PC3 Exam 2 | Questions with Verified Answers

PC3 Exam 2 | Questions with Verified Answers Full-Time Equivalent A unit that measures the work of one full-time employee for 1 year (52 weeks) based on a 40-hour work week, equating a total of 2080 paid hours per yea ...

PC3 Exam 2 | Questions with Verified Answers Full-Time Equivalent A unit that measures the work of one full-time employee for 1 year (52 weeks) based on a 40-hour work week, equating a total of 2080 paid hours per year Productive Time The actual hours worked on the unit caring for patients Non-Productive Time Refers to benefit time, such as vacation hours, holiday time, sick hours, education time, and jury duty Average Daily Census (ADC) Average total number of patients when census is taken (at midnight) over a given period of time, such as weekly, monthly, or yearly Staffing Mix Refers to the appropriate numbers of RNs, LPNs/LVNs, and UAPs needed on a unit, is based on the type of care required for specific patients, and who is qualified to provide such care Workload Number of nursing staff required to deliver care for a specific time period and is dependent on patient care needs Units of Service (UOS) Reflect the basic measure of nursing workload based on different types of patient encounters Nursing Hours Per Patient Day (NHPPD) Represents the nursing care hours provided to patients by nursing personnel over a 24-hour period Unit Intensity Takes into account the totality of the patients for whom care is provided and the responsibilities of nursing staff Patient Acuity Represents how patients are categorized according to an assessment of their nursing care needs Skill Mix Refers to the varying levels of education, licensure, certifications, and experience of the staff RN Scope of Practice Assessments, nursing diagnosis, interventions, evaluations, patient teaching, discharge planning, evaluating and monitoring changes in patient status, and complex patient care that requires special knowledge and judgment LPN Scope of Practice Includes physical care, taking vital signs, administering medication, can vary from state to state UAP Scope of Practice Includes activities of daily living, hygiene, and personal care Delegation The act of transferring to a competent individual the authority to perform a selected nursing task in a selected situation Delegator The RN who is delegating the task Delegate The person to whom the task is being delegated Accountability Being responsible and answerable for actions or inactions of self or others in the context of delegation Authority A legal source of power; the right to act or command the actions of others and to have them followed Responsibility The obligation one has to accomplish work Supervision The provision of guidance or direction, oversight, evaluation and follow-up by the licensed nurse for accomplishment of a delegated nursing task by assistive personnel Assignment Describes the distribution of work that each staff member is responsible for during a given time period Prioritization Deciding which patient needs or problems require immediate action and which are not urgent and can be addressed at a later time Nursing Judgment The educated, informed, and experienced process that a nurse uses to form an opinion and reach a clinical decision based on the analysis of available information 5 Rights of Delegation -Right task -Right circumstance -Right person -Right direction/communication -Right supervision/evaluation Right Task One that can be safely delegated to a specific delegate for a specific patient Right Circumstance When delegating, the nurse must consider the patient setting, available resources, and other relevant factors Right Person Assess and verify the competency of the health care team member, task must be within their scope of practice Right Direction/Communication The nurse provides a clear, concise description of the task, including its objectives, limits, and expectations Right Supervision/Evaluation The nurse provides feedback to the delegate as well as appropriate monitoring, evaluation, and intervention as needed Mindful Communication An active process in which those involved are focused on attending to, responding to, and perceiving information Overdelegation Occurs when the workload is more than the delegate can accomplish in the allotted time frame Underdelegation Failure to transfer full authority to perform a task or a failure to provide clear direction to the delegate Care Delivery Models Used to organize and deliver nursing care and focus on structure, process, and outcomes Total Patient Care Often used in settings such as critical care and hospice care, the nurse provides holistic care. When used in the hospital setting, total patient care is provided by one nurse during a shift, communication is hierarchal, and the charge nurse is responsible for making assignments, interfacing with physicians, and shift reports Functional Nursing A means to accomplish patient care with assistance of ancillary personnel Team Nursing Licensed and unlicensed personnel collaborate to deliver total care for a group of patients