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Exam (elaborations)

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 problems is the coworker referring? SATA -Inadequate staffing adversely affects patient care both dire...

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  • January 26, 2021
  • 8
  • 2020/2021
  • Exam (elaborations)
  • Questions & 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 problems 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

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