Examples of sentinel events include S/A
Forceps left in an abdominal cavity
B patient falls of gurney with severe injury
C short staffing on the
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D administrative of morphine OD
E death of patient related to postpartum hemorrhage
A nurse wants to utilize the best source of support for nurse’s belief about healthcare where can these be found
A opinion and stereotypes
B new programs and documentaries
C written reports and published surveys
D discussions and informal feedback from clients
the nurse manager of a rehab unit wants to purchase a new anti-embolic stocking to make a high-quality decision the nurse manager would
A involve the rehab staff in the decision
B involve the sales rep
C make the decision alone
D involve administration in the decision
during a fire drill several psychiatric clients became agitated the nurse manager quickly assigned a staff manager to each patient this autocratic style is most appropriate for
A aroutine problem
B crisis situations
C manager who prefer a telling style
D followers who cannot agree on a solution
the nurse manager on a unit is asked by a family member of a dying Native American patient if it is possible to have a member of the patients 8 member family recite the rosary by the bedside the manager responds affirmatively the nurse is most likely exhibiting behavior related to
A acculturation
B ethnocentricity
C cultural diversity
D cultural sensitivity
in caring for a patient from an east Indian culture the staff expresses frustration that many family members are in the room which often interferes with care as the nurse manager you provide leadership and understanding that this behavior of the family and friends network reflects
A lack of understanding of the seriousness of the patient’s illness
B lack of communication between family members
C the social organization of friendship and family networks of the east Indian culture
D lack of caring of the hospital environment by the friends and families
a nurse belongs to several professional organizations serving at a state level committee of 1 group and on 2 task forces at work the nurse is committed to a range of health issues this nurse exemplifies which level of professional action in nursing
A vigilante
B by end behavior
C self-activist
D political activism
a nurse is participating in a baccalaureate course for the class she has to attend the legislative session regarding the new rules of medications assistance nurses should be involved in shaping public policy primarily because
A involvement will enable nurses to take over the healthcare system at some point in the future
B other healthcare professionals are less concerned about essential needs of a client
C such activities are important career builders for nurses who seek top level executive positions
D they are closest to the frontline of healthcare and see how it affects clients and families
a charge nurse is making a shift assignment what is the primary consideration in assigning the unit staff includes RNs 2 LPNs and 1 CNA
A proximity of client’s room to the nurse’s station
B scope of practice of each staff member
C staff preferences for favorite client
D developmental needs of clients
what is the most likely reason that nurses have traditionally avoided joining unions and participating in elective bargaining
The union had little to offer nurses as far as pay and working conditions are concerned
B unions were largely male dominated organization and wanted little to do with nurses
C joining a union seems to contradict nursing image of dedication service and selflessness
D nurses already had a great deal of control over their working condition salaries and benefits
a newly licensed RN is signing an employment contract with an employer identify the most important factor in the initial negotiation of that contract
A discussion of important issues
B posturing and negotiation of power
C resolution of key conflicts
D lack of willingness to work extra hours
36 a nurse is using research and science to influence public health policies at the state level this best known as
A power
B nursing
C politics
D ethics
a group of nurses want to influence the legislative process at the federal level the nurses can best do this by
A organizing demonstrations outside the Whitehouse when important healthcare issues are discussed
*B sending telegrams and letters to their congress members and senators
C having the main nurse organization nurse speaks with a unified voice when presenting their concerns
D joining and actively participating in hospital committees on healthcare
a new nurse manager wants to incorporate evidenced based practices into her new unit she recognizes that
A she will need to hire a professional nurse researcher
B successful use of evidence-based practice depends on how practical and useful the information is to the nurses
C nurses cannot possibly understand the perplexities of the changing evidence in their practices
D job description for all open positions needs to include research competencies
a nurse wants to be effective in managing a culturally diverse staff WOTF nurse manager attributes would assist the nurse in addressing the cultural needs of the staff S/A
A stereotyping of others
B respect for others
C positive reinforcement
D knowledge about the staff
E age biases
