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A charge nurse on the pediatric unit is making assignments for a nurse who has floated from the labor and delivery unit. Which of the following clients is appropriate for the charge nurse to assign? A. A preschooler with a hip spica cast who is being discharged today B. An infant scheduled for a surgical repair of a ventricular septal defect tomorrow C. A toddler with a fractured femur who has been in Bryant's traction for 5 days D. An adolescent who is 2 days postoperative following an appendectomy - ansD. An adolescent who is 2 days postoperative following an appendectomy *The content of this question emphasizes the concept of leadership through the coordination of client care by making appropriate assignments. The care of an adolescent who
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A charge nurse is assisting a staff nurse to perform a new procedure. When the staff nurse is attempting the new procedure, he becomes frustrated and raises his voice at the charge nurse infront of the client. Which of the following actions by the staff nurse is appropriate? - ansApologizing to the charge nurse and the client is an appropriate action and displays respect toward others. A charge nurse realizes a staff nurse is chemically dependent on opioid analgesics. What is the most serious outcome if the nurse continues to care for clients in a chemically dependent state? - ansOmission in client care A client is talking to a patient that expresses frustration regarding her scheduled care. Which of the following actions by the nurse indicates client autonomy? - ansAsking the client to choose the order of her activities A group of nurse managers is developing a hospitalwide plan for orienting newly licensed nurses to the facility. Which of the following statements by a new member of the management team indicates a need for further education regarding orientation? - ans"I should provide a brief orientation to allow for independent working right away" A home health nurse is invited to dinner with a clients family on his day off. Which of the following actions of the nurse indicates understanding of his professional role? - ansThe nurse declines the invitation for dinner but offers to extend the length of each home visit A new nurse confides in his preceptor that nursing is more stressful than he expected and he is felling anxious about providing safe care. What statement by the preceptor is an appropriate response? - ans"It is important for you to feel comfortable and ask questions when you need to" A new nurse is being bullied by an experienced nurse. What action should the new nurse take? - ansDiscuss the situation with the nurse manager A new nurse is working in an acute care unit. Which action demonstrates the nurses transition from novice to advanced beginner? - ansContacting the provider after noting the clients abnormal lab results A newly licensed nurse asks his mentor why he chose nursing as a career. He replies that he chose nursing because it is a profession, which is characterized by? - ansLifelong learning and autonomy A newly licensed nurse confides in her mentor that she is feeling overwhelmed and glad responsibility for her actions extends only to herself and her clients. Which of the
following statements by the mentor is the most accurate response? - ans"As a nurse, responsibility for your actions also extends to your peers and society" A newly licensed nurse has been practicing in acute care for six months. Which of the following is the most essential for the nurse to achieve prior to assuming key nursing roles? - ansRecognizing professional identity A newly licensed nurse is experiencing reality shock. Which of the following statements indicates that the nurse is in recovery phase? - ans"I am less nervous than before in my ability to administer medications" A nurse is advocating implementation for a healthy school lunch program at the local middle school. Which of the following actions should the nurse take first to influence healthy policy development at the local level? - ansConduct height and weight screenings for the students A nurse is assigned to care for a client who is receiving continuous IV infusion of insulin. The nurse doesn't possess the skills to care for the client and requests that the charge nurse change her assignment. Which statement by the nurse demonstrates assertiveness? - ans"I don't feel confident managing this client on my own" A nurse is caring for a client who is postop. Which of the following actions by the nurse demonstrates the professional characteristic of autonomy? - ansMaking a decision on when to administer a patients PRN pain medication A nurse is caring for a client who is recently diagnosed with cancer. The client expresses fears about her future. What demonstrates compassion by the nurse? - ansThe nurse encourages the client to talk about her concerns A nurse is caring for a client whos culture is different from her own. When listening to the client reminisce, the nurse is promoting which of the following? - ansDignity Listening promotes the client's dignity, which is showing respect for the client as a human being. A nurse is delegating client care to an AP and instructs them to provide morning care to a client who has left sided weakness. Which of the following rights should the AP clarify with the nurse? - ansThe right direction A nurse is facing charges of professional negligence. Which of the following professional nursing organizations provides resources to demonstrate whether she met the standard of practice - ansAmerican Nurses Association The ANA's Scope and Standards of Practice informs decision-making, guides practice, and influences quality of client care.
