Deck 13: Managing Patient Care

Question 1

A registered nurse requests that a nursing assistant give a patient a bath in the morning because the patient is going to surgery.As the nurse prepares the patient for surgery,the nurse notes that the patient has not received the bath,and it is too late to give one because surgery is calling for the patient.The nurse needs to give feedback to the nursing assistant.Where would be the most appropriate place for the nurse to provide the nursing assistant this feedback?

A) In the hallway
B) At the nurse's station
C) In the patient's room
D) In a private conference room

Answer 1

In a private conference room

Question 2

A nurse is in the acute care unit caring for a 67-year-old patient with a varicose ulcer in the right lower leg.The wound has been healing well but will require a dressing change during the shift.What priority level should the nurse classify this problem?

A) High priority
B) Low priority
C) Mid priority
D) Intermediate priority

Answer 2

Intermediate priority

Question 3

A nursing student is seeing a patient for the first time this morning.Which action should the nursing student perform first?

A) Focused patient assessment
B) Patient health history
C) Medication administration
D) Documentation

Answer 3

Focused patient assessment

Question 4

A patient is admitted to the hospital for hip replacement surgery after falling at home and breaking a hip.The patient has developed pneumonia while in the hospital and has required frequent suctioning from the tracheostomy.The nurse decides to delegate I&O to the unlicensed assistive personnel but does not delegate suctioning.This is an example of which of the five rights of delegation?

A) Right task
B) Right direction/communication
C) Right intervention
D) Right supervision

Question 5

A registered nurse delegates vital signs on a patient to the unlicensed assistive personnel (UAP).The nurse reviews the documented vital signs from the UAP to determine if they are within normal parameters for the patient.The nurse in this example is demonstrating which attribute when following up on the vital signs?

A) Interprofessional collaboration
B) Staff education
C) Accountability
D) Delegation

Question 6

A nurse works in a trauma intensive care unit in a busy urban hospital.Once a week,staff members from all the disciplines caring for the trauma patients get together to discuss their progress.The patient's family can be included in the discussion if it is approved by the patient.This is best described as which of the following?

A) Nursing practice
B) Staff communication
C) Interprofessional collaboration
D) Staff education

Question 7

A new nurse is learning how to prioritize time.One of the best ways that this can be accomplished is for the new nurse to focus on which of the following?

A) Nursing tasks
B) Patient priorities
C) Medication schedule
D) Ancillary procedures

Question 8

A primary nurse caring for a patient with kidney failure develops a plan of care for the patient after consulting with the patient on the best way to manage the patient's diet.As the staff delivers the plan of care the primary nurse evaluates whether the plan is working.Which attribute is the primary nurse displaying?

A) Responsibility
B) Interprofessional collaboration
C) Delegation
D) Staff involvement

Question 9

A patient admitted to the intensive care unit was placed on ventilator support.The nurse caring for this patient identified on the plan of care that one of the outcomes was that the patient would not develop ventilator-acquired pneumonia (VAP).To achieve this outcome,the nurse delegates the following to the unlicensed assistive personnel: "Please perform oral care on the patient every 2 hours.In this situation oral care would include using the special swabs we have for our patients on VAP precautions so we can prevent pneumonia." Which of the five rights of delegation did the nurse use?

A) Right route
B) Right direction/communication
C) Right dose
D) Right supervision

Question 10

A registered nurse has a patient assignment of caring for six postoperative patients in the orthopedic unit.The nurse completes the patient assessments,distributes medications,and provides care to the patients as outlined within the job (position)description.Which term best describes the nurse's behavior?

A) Interprofessional collaboration
B) Responsibility
C) Interprofessional rounding
D) Case management

Question 11

A nurse works in a critical care area caring for two patients during a day shift and is accountable for all their care.Which type of nursing care delivery model is the nurse using?

A) Team nursing
B) Case management
C) Primary nursing
D) Total patient care

Question 12

A registered nurse who works in a women's hospital assumes care for the same patients from the time they are admitted to the time they are discharged home.The nurse has associate nurses helping with the care.Which type of nursing care delivery model is the nurse using?

A) Team nursing
B) Primary care nursing
C) Case management
D) Total care

Question 13

A nurse has worked in a variety of nursing areas and would like to find a unit within the hospital that mirrors the nurse's own professional values.The best way for the nurse to find a unit that would be a good fit is for the nurse to examine which document?

A) Hospital mission statement
B) Unit policies and procedures
C) Unit philosophy of care
D) Hospital vision statement

Question 14

A registered nurse (RN)works on a unit with other registered nurses,licensed practical nurses (LPN),and nursing assistive technicians.Usually a RN,LPN,and nursing assistive technician provide direct care for a group of patients.The RN coordinates all of the care the others provide.Which type of nursing care delivery models is the RN using?