under the direction of a team leader Primary Nursing RN managed care for a group of patients for 24 hours a day, 7 days a week throughout their hospital stay Nursing Case Management To organize patient care according to major diagnostic-related groups to achieve measurable quality outcomes while meeting predetermined time frames and costs Patient-Focused Care Revolves around a multi-skilled team approach to nursing care, the RN functions as the patient care manager and coordinates all patient activities Appropriate Staffing A match of registered nurse expertise with the needs of the recipient of nursing care services in the context of the practice setting and situation An RN is working on a medical-surgical unit functioning as a team leader for five patients with an LPN and a CNA. Which action should not be delegated to the CNA? A) Positioning the patient for comfort by raising the head of the bed B) Performing a pain assessment C) Assisting the patient with transfer from bed to chair D) Offering the patient fluids A registered nurse (RN) delegated specimen collection to an unlicensed assistive personnel (UAP) for a patient who had a urine analysis ordered by the physician. The UAP did not obtain the specimen. When checking the patient's chart later in the shift, the RN noticed that there was no documentation that a urine specimen was collected. The RN asked the UAP to provide an explanation for why the specimen was not obtained. The UAP told the RN that she was going to obtain the specimen from the patient after lunch. Which stated action would correlate with the delegation right of right communication? A) The RN followed up later in the shift checking the patient's chart for documentation of the specimen collection B) The RN delegate the task to the UAP C) The UAP told the RN that she was going to obtain the specimen from the patient after lunch D) The RN monitored the task completion process Which actions should not be delegated to an LPN on a medical unit in a hospital setting by a registered nurse? SATA. A) Initiating a blood transfusion B) Inserting a urinary catheter C) Administering chemotherapy infusion D) Completing initial admission assessment E) Performing post-op dressing changes Which statement best reflects the concept of accountability with regard to delegation of tasks? A) Nursing state practice acts do not require nurses to be held accountable for their actions B) Accountability exists at both nursing and organizational levels C) An organization's obligation to accountability is based on its ability to offer quality care regardless of nurse staffing D) The competency of the nurse is not considered as being relevant to accountability A nurse manager is educating a staff nurse with regard to the five rights of delegation. Which statement by the staff nurse indicates that additional training is needed with regard to right supervision or evaluation? A) Once a task has been delegated, the nurse is absolved of responsibility B) Nurses should provide feedback relative to task completion C) It is important to provide clear directions relative to task delegation D) Performance of the delegated task should be monitored A physician has ordered a rectal suppository to be administered to a 25-year-old male patient. The RN delegates this task to the LPN. The LPN would prefer not to complete this task. The RN tells the nurse manager about this issue. How would the nurse manager interpret this refusal by the LPN to perform a delegated task? A) Underdelegation B) Possibility of a delegate-related barrier C) Overdelegation D) Possibility of a delegator-related barrier Non-licensed staff members (UAP) have asked for a meeting with the nurse manager as they are unhappy with how some of the nursing staff (RN) has been delegating tasks with regard to patient care. Which statement if made by a non-licensed staff member would indicate that additional instruction is needed for the nursing staff with regard to effective delegation principles? A) "The RN told me that I couldn't obtain a urine specimen from a patient." B) "I was told by the RN that I had to wait until the order was written in the patient's chart before I could act on it." C) "The RN told me that I should wait until after lunch before I gave the patient AM care as the patient had just been medicated for pain." D) "The RN told me that I had to change all of the bed linen for the patients before I went home at the end of the shift." Which aspects are included in how nurses develop nursing judgment? SATA. A) Academic experience B) Use of experience to help form an opinion C) Analysis of information to help arrive at a decision D) Leadership style E) Level of administrative experience as opposed to being a staff nurse A group of nurse managers are reviewing a new job description for a staff nurse on a medical-surgical unit. Which observation if found would indicate that the job description needs revision with regard to delegation? A) Delineation of roles and responsibilities B) A listing of tasks that the nurse can complete C) No mention of the nursing position authority D) Listing of minimum