Management of Care Kaplan Quiz

primary nursing

one registered nurse is responsible for the client's total care throughout the client's hospitalization

Demographic data is collected by the nurse about a client during an initial health history interview. Which is the next focal area of assessment?

reason for seeking healthcare now, then overview of past health history

Which pediatric client does the nurse see first?

preschooler with elevated temp, cough, and fine crackles

The nurse recognizes which as the primary goal of managed care systems (preferred provider organization)?

cost-effective health care

Autocratic

leader gives orders and makes decisions

Laissez-faire

leader gives up control and turns over all decision-making to the group

Democratic

primarily concerned with relationship and teamwork

Situational

style of leader is determined by the situation and the needs of the staff

What is the description of the function of the coordinator role?

the coordinator clarifies relationships between various ideas or suggestions

Which strategy does the nurse educator highlight as most likely to be successful when there is conflict among staff?

ask for suggestions for resolution from those involved in the conflict

The nurse understands which statement best describes informed consent?

informed consent is obtained before major invasive procedures

The nurse reporting suspected child abuse is legally operating under which concept?

duty to disclose

What exactly is meant by the gatekeeper role?

the gatekeeper ensures that everyone has an opportunity to speak

Which document does the nurse know the force of law backs up?

nurse practice acts

Which client does the nurse see first?

the client diagnosed with hemophilia reporting joint pain

indicates acute bleeding into the joint

Tx: factor 8 and RICE

Beneficience

action that promotes good will

Autonomy

right to choose and freedom to make decisions for oneself

Veracity

telling the truth completely

Nonmaleficience

principle of do no harm

Reward

ability to provide favors, promise money, or other benefits

Coercive

ability to punish, threat of pain or harm, influence other people in an effort to achieve goals

Personal

derives from a high degree of self confidence

Referent

results from a followers' desire to identify with a powerful person

Which nursing intervention does the nurse implement first?

the client's PCA pump is empty and needs a new syringe of morphine, the client reports pain

the IV line may become disrupted if the pump is empty

Which activity does the nurse complete first?

medicate the client for a report of pain

Early Majority

people have a preference for the status quo or what has been done in the past but will accept new ideas eventually

the staff will not be the first to accept a change, nor will they be the last

When witnessing the client's signature during informed consent, it is most important for the nurse to make which assessment?

Does the client give consent voluntarily?

It is the HCP's responsibility to explain the procedure and answer questions.

The nurse educator wants to enhance the creative and critical thinking skills of the nurses on the med-surg unit. Which activity is best for the nurse educator to incorporate into an educational class in order to move toward this goal?

brainstorming experiences

After a client receives preoperative medication, the nurse discovers the client has not signed the operative permit. Which is the best action for the nurse to take?

contact the nurse's immediate supervisor

follow the chain of command

Which person does the nurse identify to sign an informed consent form for a client who is declared mentally incompetent?

the client's legal guardian or healthcare surrogate can sign the consent

When an RN assigns care to another RN...

both accountability and responsibility are transferred

if delegated, it's just responsibility transferred

The manager identifies which group process stage as the one in which members are most likely to engage in arguments and power struggles?

storming

Group Process Stages

- forming: orientation stage

- storming: conflict stage

- norming: cohesive stage

- performing: working stage

The nurse manager plans to conduct a performance appraisal. The nurse manager knows which action is most important during the interview phase?

maintain the focus on job position requirements, standards of care, and actual employee behaviors

Which condition must the informed consent meet to be valid?

there is adequate disclosure

the informed consent is given voluntarily

the client has sufficient comprehension