A) Team nursing
B) Case management
C) Primary nursing
D) Total patient care

Question 15

A nurse manager is interested in supporting more involvement of the staff nurses on the unit.What is one approach the nurse manager can take to facilitate this involvement?

A) Inform the staff of decisions made.
B) Use decentralized management.
C) Avoid unit goals.
D) Discourage input from other personnel.

Question 16

A staff nurse is caring for six patients and is working with nursing assistive personnel.Which task can the nurse safely delegate to the nursing assistive personnel?

A) Patient assessment
B) Patient discharge teaching
C) Patient bed bath
D) Patient medication administration

Question 17

A nurse is using SBAR.Which information will the nurse report for the "B"?

A) The patient had a broken right leg with a cast applied 2 days ago.
B) The toes are cool and pale.
C) The patient is reporting severe pain-10 out of 10-even after pain medication was given.
D) The nurse requests that the primary health care provider examine the patient.

Question 18

A new nurse would like to work where clinical performance is valued and in an environment that uses evidence-based practice.Given the new nurse's goals,which organization would be the best for this nurse?

A) Private hospitals
B) Community hospitals
C) Not-for-profit hospitals
D) Magnet-designated hospitals

Question 19

A registered nurse is prioritizing care for four patients.Which patient should the nurse see first?

A) A 44-year-old woman 1 day postoperative
B) A 64-year-old man who had a stroke 2 days ago
C) A 56-year-old woman with an acute asthma attack
D) A 67-year-old man with a fractured hip

Question 20

A registered nurse works as a case manager in the local hospital.What primary role will the nurse be fulfilling?

A) Coordinating care for patients with a specific condition
B) Only working with primary health care providers
C) Directing care of all patients in the hospital setting
D) Providing direct care to specific patients

Question 21

A newly graduated nurse has been assigned to work with one assistive personnel staff member.When delegating skills,which guidelines should the nurse use? (Select all that apply.)

A) Assign just bed making skills and feeding tasks.
B) Assess the knowledge of the assistive personnel.
C) Match tasks to the assistant's skills.
D) Have the nursing assistant document assessment findings.
E) Assess skill levels of assistive personnel.

Question 22

Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient- and population-centered care that is safe,timely,efficient,effective,and equitable. Using a top-down communication strategy does not apply as a team approach,but is needed for interprofessional collaboration.

Question 23

Which leadership skills should a nursing student use when caring for patients? (Select all that apply.)

A) Priority setting
B) Time management
C) Case management
D) Delegation
E) Team communication

Question 24

A nurse must give feedback to a nursing assistant that did not take vital signs.How should the nurse give feedback?

A) "How can I trust you when things don't get done like I asked?"
B) "You are a bad assistant because you didn't do your tasks."
C) "The vital signs were not taken. What happened?"
D) "Where did you learn to take vital signs?"

Question 25

Nurses working at a progressive health care organization participate in a decentralized decision-making framework where they are actively involved in nursing unit decisions.These nurses know that decentralization decision making includes which key elements? (Select all that apply.)

A) Autonomy
B) Prioritization
C) Responsibility
D) Authority
E) Accountability

Question 26

Use the knowledge of one's own role and those of other professions to appropriately assess and address the health care needs of patients and populations served.

Question 27

Competencies needed for effective interprofessional collaboration include:
1. Work with individuals of other professions to maintain a climate of mutual respect and shared values.
2. Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of patients and populations served.
3. Communicate with patients, families, communities and other health care professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and treatment of disease.
4. Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient- and population-centered care that is safe, timely, efficient, effective, and equitable.
Using a top-down communication strategy does not apply as a team approach, but is needed for interprofessional collaboration.

Question 28

Which action indicates the new nurse is fulfilling entry-level competencies?

A) Acts as a patient advocate
B) Develops a theoretical framework for how to practice
C) Manages care of one patient
D) Establishes a quality improvement plan for the unit

Question 29

A nurse is assuming responsibility for a caseload of patients over a period of time.Which type of nursing care delivery models is the nurse practicing?

A) Team nursing
B) Primary nursing
C) Interprofessional collaboration
D) Decentralized management

Question 30

Which competencies should the nurse follow to be an effective team member in interprofessional collaboration? (Select all that apply.)

A) Work to maintain a climate of mutual respect.
B) Use your role specific knowledge to address health care needs.
C) Apply relationship-building values and principles of team dynamics.
D) Use a top-down communication strategy.
E) Support a team approach to the maintenance of health.

Question 31

Communicate with patients,families,communities and other health care professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and treatment of disease.

Question 32

A nurse is teaching a patient the side effects of a medication as the nurse is giving the medication to the patient.Which attribute did the nurse display?

A) Efficient care
B) Effective care
C) Using resources
D) Using team communication