Question 1

A nurse has received an abnormal result on a critical test for an assigned patient.The nurse has been trying to reach the resident for 20 minutes but has been unsuccessful.What should be done to ensure the best care for the patient?

Accepted Answer

Upon receiving the critical test result,the nurse should page the resident.The nurse should document all attempts to reach the resident and all care provided to the patient.If the resident does not call the nurse back,the nurse should page the attending physician to ensure adequate care for the patient.The nurse should not withhold the test results until the resident makes rounds or begin treating the patient without a physician's order.

Question 2

A new nurse understands that organization is key to providing safe,effective care.Which of the following actions would help to achieve this?

Accepted Answer

To provide safe,effective care,the nurse should create a work organization sheet and write down all pertinent information regarding the patient,and minimize distractions during report.The nurse should keep all information on one sheet,so that the information does not get lost.It is unrealistic to memorize assignments and patient reports.Having patient information on separate sheets of paper can become overwhelming and is not effective work organization.

Question 3

A nurse has noticed that a coworker consistently has a negative attitude,criticizes others,and even shows aggression toward other members of the health care team.Which action(s)by the nurse would help to limit time with this individual?

Accepted Answer

To limit time with this coworker,the nurse should steer clear of this coworker,use assertive communication,learn to say "no," and set clear boundaries.It would not be appropriate to help the coworker deal with personal problems during work.

Question 4

The nurse manager is in charge of a busy nursing unit.Today the nurse manager is planning to evaluate the work of nurses on the unit.Which of the following actions would help complete this task in an effective manner?

Accepted Answer

The nurse manager should provide directions with clear expectations,intervene if the task is being performed incorrectly,verify that the tasks are being performed according to standards of practice,evaluate the performance of the task,and provide feedback as necessary.Following these steps will help the nurse manager effectively evaluate staff.A task being performed incorrectly should be stopped.It is acceptable to allow growth in skill as long as the task is being done to minimum competency.

Question 5

Which action(s)can the nurse take during report to ensure patient safety?

Accepted Answer

To ensure patient safety during change of shift the nurse should be prepared,give report at the bedside if possible,use I-SBAR-R,and focus on giving report and not on other distractions such as answering the telephone.The nurse should not simply give report as soon as the new nurse arrives;the off-going nurse needs to organize a report and finish any task currently being done.

Quiz 11: Building Nursing Management Skills

A nurse has received an abnormal result on a critical test for an assigned patient.The nurse has been trying to reach the resident for 20 minutes but has been unsuccessful.What should be done to ensure the best care for the patient?

A new nurse understands that organization is key to providing safe,effective care.Which of the following actions would help to achieve this?

A nurse has noticed that a coworker consistently has a negative attitude,criticizes others,and even shows aggression toward other members of the health care team.Which action(s) by the nurse would help to limit time with this individual?

The nurse manager is in charge of a busy nursing unit.Today the nurse manager is planning to evaluate the work of nurses on the unit.Which of the following actions would help complete this task in an effective manner?

Which action(s) can the nurse take during report to ensure patient safety?