Kaplan Management of Care C – Flashcards
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The registered nurse assigns a patient diagnosed with a myocardial infarction (MI) to another registered nurse. The patient receives the wrong medication by the assigned RN. The assigning nurse knows that which of the following is true?
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When an RN assigns care to another RN, both accountability and responsibility are transferred. Describes assignment; an RN can only assign patients to another RN.
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The nurse understands that risk management, within the context of managed care, focuses on which principle?
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Prevent and minimize institutional and treatment factors that could lead to legal liability. Risk management programs focus on loss prevention and loss control (liability control); they are problem-focused and identify, evaluate, develop plan for, and take corrective action against potential risks that would injure clients, staff, visitors; their overall purpose is to avoid lawsuits or at least minimize their effects.
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The nurse educator reviews conflict management strategies with new nurse managers. Which of the following strategies should the educator highlight as MOST likely to be successful?
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Ask for suggestions for resolution from those involved in the conflict. When the parties involved in the conflict are involved in the resolution, they are likely to feel some ownership of the outcomes; they also sense respect for their points of view from the mediator as well as perhaps from each other; in addition, they may be in the best position to have ideas for what needs to occur and they have responsibility for their actions; communication is opened up; this strategy involves the conflict management strategy called collaboration.
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The community health nurse plans visits for the day. Which client will the nurse see first?
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A 76 year old with laryngectomy reporting a green-yellow discharge. Most unstable client; assess breath sounds, amount, color, and character of drainage.
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The nurse is seeing clients in the pediatric clinic. Which of the following clients should the nurse see FIRST?
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A 9 month old infant with failure to gain weight and a blood level of 70 ug/dl. High risk for injury, requires immediate attention; provide medical treatment and chelation therapy, begin coordination of care, clinical management, environmental investigation, and lead hazard control.
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A news reporter wants to take a picture of a movie star on the medical/surgical unit. Which action by the nurse is MOST appropriate?
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Call the nurse manager. Follows the chain of command.
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In an effort to heighten staff awareness about group process and their participation in it, the nurse manager plans an inservice focused on the roles people take in groups. Which of the following should be described as the function of the role of coordinator?
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The coordinator clarifies relationships between various ideas or suggestions, thus bringing them together. The coordinator is a group task role which focuses on bringing together and clarifying relationship between varied ideas and/or suggestions.
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The RN has assessed clients on the psychiatric unit. Which activity is appropriate for the nurse to delegate to a nursing assistive person on a psychiatric unit?
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Perform 30 minute check on each client. Assists with direct client care activities such as bathing, transferring, ambulating, feeding, toileting, obtaining vital signs, height and weight, intake and output, housekeeping, transporting stable clients, and stocking supplies; RN should specifically inform nursing assistive person about what to report.
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The nursing team consists of one RN, one LPN, and to unlicensed assistive personnel (UAP). Which of the following patients should the nurse on the pediatric unit assign to the LPN?
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An infant requiring Bacitracin on the circumcision site. Stable patient with a predictable outcome; LPN assists with implementation of care, performs procedures, differentiates normal from abnormal, cares for stable patients with predictable outcomes, has knowledge of asepsis and dressing changes, and may administer medications, which varies with educational background and state nurse practice acts.
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An outside change agent consultant informs the nurse manager that most of the staff on the medical unit can be classified as early majority in terms of their behavioral patterns in response to change. The manager understands this to mean which of the following?
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The staff will not be the first to accept a change, nor will they be the last. Early majority people have a preference for the status quo, or what has been done in the past; they will accept new ideas eventually, usually before the average person has done so; the listing of behavioral patterns in response to change proceeds from quickest to adopt to slowest adopt (innovators, early adopters, early majority, late majority, laggards, rejectors)
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The nurse inserts an IV into a client diagnosed with acquired immunodeficiency syndrome (AIDS). The client moves, and the used needle sticks into the nurse's forearm. which action best describes OSHA's requirements for what the employer must provide in this situation?
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Immediate medical evaluation and treatment. According to OSHA requirements, employer should offer immediate, confidential evaluation and treatment and any follow-up required if the employee is exposed to blood-borne pathogens.
