the nurse manager providing for the staff?

A nurse is working in an intensive care unit (critical care). Which type of nursing care delivery model will this nurse $\bold{most}$ likely use?

A nurse is prioritizing care. Match the level of priority to the patients. -Low priority

Which staff member does the nurse assign to provide morning care for an older-adult patient who requires assistance with activities of daily living?

A registered nurse (RN) is the group leader of practical nurses and nursing assistive personnel. Which nursing care model is the RN using?

A nurse manager discovers that the readmission rate of hospitalized patients is very high on the hospital unit. The nurse manager desires improved coordination of care and accountability for cost-effective quality care. Which nursing care delivery model is best suited for these needs?

A nurse uses the five rights of delegation when providing care. Which "rights" did the nurse use? (Select all that apply.)

A nurse is prioritizing care. Match the level of priority to the patients. -High priority

A nurse is prioritizing care for four patients. Which patient should the nurse see first?

A nurse is prioritizing care. Match the level of priority to the patients. -Intermediate priority

A nurse is making a home visit and discovers that a patient's wound infection has gotten worse. The nurse cleans and redresses the wound. What should the nurse do next?

Which approach will be most appropriate for a nurse to take when faced with the challenge of performing many tasks in one shift?

Which assessment of a patient who is 1 day postsurgery to repair a hip fracture requires immediate nursing intervention?

A nurse has a transactional leader as a manager. Which finding will the nurse anticipate from working with this leader?

A nurse manager conducts rounds on the unit and discovers that expired stock medicine is still in the cabinet despite the e-mail that was sent stating that it had to be discarded. The staff nurse dress code is not being adhered to as requested in the same e-mail. Several staff nurses deny having received the e-mail. Which action should the nurse manager take?

A new nurse expresses frustration at not being to complete all interventions for a group of patients in a timely manner. The nurse leaves the rounds report sheets at the nurse's station when caring for patients and reports having to go back and forth between rooms for equipment and supplies. Which type of skill does the nurse need?