A nurse manager is discussing the nurse practice act with staff. What should the nurse manager identify as the most important function of this act? - ansDefines nursing practice to protect the public A nurse manager is discussing the role of the state nurse practice act with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? - ans"Our states nurse practice act identifies the topics covered on the NCLEX examination" A nurse manager is explaining the purpose of a mentoring system to unit nurses. What is a characteristic of the mentoring process? - ansPromotes peer support A nurse manager is meeting with staff nurses to discuss evidence based practice. The nurse manager should inform the staff that evidence based practice _ - ansServes as a catalyst to improve quality of care A nurse manager is reading a new nurses self evaluation after completing a three month orientation period. What indicates self reflection? - ans"Requested more practice inserting IV catheters" A nurse manager is reviewing the code of ethics for nurses. Which of the following professional organizations provides specific guidance to licensed practical nurses? - ansNAPNES is the National Association for Practical Nurse Education and Service, Inc. It provides specific guidance to licensed practical nurses. A nurse manager just hired several newly licensed nurses. When explaining to the unit staff what to expect from these nurses he should state that the newly licensed nurses - ansApply general rules to all situations A nurse manager observes a staff nurse removing a used narcotic syringe from the sharps container. Which action should the nurse manager take first? - ansCollect info about the staff nurses performance A nurse on a medical surge unit is caring for a group of clients. The nurse demonstrates respect when he makes which of the following statements? - ans"Do you want your family to be present during your session with the speech therapist" A nurse on a medical surgery unit is caring for a group of clients. the nurse demonstrates autonomy when he performs which of the following? - ansMeasuring the calf circumference of a patient that reports unrelieved leg pain A nurse orienting a new nurse is discussing integrity and morals. Which statement by the new nurse indicates the need for further teaching? - ans"I should withhold health information that will cause my client stress"
A nurse working in an acute care facility is aware of the scope of practice and rules of her professional boundaries. What is an appropriate action for the nurse to take? - ansReceiving a fruit basket sent to the unit staff by a client after discharge A nurse working on a medical surgery unit is discussing the roles of the interprofessional team with the charge nurse. Which of the following observations by the nurse indicates the essential skills of the interprofessioal team? - ans"I can see that various helath care professionals are able to share their thoughts regarding patient care" A staff nurse suggests that her mentee practice self reflection questions. Which of the following questions by the mentee to herself indicates a need for further teaching - ans"How do I discuss end of life care with a clients family" A staff nurse volunteers to be a preceptor for nursing students during their clinical rotation. Which of the following professional values is the staff nurse demonstrating? - ansAltruism; by showing the concern for the welfare of future nurses After working for an inpatient hospital for a month, the new nurse tells the nurse manager that she is not sure that she can do the job any more due to stress and feeling of incompetence. What is an appropriate response by the nurse manager? - ans"You may be experiencing reality shock. We can discuss ways to reduce stress" Following a change of shift report, a nurse manager suspects the oncoming nurse is under the influence of a chemical substance. Which of the following actions should the nurse manager take? - ansArrange transportation for the nurse to go home Nurses in a hospital setting are discussing the principles of quality improvement in client care. Which of the following statements by a nurse indicates for further teaching? - ans"Risk managers are responsible for completing a incident report when a sentinel event occurs" The staff nurse is compelling evidence on ventilator associated pneumonia, which will be used to revise the hospitals policy and procedure for care of clients on ventilators. The nurse is acting as which of the following roles? - ansResearcher