NR 504 Week 3 Assignment; Leadership Style and Change. Questions and Verified Answers.

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1. Which of the following delegations by the RN would require an immediate intervention by the charge RN? 2. You are the nursing supervisor on the 11 PM to 7 AM shift. When making rounds, the charge ... nurse on the unit reports that one of the patients is dyspneic. What action would be expected from a nurse in the expertise stage of clinical competence when assessing shortness of breath in a patient? 3. Walking rounds are currently being implemented to avoid errors or omissions in shift reports. Which observations made during walking rounds would be seen as an advantage to the shift report? (Select all that apply.) 4. After receiving the shift report, which of the following requires a priority action by the nurse? 5. Patients are complaining that they are not receiving pain medications on the night shift. The night nurse has charted that they were given. What is the most appropriate action by the charge nurse? 6. A staff nurse complains to the nurse manager about an employee of another department constantly asking her out on a date even though she has told him she is not interested. Which action by the nurse manager is most appropriate? 7. You are the nurse manager who is preparing the annual reviews for the staff members. You are aware that the nurse in the competent stage of clinical performance development would be expected to do what when assigned a patient on beta-blockers scheduled for a stress test? 8. The nurse is admitting a patient who speaks very little English. What is the most appropriate method to use to ensure the patient understands the instructions? 9. You are the charge nurse on the 3 PM to 11 PM shift. The nurses on this shift range from novice to competent. What response would be expected in the beginner stage of clinical competence development when the nurse is assigned a patient on beta-blockers and scheduled for a stress test? 10. A nurse takes a telephone order from a physician. Which procedure is best for the nurse to use to avoid errors? 11. A surgeon approaches the charge nurse in an angry manner after his patient fell out of bed, requiring further surgery. Which of the following approaches is most appropriate for the charge nurse to use? 12. Point-of-care systems are currently being used in health care facilities. Which is an advantage of the point-of-care systems to the patients? (Select all that apply.) 13. Which delegation should a UAP consider to have the highest priority? 14. Which of the following is an essential part of the shift report? 15. To avoid transcription errors, the current trend in hospitals is to use the Computerized Physician Order Entry (CPOE). Further instructions should be given to the nurses when which statement is made? 16. When incorporating the five rights of delegation, the right circumstance is used in which of the following situations? 17. The nurse and UAP are working together with four patients. Which patient should the nurse assign the UAP? 18. All treatments and services for patients require two forms of patient identification prior to providing those services. Which would require an intervention if used by the nurse to identify a patient? (Select all that apply.) 19. It is vital to communicate changes in patient condition to the physician. When using the SBAR process, the nurse knows that what should be included when communicating patient condition? (Select all that apply.) 20. A patient is inappropriate when speaking to a UAP. What is the most appropriate action by the nurse? 21. Which action by a UAP requires an immediate intervention by the nurse? 22. The nurse is working on a medical unit with an LPN and UAP as the team members. Which tasks should the RN delegate to the LPN? 23. Which of the following delegations require an immediate intervention by the charge RN? 24. The computerized provider order entry (CPOE) is a component of the electronic health care system being used in hospitals. This system allows prescriptions to be written electronically and automatically sent to the pharmacy or other necessary facilities. The nurse understands that the greatest benefit of the CPOE is 25. A nurse assesses a patient reported to have normal vital signs throughout the night and finds the patient in acute respiratory distress. What is the nurse’s next best action? 26. Which observation requires an intervention of a new graduate nurse by her preceptor? 27. You are the charge nurse on a busy medical-surgical unit. You are also the preceptor to a novice nurse. What response would be expected from a nurse in the novice stage of clinical competence development when assigned to perform a morning assessment on a patient? 28. Nurse managers play an integral role in the adoption of the hospital’s information system. There are three levels of competency in this leadership role. What functions can be observed in an initial-level nurse manager? (Select all that apply.) 29. A float nurse is assigned four patients on the day shift. Which of the following reports by the float nurse would require immediate intervention by the charge nurse? 30. Which statement made by the clinical instructor would represent feedback to a student nurse? 31. The end of shift report is the appropriate time to communicate (Select all that apply.) 32. To practice as a nursing informatics specialist, what must the nurse accomplish first? 33. When incorporating the five rights of delegation, the right supervision is used in which of the following situations? 34. A staff nurse must leave work for an emergency. The nurse tells the charge nurse that her patients are fine and received all their AM medications. As the day progresses, it becomes apparent to the responsible RN that some things were not completed, especially some necessary AM medications. Which communication principle was not followed in this situation? (Select all that apply.) 35. Which of the following patients should the nurse see first after the shift report? 36. The electronic health record (EHR) provides a particular advantage to those patients with chronic diseases. Which of the following patients would most likely benefit from the use of an EHR by the health care provider? 37. A health care facility is using an electronic health record (EHR) system for documentation purposes. Every Thursday from 11:00 to 12:00 PM, the EHR shuts down for maintenance. Which would be of concern to the nurse during that weekly downtime? 38. The nurses are complaining about how busy they are this shift. The charge nurse must do which of the following to ensure the safety of the patients and staff for this and future shifts? 39. Which observation requires an intervention with a new graduate nurse by his preceptor? (Select all that apply.) 40. Nurses can be leaders without being managers. Which nursing actions demonstrate leadership? 41. Which council advances the practice of nursing and fosters the nursing role in patient education through staff and development and evidence-based research initiatives? 42. The Nursing Minimum Data Set (NMDS) is a collection of established uniform standards for collecting data. It includes the North American Nursing Diagnosis Association International (NANDA-I)-approved list of nursing diagnoses as well as other sources of nursing language. What is the advantage of the NMDS to the patient? 43. The nurse is working on a medical unit with an LPN and a UAP as the team members. Which tasks should the RN complete? 44. The nurse informatics (NI) specialist incorporates nursing science, computer science, and information science to support nursing in utilization of the data collection. Priorities for an NI specialist include 45. Which patients on an orthopedic unit should be assigned to a nurse from a cardiac unit? 46. Hospitals beginning to use the electronic health record (EHR) for documentation of patient care are sometimes faced with many obstacles. What may be seen when the EHR system is first initiated? 47. Which of the following delegations by the RN would require an immediate intervention by the charge RN? 48. The electronic health record (EHR) provides information to all members of the health care team on their patients. The nurse manager and other team members recognize the advantages of the EHR, which include 49. A patient turns his call light on and requests someone to help him ambulate. The senior student nurse has been caring for this patient for 2 days but has only helped him to a chair in the past. Which instructions should be given to the student prior to ambulation of the patient? 50. When determining the basis for conflict, interpersonal sources as the basis would include which of the following? 51. A student nurse is working with a preceptor who appears abrupt and disinterested in precepting students. What action by the student is most appropriate? 52. A patient admitted with an elevated ST-segment myocardial infarction (MI) on oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%. Respiratory therapy administers an albuterol treatment that provides no change in the oxygen saturation. What is the next best action by the RN is best? [Show More]

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