Leadership and Management ATI
The purpose of advance directives is to
outline the client's wishes if he becomes unresponsive.
- Can be changed at any time.
- Client's partner does not need to be present if the client comes unresponsive. The nurse should place a copy of the client's advance d...
Leadership and Management ATI
The purpose of advance directives is to
outline the client's wishes if he becomes unresponsive.
- Can be changed at any time.
- Client's partner does not need to be present if the client comes unresponsive. The nurse should
place a copy of the client's advance directives on the medical record so the client's wishes are clear.
The client's clinical pathway is
a standardized approach to assist the nurse to provide cost-effective client care and shorten length of
stay.
Wheeled chairs create a safety hazard for the client because
he may fall while sitting and rising from the chair, especially while managing oxygen equipment.
How to verify a client has given informed consent.
The nurse should ask the client to explain the procedure that is being performed. This allows the
nurse to verify the client's understanding of the information provided by the provider prior to
witnessing the client's signature on the consent form.
T of F
Performing basic CPR is within the AP's scope of practice.
T
According to the Centers for Disease Control and Prevention, ____________ _____________ is a
nationally notifiable infectious disease in all 51 jurisdictions. The nurse should notify the state health
department, which monitors and controls communicable diseases.
chlamydia trachomatis
Above the knee amputation dressing is usually left in place for
48 to 72 hr
mechanical restraints
- nurse should assess and document every 15 min for range of motion, circulation, and psychological
status.
- provider should evaluate the client within 1 hr of initiation.
- nurse should constantly observe a client who is in mechanical restraints.
Beneficence is
an ethical principle in which the nurse's actions are taken to "do good" and promote goodness and
kindness.
Utility is
,an ethical principle in which the nurse's actions are taken to bring the most to the greatest number of
people, where the good of many will outweigh the needs of an individual client.
Justice is
an ethical principle in which the nurse's actions are taken to seek fairness, where all clients are
treated equally regardless of gender, sexual orientation, religion, ethnicity, disease, or social standing.
Fidelity is
an ethical principle in which the nurse's actions are enacted by being loyal and keeping a promise
made to the client.
The nurse should verify that the client has given informed consent prior to receiving moderate
sedation because
this is a procedure which requires anesthesia.
When should a nurse use critical pathway?
The nurse should use a critical pathway as a cost-effective strategy to guide care for clients who have
a specific medical diagnosis or are undergoing a specific procedure.
When should a nurse use incident reporting?
The nurse should complete an incident report as part of error reporting and quality improvement;
however, this action does not relate to management of the client's care.
When should a nurse use SBAR framework
The nurse should use the SBAR framework to identify the situation, background, assessment, and
recommendation for a specific circumstance. The nurse can focus on the client's immediate
circumstances to promote clinical decision making.
When should a nurse use root cause analysis?
The nurse should use root cause analysis during the quality control process to determine why a
standard is not being met.
What does the nurse manager do when a nurse is sent home due to being under the influence?
Once the nurse manager has removed the nurse from the work environment and arranged for safe
transportation home, the nurse manager should arrange to meet with the nurse within the next 24
hours. The nurse manager is to confront the nurse who was chemically impaired and clearly identify
the facility's expectations.
How to kill blood spill?
Personnel should use bleach to clean a blood spill because bleach is a disinfectant agent that kills
bloodborne pathogens.
What do you clean with chlorhexidine gluconate?
, client's skin
Transferring PT in wheelchair
- raise the footplates of the wheelchair before transferring the client to prevent injury.
- lock the brakes on both wheels when transferring the client.
- back the wheelchair into the elevator with the rear wheels first to prevent injury.
- stand between the wheelchair and the bottom of the incline to provide better control of the
wheelchair by keeping weight close to the body. This position allows the nurse to use the arms and
legs rather than the back, which will prevent injury.
The nurse should place a client who requires protective environment precautions following a stem
cell transplant in
a private, positive-pressure airflow room. The room air is filtered through a HEPA filter and the airflow
rate is set at more than 12 air exchanges each hour.
Meta-analysis is a
quantitative research method that provides a statistical analysis of multiple studies conducted on the
same topic.
Experimental study is a
quantitative research method that uses control and treatment groups to test at least one
independent variable.
Phenomenology is a
qualitative research method that provides additional understanding of participants' experiences with
emotional variances, such as grief and hope.
Secondary analysis is a
quantitative research method that uses previously collected data to answer newly formed
hypotheses.
Conducting an annual performance review
- The nurse manager should collect data throughout the year to include in an annual performance
review.
- The nurse manager should include peer evaluations when reviewing the nurse's work performance.
- The nurse manager should evaluate the nurse against an established set of standards, not against
the performance of other nurses on the unit.
- The nurse manager should include the nurse's self-appraisal in the review process because it
encourages the nurse to reflect on his own performance and make plans for improvement.
- The nurse manager should conduct a performance checklist to evaluate the nurse's work
performance.
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