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NursingFundamentals NursingFundamentals of NursingPractice Set 9
NursingFundamentals NursingFundamentals of NursingPractice Set 9Managing Patient Care
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Question 1
Free
Multiple Choice
A registered nurse (RN) is the group leader of practical nurses and nursing assistive personnel. Which nursing care model is the RN using?
Choose correct answer/s
Case management
Total patient care
Primary nursing
Team nursing
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Question 2
Free
Multiple Choice
A nurse is overseeing the care of patients with severe diabetes and patients with heart failure to improve cost-effectiveness and quality of care. Which nursing care delivery model is the nurse using?
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Team nursing
Total patient care
Primary nursing
Case management
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Question 3
Free
Multiple Choice
A nurse is working in an intensive care unit (critical care). Which type of nursing care delivery model will this nurse most likely use?
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Team nursing
Total patient care
Primary nursing
Case-management
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Question 4
Free
Multiple Choice
A nurse manager discovers that the readmission rate of hospitalized patients is very high on the hospital unit. The nurse manager desires improved coordination of care and accountability for cost-effective quality care. Which nursing care delivery model is best suited for these needs?
Choose correct answer/s
Team nursing
Total patient care
Primary nursing
Case management
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Question 5
Free
Multiple Choice
A nurse is working in a facility that has fewer directors with managers and staff able to make shared decisions. In which type of organizational structure is the nurse employed?
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Delegation
Research-based
Decentralization
Philosophy of care
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Question 6
Multiple Choice
A staff member verbalizes satisfaction in working on a particular nursing unit because of the freedom of choice and responsibility for the choices. This nurse highly values which element of shared decision making?
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Authority
Autonomy
Responsibility
Accountability
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Question 7
Multiple Choice
A staff nurse delegates a task to a nursing assistive personnel (NAP), knowing that the NAP has never performed the task before. As a result, the patient is injured, and the nurse defensively states that the NAP should have known how to perform such a simple task. Which element of the decision-making process is the nurse lacking?
Choose correct answer/s
Authority
Autonomy
Responsibility
Accountability
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Question 8
Multiple Choice
A nurse manager sent one of the staff nurses on the unit to a conference about new, evidence-based wound care techniques. The nurse manager asks the staff nurse to prepare a poster to present at the next unit meeting, which will be mandatory for all nursing staff on the unit. Which type of opportunity is the nurse manager providing for the staff?
Choose correct answer/s
Staff education
Interprofessional collaboration
Providing a professional shared governance council
Establishing a nursing practice committee
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Question 9
Multiple Choice
A nurse is making a home visit and discovers that a patient's wound infection has gotten worse. The nurse cleans and redresses the wound. What should the nurse do next?
Choose correct answer/s
Notify the health care provider of the findings before leaving the home.
Ask the home health facility nurse manager to contact the health care provider.
Document the findings and confirm with the patient the date of the next home visit.
Tell the patient that the health care provider will be notified before the next home visit.
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Question 10
Multiple Choice
A nurse manager conducts rounds on the unit and discovers that expired stock medicine is still in the cabinet despite the e-mail that was sent stating that it had to be discarded. The staff nurse dress code is not being adhered to as requested in the same e-mail. Several staff nurses deny having received the e-mail. Which action should the nurse manager take?
Choose correct answer/s
Close the staff lounge.
Enforce a stricter dress code.
Include the findings on each staff member's annual evaluation.
Place a hard copy of announcements and unit policies in each staff member's mailbox.
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Question 11
Multiple Choice
A new nurse expresses frustration at not being to complete all interventions for a group of patients in a timely manner. The nurse leaves the rounds report sheets at the nurse's station when caring for patients and reports having to go back and forth between rooms for equipment and supplies. Which type of skill does the nurse need?
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Interpersonal communication
Clinical decision making
Organizational
Evaluation
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Question 12
Multiple Choice
Which approach will be most appropriate for a nurse to take when faced with the challenge of performing many tasks in one shift?
Choose correct answer/s
Do as much as possible by oneself before seeking assistance from others.
Evaluate the effectiveness of all tasks when all tasks are completed.
Complete one task before starting another task.
Delegate tasks the nurse does not like doing.
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Question 13
Multiple Choice
Which assessment of a patient who is 1 day postsurgery to repair a hip fracture requires immediate nursing intervention?
Choose correct answer/s
Patient ate 40% of clear liquid breakfast.
Patient's oral temperature is 98.9° F.
Patient states, "I did not realize I would be so tired after this surgery."
Patient reports severe pain 30 minutes after receiving pain medication.
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Question 14
Multiple Choice
A nurse has a transactional leader as a manager. Which finding will the nurse anticipate from working with this leader?
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Increased turnover rate
Increased patient mortality rate
Increased rate of medication errors
Increased level of patient satisfaction
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Question 15
Multiple Choice
A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistive personnel. The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus. Which action should the nurse take next?
Choose correct answer/s
Ask the nursing assistive personnel to observe while the nurse performs catheter care.
Leave the room and ask the nursing assistive personnel to go back and perform proper catheter care.
Tell the nursing assistive personnel that catheter care is sloppy.
Remove the catheter.
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Question 16
Multiple Choice
A nurse is prioritizing care for four patients. Which patient should the nurse see first?
Choose correct answer/s
A patient needing teaching about medications
A patient with a healed abdominal incision
A patient with a slight temperature
A patient with difficulty breathing
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Question 17
Multiple Choice
A nursing assistive personnel (NAP) reports seeing a reddened area on the patient's hip while bathing the patient. Which action should the nurse take?
Choose correct answer/s
Request a wound nurse consult.
Go to the patient's room to assess the patient's skin.
Document the finding per the NAP's report.
Ask the NAP to apply a dressing over the reddened area.
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Question 18
Multiple Choice
A nurse is assigned to care for the following patients who all need vital signs taken right now. Which patient is most appropriate for the nurse to delegate vital sign measurement to the nursing assistive personnel (NAP)?
Choose correct answer/s
Patient scheduled for a procedure in the nuclear medicine department
Patient transferring from the intensive care unit (ICU)
Patient returning from a cardiac catheterization
Patient returning from hip replacement surgery
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Question 19
Multiple Choice
Which staff member does the nurse assign to provide morning care for an older-adult patient who requires assistance with activities of daily living?
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Licensed practical nurse
Cardiac monitor technician
Nursing assistive personnel (NAP)
Another registered nurse on the floor
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Question 20
Multiple Choice
A nurse uses the five rights of delegation when providing care. Which "rights" did the nurse use? (Select all that apply.)
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Right task
Right person
Right direction
Right supervision
Right circumstances
Right cost-effectiveness
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