HESI Case Study- Management of a Skilled Care Unit – Flashcards
Unlock all answers in this set
Unlock answersquestion
What action should Ms. Kosky take?
answer
Explain to the LPN that intimacy is important throughout the lifespan.
question
What action should Ms. Kosky take first?
answer
Ask the UAP if she told the male employee to stop.
question
What action should Ms. Kosky take first?
answer
Ask the resident to determine if any jewelry is missing.
question
Which situation requires the most immediate attention?
answer
A resident with incontinence has urinated on the floor while ambulating from his room toward the dining room.
question
Which situation requires her most immediate intervention?
answer
A UAP is demonstrating verbally abusive behaviors toward a resident with dementia who is confused and disoriented.
question
In observing the verbally abusive behavior of the UAP, what action should the nurse manager implement first?
answer
Instruc the UAP to leave the dining room area immediately.
question
How should Ms. Kosky respond?
answer
Disrespect of others is never considered acceptable behavior.
question
What action should Ms. Kosky take in response to the conversation?
answer
Request that the two LPNs refrain from talking about the situation while at work or in any public place.
question
What interdiciplinary team member is best to assign to assist the resident?
answer
Unlicensed assistive personnel (UAP)
question
Who should Ms. Kosky contact to assist the resident with this skill?
answer
The occupational therapist.
question
In responding to the situation, which task(s) can be delegated to the UAP? (Select all that apply)
answer
-Place covers around the resident for warmth, if needed -Obtain non-skid sicks from the supply room and apply them to the client
question
How should the nurse manager respond?
answer
I understand your distress about this situation. I plan to investigate the circumstances thoroughly.
question
In discussing the situation with the LPN, how should Ms. Kosky begin?
answer
Tell me exactly what events occurred that led up to the fall.
question
How should the nurse manager respond?
answer
Are you afraid you will get hepatitis from the resident?
question
Which action should Ms. Kosky implement?
answer
Schedule an in-service program on the care of a person with Hepatitis C.
question
Although UAPs generally provide this assistance, Ms. Kosky identifies which resident(s) as needing the assistance of an LPN rather than a UAP? (Select all that apply)
answer
-A client with type 1 diabetes who reports feeling sweaty and tired -An elderly woman who has experienced pneumonia and deep vein thrombosis and who has been on bed rest for 2 weeks.
question
Which action should the nurse manager take?
answer
Assess the status of the dyspneic resident with the assistance of the UAP who is already in the room.
question
What action should the nurse manager take first?
answer
Elevate the head of the bed to a semi-Fowler's position.
question
How should Ms. Kosky respond?
answer
Let me show you how to apply the oximeter on the resident's finger.
question
Which action should be delegated to the LPN working with the RN?
answer
Monitor the pulse oximeter for changes in oxygen saturation.
question
How should the care of this resident be managed while awaiting transfer to the acute care facility?
answer
The RN can assess breath sounds and reorient the resident while the LPN obtains vital signs.
question
What action should Ms. Kosky take?
answer
Review the prescription for wound care written by the healthcare provider.
question
To what resource should the nurse manager refer the LPN?
answer
The policy and procedure manual.
question
Which action should Ms. Kosky take after receiving the message about the LPN's phone call?
answer
Begin the process of terminating the employment of the LPN.
question
Ms. Kosky's action is based on what ethical principle?
answer
Fidelity.
question
Ms. Kosky's action is based on what ethical principle?
answer
Fidelity.
question
Ms. Kosky's action is based on what ethical principle?
answer
Fidelity.
question
Ms. Kosky's action is based on what ethical principle?
answer
Fidelity.