qualifications for the nursing position Which observation if made by an RN who is working with an LPN and a UAP would require immediate intervention based on the delegation process? A) UAP was transferring a patient out of bed who was 2 days postoperative laparoscopic surgery B) LPN was administering oral pain medication following performing a pain assessment C) LPN was monitoring a blood transfusion D) UAP was providing information to a patient who was just placed on isolation relative to neutropenic precautions Which examples represent improper use of delegation in the clinical setting by an RN, LPN, or UAP? SATA. A) UAP delegating a task to an LPN B) RN delegating a task to a UAP or an LPN C) LPN delegating a task to an RN D) RN delegating a task to an RN E) UAP delegating a task to an RN Which patient activity could be performed by either an RN or an LPN or delegated as a task even if there is a UAP present on the unit? A) Initiation of blood transfusion B) Tracheostomy care C) Assisting a patient with feeding D) Obtaining daily weight Which situation provides an example of the right circumstances as defined by the five Rights of Delegation? A) Completion of the task does not require nursing judgment B) Assessing needs of the population in the context of available resources C) Identifying competency level D) Providing correct information to a patient An RN refuses to delegate any patient care tasks to other members of the nursing unit staff preferring to complete all tasks herself. What type of delegation practice would this demonstrate? A) Underdelegation B) Effective delegation C) Overdelegation D) Recognition of right person Which task should not be delegated to an LVN by an RN who is working with an LVN and a UAP as part of the team? A) Performing oral hygiene for a patient who has oral ulcerations B) Feeding a patient with dysphagia C) Transferring a patient from the bed to a chair D) Monitoring a blood transfusion Which aspect of total client care needs to be taken into consideration used on a 24-bed care area? A) Cost of nurses B) Training needs C) Documentation D) Client satisfaction Which activity is an expectation of a primary nurse? A) Identify associate nurses B) Provide all direct client care C) Coordinate all aspects of a client's care D) Report the client's status to the charge nurse Which consideration is made first when providing emergency care for a drowning client? A) Administer oxygen B) Safely rescuing the client C) Preventing aspiration of gastric contents D) Performing CPR In which order are the steps of a primary survey performed to assess a client with severe injuries from a bomb blast? Correctly order all options from first to last. A) Airway B) Breathing C) Circulation D) Exposure E) Disability A, B, C, E, D Which nursing care delivery system works well in emergency situations that necessitate prioritization of care? A) Team nursing B) Primary nursing C) Functional nursing D) Client-centered nursing Which late effect of radiation therapy on the heart would the nurse monitor as a priority? A) Trismus B) Pericarditis C) Lymphedema D) Pulmonary fibrosis Which client condition would require the highest priority for treatment among four clients admitted at the same time under mass casualty conditions? A) Massive head trauma B) Open fracture with a distal pulse C) Shock D) Strains and contusions Which delivery system was developed to provide care through others as an adaptation to functional nursing? A) Team B) Primary C) Case management D) Differentiated practice Which nursing intervention is the priority for a client with stroke who is transitioned from the ER to other settings? A) Monitoring VS B) Reassuring the client and family C) Assessing the LOC D) Monitoring the specific client manifestations of stroke Which factor would the nurse consider when setting priorities for care during a shift? SATA. A) Client acuity B) Unit organization C) Availability of resources D) Own experience and expertise E) Philosophies and models of care Which educational topic is a high priority for the nurse providing education to a client with systemic lupus erythematosus? A) Instructing about ways to protect the skin B) Helping the client identify coping strategies C) Teaching methods to monitor body temperature D) Teaching about the effects of the disease on lifestyle What does the nurse consider to be the priority nursing intervention for a client on diuretic therapy who has developed metabolic acidosis? A) Preventing falls B) Monitoring electrolytes C) Administering antiemetics D) Adjusting the diuretic therapy Which intervention is the highest priority nursing action for a client with a scorpion bite? A) Assessing the client's vital signs B) Applying an ice pack to the sting site C) Contacting the poison control center D) Covering the client with a cooling blanket Which nursing intervention is the highest priority for a client experiencing symptoms of premenstrual syndrome? A) Advising the client to have adequate rest B) Teaching the client stress reduction techniques C) Instructing the client to follow the medication therapy