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N412 Exam 2 questions with correct answers
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N412 Exam 2 questions with correct answers
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N412 Exam 2 questions with correct answersTotal Patient Care Correct Answer-RNs perform all the required care
three 8 hour shifts per patient
works best in critical care
Benefits- holistic care, unfragmented, strong communication, clear line
of responsibility and accountability for care, and highest quality of care
Primary Care Correct Answer-nurse has 24 hour responsibility for
planning, directing, and evaluating care through discharge
-associate nurses care for patient when nurse is off duty but consult with
the primary RN
-benefits- RN is directing care, strong communication
-drawback- implementation is difficult, it is expensive, some RNs do not
want to be on call
Functional Nursing Correct Answer-charge nurse assigns all task on all
patients to a larger group than directly to patients
one RN passes meds, one RN assesses
benefits- most economical
drawback- fragmented, low nurse autonomy, low staff satisfaction
Team Nursing Correct Answer--RN is a leader of a small group of
patients, RN assesses and passes medications etc
-benefit patient centered, more expensive
,-drawbacks- nurse needs leadership skills, continuity suffers, requires
time delegating
Delegation Correct Answer-The assignment of new or additional
responsibilities to a subordinate
-downward, nurse to PCA, nurse is still responsible for the task being
completed
Assignment Correct Answer-lateral transfer of assignment. a nurse
assigns another nurse to give a medication
the nurse & nurse being assigned are now both responsible for the
patient
Legalities related to delegation Correct Answer--regulations for
delegation are governed by the state boards of nursing- 4723-13- at
times overstepped by organization
-organizational policy cannot override the law & rule of the board of
nursing
-nurse needs to know and check the non-delegable functions of the RN
with BON
Legally non-delegable by RN Correct Answer--Assessments
-Surveillance of patient status
-Care Planning
-Educating
-Evaluation
,-any task requiring judgement by the RN
- task requiring critical thinking by RN
A hospital employs PCAs which are unlicensed assistive nursing
assistants on a medical surgical unit. The hospital decides to train the
UAWs to start IVs and to flush IV access devices. The training is now
completed, and the policy went into effect this week. An RN is assigned
to the nursing care of patients on this floor and is told about the new
policy by the Charge Nurse. The RN is wondering if this policy is OK
since the hospital trained the PCAs and the Charge nurse assigned the
PCAs to start IVs and flush IV access devices today. The RN has 2
patients with IV access devices. What should the RN do? Correct
Answer-This is a nondelegable task. The nurse should tell the PCAs that
she will be taking care of the IVs today. The nurse should tell her
manager about how this is an non-delegable task & bring it up in their
next staff meeting
An RN is working on a hospital floor that has 4 RNS and 2 LPNs. The
RN is functioning as the Charge Nurse today. Which of the following
patients could the nurse legally assign the LPN with med training to take
care of? Correct Answer-A. A patient that has 2 oral antibiotics ordered
at 9am.
B. A patient that is 2 days post-operative with a Foley catheter.
C. A patient that will need an intermittent infusion devise flushed at
10am.
, D. A patient that will require a blood transfusion this morning.
E. A patient with an IV of normal saline with 20 meq potassium chloride
( KCL) additive.
F.A patient only needing diabetic teaching prior to discharge this
morning
A&B
Seven Characteristics of a Delegable task to UAP Correct Answer-1. no
judgement is required to do the task
2. Task si predictable
3. Task is standardized & performed with unchanged directions
4. results of tasks are predictable
5. tasks do not require critical thinking
6. task does not require assessment
7. Minimal risk if done incorrectly
What does the nurse need to know about transcribing orders from a
nurse practitioner? Correct Answer-nurse needs to know that nurse
practitioners have restrictions on schedule drugs and have to be in
collaborative agreement with the MD
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