Exam 39: Managing Care

The nurse is working on a medical-surgical unit that is short staffed due to a callout.The manager of the unit was unable to replace the nurse,so the extra clients were assigned to the remaining nurses.The manager was able to get the help of unlicensed assistive personnel (UAP)from the house pool to help on the unit.Which action by the nurses would ensure effective care for the client?

The nursing supervisor in a small rural hospital is asked to help manage the switch from paper to electronic records.Which standard managerial steps will the nurse supervisor take to initiate this process? Select all that apply.

The nurse delegates vital signs and daily weights of assigned clients to the unlicensed assistive personnel (UAP)on duty.Which is the reason for the nurse to assess each client throughout the shift?

An older adult client tells the nurse,"I am worried about how I will pay for my hospital bill." The client is being discharged,is being referred to home health care,and the new plan of care involves extremely expensive drugs.Which response by the nurse is appropriate?

The nurse is caring for an adult client from Canada who has come to the United States for a serious neurological surgery.The client tells the nurse,"I came to this country so that I would receive better care." Which is the most likely rationale for the client's statement?

A nurse is responsible for the care coordination of a client with multiple sclerosis who is being treated at a multiservice outpatient clinic.The nurse is informed by the occupational therapist that the client needs specialized assistive devices in order to prepare meals but does not have the money to purchase them.The client's insurance company has denied approval to cover the devices.Which is the appropriate action by the nurse?

A nurse,who works in a clinic environment,places great emphasis on cost control,customer satisfaction,health promotion,and preventive services.The primary focus of this nurse is representative of which type of healthcare system?

A nurse working in an outpatient OB-GYN clinic is asked to assume care coordination for the clinic's adolescent clients.Which skills will the nurse need to perform this work?

The nurse is working on a unit with unlicensed assistive personnel (UAP).One nurse refuses to utilize the UAP and is consistently leaving nursing tasks for the next shift that have yet to be completed.Which is the most likely reason the nurse is not utilizing the UAP to assist with client care?

A client recovering from an emergency appendectomy is a citizen of France.The client asks the nurse to explain why the United States has chosen such a different healthcare reimbursement system from other Western countries.Which American value could the nurse mention to explain the system in this country?

A client who is experiencing an exacerbation of rheumatoid arthritis (RA)will be discharged after a week's stay in the hospital.The client tells the nurse,"I can't believe how much better I am feeling now." Which is the rationale for why the client is feeling better?

A nurse working in a large municipal hospital is appointed to a task force whose focus is addressing nursing shortages.Which factor should the task force consider?

A postoperative client is transferred to the medical-surgical unit from the intensive care unit (ICU).The client asks the assigned nurse why unlicensed assistive personnel (UAP)help with range-of-motion exercises.Which is the best response by the nurse?

A veteran nurse is working on a large medical-surgical unit.The nurse is caring for a client with MRSA who requires frequent dressing changes.Which action by the nurse would help control the cost associated with this client's care?

A supervisor on a medical-surgical unit excels at scheduling staff and allocating resources.However,when new policies are being implemented,the supervisor has great difficulty getting staff cooperation.Based on this data,why is the supervisor considered a manager and not a leader?

The nurse is helping in discharge planning for a diabetic client who needs extensive rehabilitation and is on a complicated medication schedule.The client and spouse currently live with their eldest son and the family is very involved in the client's care.The nurse would want to coordinate the client's care by including which priority individuals? Select all that apply.

The nurse delegated unlicensed assistive personnel (UAP)to assist a client with performing a simple dressing change.The client was formerly able to do the procedure,but because of painful arthritis is now unable to perform the redressing.The UAP has done this procedure before.Which must the nurse emphasize to the UAP?

The nurse is caring for a preschool-age client who suffered brain damage following a car accident.The client has a tracheostomy,is ventilator-dependent,and will be discharged from the hospital into the family's care.The family wants to care for the child at home but does not have the resources for 24-hour care.Which action by the care manager is appropriate?

An experienced delegator is mentoring a newly appointed nurse in the hospital.The new nurse states,"I am hesitant to delegate tasks to unlicensed assistive personnel (UAP)because I am afraid they will not be done correctly." Which response by the experienced delegator is appropriate?

The nurse manager is interested in initiating self-scheduling on the medical surgical-unit.Which are stages of the planning process for the initiative that the nurse manager will use? Select all that apply.