RS-EXAM-3 With Notes Answers

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1. A nurse tells a coworker that he is probably going to call in “sick” tomorrow. The coworker urges him not to do so, because absenteeism creates problems for everyone on the unit. To which probl... ems is the coworker referring? SATA -Inadequate staffing adversely affects patient care both directly and indirectly -Working with inadequate staffing or working overtime to cover for absent workers creates physical and mental stress and strain. -Chronic absenteeism lead to increased staff conflicts, to decreased morale, and eventually to increased absenteeism among the entire staff. -Absenteeism has effect on the financial management of a nursing unit. Paying people overtime is costly. 2. A nurse and a physician are having a polite but animated disagreement about what plan of care should be suggested to the client. The family also gets into the conversation, giving their opinions. Which type of conflict is this situation? -INTER-personal 3. The nurse is teaching a newly diagnosed client about celiac disease and diet. The client has a master’s degree in astronomy. What does the nurse recognize as a key factor in the client’s motivation? -patient’s willingness to change/learn 4. A nurse calls the health care provider with an update on a client whose blood pressure has gone from 130/80 to 116/56 in one hour. The client’s pulse is 56. The nurse says “I am not sure what is happening but the client seems to be deteriorating.” What part of SBAR is the nurse using? -assessment 5. A nurse is having personal problems at home and takes one alprazolam tablet from a client’s medication bin. After seeing how it worked, the nurse continued to divert medications from clients. The nurse-manager fires the nurse for the theft of the drugs but does not report it to the State Board of Nursing. What might be the consequences of this action? -take away her license -nurse will practice elsewhere due to her not being reported 6. Professional nurses are constantly required to communicate patient information to other members of the nursing team. The SBAR is a system developed to help nurses and other medical professionals to communicate. What does SBAR stand for? -situation, background, assessment, recommendation/referrals 7. A new nurse manager is assembling a team to work on a project. Which of the following are traits of an effective team? SATA - share a vision of commitment to the same goals -communicating same vision -vitality -informal, comfortable, relaxed -well understood and accepted -respectful, encourages participation -problem solving, increased creativity, and improved health care -Collaboration! -Participate in effective problem solving, increased creativity, and safe and improved healthcare 8. Identify the purpose of an electronic healthcare record (HER). SATA - Good decision making for patient care requires good information. -Nurses are knowledge workers, who need data and information to provide effective and efficient patient care. -Knowledge work is not routine or repetitive but, instead, requires considerable cognitive activity and critical thinking 9. A charge nurse is scolding an unlicensed assistive personnel (UAP) member for failing to complete a task. She calls the UAP lazy in front of other nurses and aides. What type of communication style is the charge nurse using? -Vertical violence (pretty sure this one but if not) then Aggressive 10. A novice RN is feeling upset because she made a minor error. An experienced LPN teases her about it, which makes her feel worse. However, the novice RN says it does not matter and that she probably deserved teasing. Which style of communication is the RN using? -submissive 11. An unlicensed assistive personal (UAP) is assigned to help the Antepartum nurse on a busy shift. One of the clients on the unit is in the process of completing a 24-hour urine collection. What can the nurse assign to the UAP to do for this client? - not sure of the correct answer but it isn’t telling the client to collect urine -put ice on urine 12. A new nurse is having a disagreement with an older, more experienced nurse. The older nurse says, “You’re just like all the other young people…you think you know more than you do.” What behavior is the older nurse exhibiting? -judgmental 13. A nurse finds himself working in an ineffective team. Which factor may be to blame for the problem? -they’re probably not collaborating and working together 14. The chief nursing officer (CNO) recognizes that if a nurse is not paid a salary that would meet the needs for food, transportation, and housing, those needs will become the nurse’s primary concern rather than delivering high-quality client care. What theory of motivation is the CNO describing? -Motivational theory/Maslow’s hierarchy 15. A nurse has just assumed the position of nurse-manager. During orientation, the nurse is questioned about the roles of effective unit management. Which statement by the new nurse-manager requires correction? - Something about how there is no education for this position 16. A client has had a stroke and is having a hard time feeding herself using eating utensils. With which member of the interprofessional health care team should the nurse initiate a referral? -occupational therapist 17. A clinical nurse-educator has taught the nursing staff the basics of Nursing Informatics. Which statement made by the staff indicates the need for further education? - THIS IS WHAT NURSING INFORMATICS IS: primarily combined computer science, information science, and nursing science in a manner that would help the nurse in planning and delivering care. - aid in the collection and analysis of data so that the nurse can make informed and accurate decisions about the type of care clients require [Show More]

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