ATI leadership and community Most Comprehesive Quick Study Notes including Questions and Answers.

ATI leadership and community Phenomenology is a Secondary analysis is a CAN'T SIGN INFORMED CONSENT quantitative research methods RACE protocol REMOVE the client from the area of danger. Family members have ...

ATI leadership and community Phenomenology is a Secondary analysis is a CAN'T SIGN INFORMED CONSENT quantitative research methods RACE protocol REMOVE the client from the area of danger. Family members have the right to question Which of the following findings is a potential environmental hazard the nurse should discuss with the parents? first stage of the conflict process is Stage two the conflict process is tage three the conflict process is Stage four the conflict process is Stage five the conflict process is nurse acts as an advocate performing a sterile dressing change 1. The nurse should open the top flap of the sterile package away from her body. Critical pathways coordinating staff assignments for assistive personnel, RNs and LPNs following a local disaster. considered a nationally notifiable infectious disease vomiting, and diarrhea for the past 3 days highest priority assessment The nurse's legal responsibility when suspect abuse/neglect of older adult client Sealed Radiation Therapy Implant HC associated Infections on unit; Auditing Quality Control Process RN's First Action to Take: E.D. admitting pt's after an earthquake. Emerg Disaster Plan is implemented; large number of casualties. Which Pt needs immediate evaluation by a provider? New RN & AP arguing over AP not restocking unit supplies. AP leaves, Nurse Mgr tells RN: An occupational health nurse is triaging pts at the site of an industrial explosion. Example of a Green Tag (Class III) Pt: Med-Surg Acute care facility. Which event requires an incident report? Presentation of "Role of the Nurse as a Client Advocate;" What should nurse mgr include in presentation? Shift assignments: RN, LPN & AP; Which task can be delegated to an LPN? Annual performance review for a staff nurse; Strategies to be used in the review process: Indicator of neglect: Older pt w/ dementia Home Health RN teaching about online resources regarding validity of information; Most credible source source of information: Alzheimer's Pt's Daughter, "I don't know how much longer I can keep this up" LPN's & AP's; Charge nurse should intervene in what situation: Immediate Intervention: Which situation indicates a legal issue: Advanced Directives: Effective Communication regarding delegation to AP Massive Community Disaster; DC Stable pt's, Who is safe to DC? Terminally Ill pt; RN is participating in an ethical manner: Immediate Intervention: RN reprimanded by provider in front of client: Pt recovering from a MVA & needs ADL's assistance; RN to request a referral for: Home Health RN gets labs for 4 pt's. Who should she see first? Demonstrates the AP is using effective time-management skills older client with expressive aphasia. RN did not get informed consent prior to: Postop pt with PCA; Restless, elevated pulse, decreased BP; RN's action: Smoke in Wastebasket Spanish Speaking Pt Newborn is being DC'd; RN's best action to ensure newborn safety: Terminally ill w/ nutritional support. Children disagree with continuation of support, referred to ethics committee. What should RN do? 3 days post op: open reduction with internal fixation of the right hip. Discussion priority: Policies regarding electronic medical records Local chemical plant explosion; RN's priority intervention when pt's arrive: Pt with dementia Abdominal Pain Pt admitted, what MUST be performed by the RN: Newborn & Mother who requires apnea monitoring at home. Who should the client be referred to? Renal Failure Client stops dialysis. RN's action shows patient advocacy: Health Care Law info: At what time during a hospital stay should the nurse assess the clients DC planning? Suspected TB: Adherence to HIPAA guidelines Pt complains of call light not being answered timely Pain assessments not being performed as required by policy conflict management with staff who does not agree with assignment. Example of "smoothing strategy" Progressive Discipline Steps: 18 yr old: does not want chemo again. Which is consistent with the clients rights? which patient may give an informed consent? Blood alcohol level of 0.05 Charge nurse notices an RN has made 2 med errors in 1 shift and suspects RN is chemically impaired. First action: Poor attendance at staff meetings. Which should charge nurse do first? Highest Priority How to use Evidenced Based Practice to improve client outcomes. Recommend as a qualitative research method: Home oxygen therapy needs further teaching Cancer pt vomits blood on linens and floor. validate that client understands the procedure (after pt has signed informed consent): 2 nurses say the other is not "doing their fair share." What is an appropriate approach to this conflict? Which of the following actions should the nurse take to ensure the AP is qualified to perform a particular task? Pt with AMS and R lower leg deep vein thrombosis has a prescription for application of aquathermia pad to the lower right leg. Nursing priority actions: Nurse Managers Highest Priority: onfidentiality advance directives before administering insulin this client is a priority ok to delegate to AP AP upset that she has to care for all the incontinent patients, what to tell her: pt before tubal ligation that is unsure if thats the right thing for her to do, what to do about it.. stages of conflict orientation class for new clients/patients and their families; client rights: nurse is signing consent with client before a procedure; client has questions about alternative treatments: RA client that has problems with buttoning her clothing; or needs help with ADL A client who had a R knee amputation 24 hrs ago Quality, cost effective care for a pt asking for supplies for his wound dressing, aat discharge time case manager role for a pt discharged at home that needs daily IV antibiotics through PICC line home health nurse role environmental hazard at home-discuss it with parents collaboration, mediation, negotiation Nurse performs the leadership task of Advocacy when: Safe use of wheel chair staff members verbalize displeasure with changes on a unit-charge nurse action: Task ok to assign to LPN Task ok to assign to RN Client with diverticulitis si scheduled for surgery in 2 hrs, wants to leave hospital, nurse action Sterile dressing change client in ER with weakness, vomiting, diarrhea for last three days client that refuses blood transfusions due to religious beliefs charge nurse response to a nurse who thinks her client is in the ER just to seek drugs and not actually experiencing pain INTRApersonal conflict example client in ER arriving with stage IV pressure ulcers, maggots presence (brought by family member), nurse's responsability Chlamydia trachomatis advance directives Dementia client best spot ok to delegate to AP RN will LPN nurse suspects that her coworker is impaired-responsibility Priority client pump that infused too much solution critical pathway priority client UTI increased # of cases on a floor; manager first action this is wrong-requires intervention report to charge nurse priority client quality improvement process first step (reducing UTI on a unit) LPN Effective time management skills shown by new RN when: In case of a major accident, when a disaster plan has been activated, what a charge nurse can do in PACU Report for transferring client thats 3 days postop; this should include client on warfarin most important to include in plan of care Authoritarian manager that needs to address increased meds errors this requires completion of an incidence report in a disaster LPN report very high BP to RN on a client; RN initial action Meningococcal pneumonia shigella MRSA respiratory syncytial virus when applying restraints critical pathways to promote employee hand hygiene class about strategies to promote client rights Fire in a unit: priority informed consent for a child active herpes simplex lesions client with cancer decides not to continue treatment Smallpox can be transmitted through: Prevention of West Nile Virus Primary prevention Secondary prevention Tertiary care Comorbidity Codependency Radiation exposure reversal medication What does epidemiology involve? Medicare Medicaid Anthrax hat medication should a client have on hand in the case of a nuclear disaster? What is Potassium Cyanide useful for? What would Atropine be helpful for? Primary Prevention? Secondary Prevention? Tertiary Care? Ciprofloxacin teaching? How can smallpox be transmitted?