Leadership Exam 2
A nurse should initiate discharge planning for a client at what time period?
A client who is admitted for suspected abuse is quiet and withdrawn. Which of the following
should the nurse implement to promote client communication?
A nurse manager is explaining the importance and...
leadership exam 2 a nurse should initiate discharge planning for a client at what time period a client who is admitted for suspected abuse is quiet and withdrawn which of the following should the nu
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A nurse should initiate discharge planning for a client at what time period?
Immediately after a client's condition is stabilized on the assigned
unit
When the client or family demonstrate readiness to learn self-care
modalities
Upon admission to a hospital unit or the emergency room
When a date for discharge has been determined
A client who is admitted for suspected abuse is quiet and withdrawn. Which of the following
should the nurse implement to promote client communication?
Invite a family member to be present for the nursing history
Provide basic wound care for obvious physical injuries
Probe the client to offer an actual account of the abuse
Provide privacy and be direct and honest when communicating with
the client
A nurse manager is explaining the importance and guidelines for use of incident reports to new
graduate RNs during their orientation. In assessing their understanding of what she has told
them, which of the following statements would indicate that more explanation/reinforcement is
needed about incident reports?
A manager usually reviews the incident report and investigates the incident before sending
it on to the risk manager for follow-up.
Incident reports should not be shared with the client and the family.
A copy of the incident report should be made by the person who initiates the report for
future reference if there is a lawsuit.
Only a factual description of the event should be documented in the client's health care
record without any mention of an incident report.
A client has just joined a health care maintenance organization (HMO) and asks for information
about the payment obligations with this plan. The most accurate description of health care costs
is that the client will be charged in which manner?
A pre-determined fee for all
services
The usual and customary fee for
services
, Only for services provided by
specialists
One flat rate for each service
rendered
What area of a healthcare organization's budget generally accounts for largest portion of
expenditures?
Capital
Budget
Supplies
Budget
Contingency
Budget
Personnel
Budget
Following change of shift report, which client should the RN see first?
A client who has threatened a lawsuit regarding his call light not
being answered in a timely manner.
A client who is to be discharged in one hour who needs
additional information about managing his new gastrostomy tube at home.
A client who is complaining of incisional pain 9/10.
A client who has sudden left sided weakness and slurred speech
after getting up to the commode.
A client is brought into the ED with a history of alcohol abuse. The client presents confused and
disoriented. Wrist restraints were placed on the patient. After six hours had passed, the client
requested to leave. The nurse refused to remove the wrist restraints. The client informed the
nurse that he was going to report her to her supervisor. Which term below best describes the
intentional tort that the client will be reporting?
Assault
Invasion of
privacy
Battery
False
imprisonment
,A nurse calls the physician regarding a new medication prescription because the dosage
prescribed is higher than the recommended dosage. The nurse has called the physician several
times without reaching him, and the medication is due to be administered. Which action should
the nurse take first?
Administer the prescribed dose now.
Continue trying to reach the physician and document attempts
made.
Inform the nursing supervisor.
Administer the recommended dose until the physician can be
contacted.
When referring to the standard of care, which phrase best describes the meaning of a nursing
standard of care?
The belief that nurses will always behave in a wise/prudent manner.
The directive that ensures all nurses will always act in ways that help patients
get better.
The ethical principle that states that a nurse shall do no harm.
The minimal level of nursing care and expertise that is expected to be delivered
to a patient.
A client states: "I do not want to be awakened for breakfast-I didn't sleep at all last night." What
is the first action for the RN to take?
Notify the client's provider
Talk with the client to work out a mutual
plan
Consult with the patient's family to get
suggestions
Contact the dietitian
Which of the following statements made by a senior nursing student to his nursing instructor
about an incident/unusual occurrence report indicates a need for further education?
When a patient is involved in an incident, a copy of the incident report should be placed in
the patient's medical record for hospital staff reference only.
Because these reports are considered confidential and privileged information for the
organization, no mention of an incident report should be made to patients or visitors.
The primary purpose of incident reports is not to blame persons involved but to correct
unsafe or high risk situations.
, These reports help to document incident details/persons involved that could be used for
legal purposes at some future time should an organization be involved in a lawsuit.
A nurse who keeps her promise and returns to a patient's room to answer the patient's questions
on her next rounds is demonstrating the ethical principle of:
Fidelity
Veracity
Autonom
y
Paternali
sm
The expense of buying a new MRI machine would most likely be included in which
type of a budget?
contingency budget
operating budget
capital budget
minor equipment budget
A healthcare worker anonymously reports through his organization's Corporate
hotline that coworkers are steeling supplies and taking them home for their own
use. This reporting would be called:
Lateral Whistle Blowing
External Whistle Blowing
Vertical Whistle Blowing
Internal Whistle Blowing
A nurse has received morning report on the following four clients. Which client should the nurse
see first?
A client who has blood glucose of 68 mg/dL and reports mild sweating and
is hungry.
, A client who has acute glomerulonephritis and reports reddish-brown
urinary output.
A client who has a calcium level of 10 mg/dL and reports having a
headache.
A client who has cellulitis of the left lower leg and reports pain in the
affected area.
What is the primary purpose of laws and legislation?
To protect the nurse and the patient
To guarantee patient privacy
To ensure nursing compliance with
the law
To prevent medical errors
A charge nurse receives a phone call from the emergency room where a client is being admitted.
The admission diagnosis of the client is renal failure. The client is also confused and restless.
Which is the safest room assignment for this client?
A semi-private room 50 feet from the nurse's station.
A small, private room at the end of the hallway.
A seclusion room that is monitored by a camera for
client safety.
A large private room within view of the nurse's station.
Which statement best describes the value of clinical pathways (also known as care paths or
critical pathways)?
They provide a means of standardizing care for clients with similar
diagnoses.
They determine justifiable differences/variances among clients.
They decrease the amount of paperwork required for
reimbursement.
They reduce administrative costs.
The nursing staff of a Medical- Surgical unit is asked to make a recommendation regarding an
installation of a computer work station. Which factor is a priority for staff ergonomics?
Availability of the chart rack and dictation equipment for healthcare
providers.
Distance from clients' rooms and number of chairs
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