F disapproval of others
a novice nurse wants to be a good nurse advocate for clients on the unit the nurse realizes that being a client advocate is
A important but not essential to competent care
B necessary only when the nurse agrees with the client’s choices
C is one of the most important roles of a nurse
D mandatory for diffusing litigious circumstances
a nurse is serving as preceptor to a newly licensed nurse and is explaining the role of the nurse as advocate WOTF illustrates advocacy role S/A
A verifying that a client understands what is done during a cardiac cauterization
B discussing treatment options for a terminal diagnosis
C informing members of the healthcare team that the client has DNR status
D reporting that a health team member on the previous shift did not provide care as prescribed
E assisting a client to make a decision about his care based on the nurses recommendation
a nurse is teaching a class about safe medication administration the nurse should include in the teaching that WOTF references are acceptable for safe medication administration S/A
A a website that ends in .com
B published journals
C physicians’ desk reference
D pharmaceutical sales reps
E pharmacists
a charge nurse suspects that a staff nurse is diverting opioids analgesics WOTF is an effect of opioid medication
A euphoria
B rhinorrhea
C hallucinations
D dilated pupils
a nurse manager on the floor hears a staff nurse on the unit speak openly about her dislike of a recent policy change regarding client care when discussing the issue WOTF statement by the nurse manager is most helpful and appropriate
A why didn’t you voice your concerns before the new policy was implemented
B being open to change is an expectation of the nurses who are on this unit
C you should support this policy change because it was based on evidenced based practice
D let’s talk about your concern about the new policy
ANIC for a 16-year-old client who is experiencing a relapse of leukemia and is refusing treatment the clients mother insists that the client receives treatment WOTF actions should the nurse take
A initiate the IV per the parents request
B notify the provider of the situation
C administer a sedative to calm the client
D offer the client an antiemetic
ANIC for a client who falls in his room after the nurse assesses the client, notifies the clients provider and completes an incident report WOTF actions should the nurse take
A make a copy of the incident report for the patient
B make a copy of the incident report for the provider
C submit the incident report to the risk manager
D document in the chart that an incident report has been filed
an assistive personnel reports to the nurse that a client who is 3 days post-op following an abdominal hysterectomy has a dressing that is saturated with blood WOTF tasks should the nurse delegate to the AP
A change the clients dressing
B obtain VS
C palpate for bladder extension
D observe the incision site
a systematic but subjective approach implemented to describe life experiences and give them meaning is which type of research
A qualitative
B quantitative
C quantified
D random
the RN is observing the new LPN giving medication which was ordered as amoxicillin 7.5ml q8hrs on hand is 125mg/ml the LPN draws up 195ml what should he RN do
A nothing the dosage is correct of 195ml…. this is an ati question
B stop her and the dosage should be 185ml
C stop her the dosage should be 562.5ml
D correct the dosage should be 165ml
the RN is observing a graduate nurse as he gives medication to 126lb adult the order reads 20mg/kg for 24hrs to be give POq6hrs how many mg will be administered per dose
A 1500mg
B 275.5mg
C 286.5mg
D 280.4mg
Definition of early adopter-
Transformational leadership-
Transactional leadership-
1. A nurse is caring for a client with a new diagnosis of diabetes. Which of the following is the best guarantee that the patient’s priority needs are met?
2. One major aims of Crossing the Quality Chasm addressed client- centered care. Which of the following is an implication for Nursing?
3. A nurse manager is preparing to conduct a quantitative research study on the rate of falls in the unit. In order to be certain, the research is based upon patient centered outcomes, what does the nurse need to know?
4. A nurse is participating in a management course. For the class, she has to attend a State legislative session regarding the new role of patient care technicians. Why would nurses be involved in shaping public policy?
5. The nurse is preparing a client for an invasive surgical procedure. What is the nurse’s legal responsibility regarding consent?
6. An experienced nurse wants to become more active in politics. What actions can the nurse take? SATA
7. A 9-year-old client with acute lymphoblastic leukemia has experienced three relapses in the past 2 years. The health care provider has prescribed experimental chemotherapy. While preparing to begin the medication, the parents tell the nurse they do not want to continue treatment, and that they want to take their son home. The child also says he wants to go home. Which is the nurse’s priority action?
8. The nurse is explaining a treatment to a client who turns his head and tells her he does not want to know anything. The nurse understands that is normal. Which known dimension of client centered care is the nurse following? [Show Less]