Exam 13: Managing Patient Care

A primary nurse caring for a patient with kidney failure develops a plan of care for the patient after consulting with the patient on the best way to manage the patient's diet.As the staff delivers the plan of care the primary nurse evaluates whether the plan is working.Which attribute is the primary nurse displaying?

A patient admitted to the intensive care unit was placed on ventilator support.The nurse caring for this patient identified on the plan of care that one of the outcomes was that the patient would not develop ventilator-acquired pneumonia (VAP).To achieve this outcome,the nurse delegates the following to the unlicensed assistive personnel: "Please perform oral care on the patient every 2 hours.In this situation oral care would include using the special swabs we have for our patients on VAP precautions so we can prevent pneumonia." Which of the five rights of delegation did the nurse use?

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

Competencies needed for effective interprofessional collaboration include: 1. Work with individuals of other professions to maintain a climate of mutual respect and shared values. 2. Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of patients and populations served. 3. Communicate with patients, families, communities and other health care professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and treatment of disease. 4. Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient- and population-centered care that is safe, timely, efficient, effective, and equitable. Using a top-down communication strategy does not apply as a team approach, but is needed for interprofessional collaboration.

A nurse works in a critical care area caring for two patients during a day shift and is accountable for all their care.Which type of nursing care delivery model is the nurse using?

A new nurse is learning how to prioritize time.One of the best ways that this can be accomplished is for the new nurse to focus on which of the following?

Which competencies should the nurse follow to be an effective team member in interprofessional collaboration? (Select all that apply.)

A nurse has worked in a variety of nursing areas and would like to find a unit within the hospital that mirrors the nurse's own professional values.The best way for the nurse to find a unit that would be a good fit is for the nurse to examine which document?

Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient- and population-centered care that is safe,timely,efficient,effective,and equitable. Using a top-down communication strategy does not apply as a team approach,but is needed for interprofessional collaboration.

Communicate with patients,families,communities and other health care professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and treatment of disease.

A registered nurse delegates vital signs on a patient to the unlicensed assistive personnel (UAP).The nurse reviews the documented vital signs from the UAP to determine if they are within normal parameters for the patient.The nurse in this example is demonstrating which attribute when following up on the vital signs?

A nurse works in a trauma intensive care unit in a busy urban hospital.Once a week,staff members from all the disciplines caring for the trauma patients get together to discuss their progress.The patient's family can be included in the discussion if it is approved by the patient.This is best described as which of the following?

A registered nurse who works in a women's hospital assumes care for the same patients from the time they are admitted to the time they are discharged home.The nurse has associate nurses helping with the care.Which type of nursing care delivery model is the nurse using?

A registered nurse (RN)works on a unit with other registered nurses,licensed practical nurses (LPN),and nursing assistive technicians.Usually a RN,LPN,and nursing assistive technician provide direct care for a group of patients.The RN coordinates all of the care the others provide.Which type of nursing care delivery models is the RN using?

A nurse is assuming responsibility for a caseload of patients over a period of time.Which type of nursing care delivery models is the nurse practicing?

Use the knowledge of one's own role and those of other professions to appropriately assess and address the health care needs of patients and populations served.

A patient is admitted to the hospital for hip replacement surgery after falling at home and breaking a hip.The patient has developed pneumonia while in the hospital and has required frequent suctioning from the tracheostomy.The nurse decides to delegate I&O to the unlicensed assistive personnel but does not delegate suctioning.This is an example of which of the five rights of delegation?

A newly graduated nurse has been assigned to work with one assistive personnel staff member.When delegating skills,which guidelines should the nurse use? (Select all that apply.)

A registered nurse has a patient assignment of caring for six postoperative patients in the orthopedic unit.The nurse completes the patient assessments,distributes medications,and provides care to the patients as outlined within the job (position)description.Which term best describes the nurse's behavior?

A nursing student is seeing a patient for the first time this morning.Which action should the nursing student perform first?