ATI Practice Leadership A & B question and answers

ATI Practice Leadership A & B Time -management skills – - set aside time to plan day at the beginning of each shift - document as tasks are completed throughout the entire shift - think about the steps of an activity ahead of time and gather all the needed supplies before starting the task - group tasks that are in the same location to effectively use time - should not skip breaks Client is uncertain about procedure - encourage the client to discuss any feelings or concerns about the procedure Authoritarian leadership - using penalties to promote behavior change Who is responsibility to discuss the risks and benefits of electroconvulsive therapy with the client - provider Democratic leadership - - offering constructive feedback --> encourage staff to have two nurses verify medications - consulting others to help the decision -making process --> asking three experienced nurses to investigate common causes for errors Laissez -faire leadership - places emphasis on group decision making --> suggestion box Abdominal assessment - - dorsal recumbent or supine position - use the bell of the stethoscope to auscultate for vascular bruit - begin with inspecting the abdomen for changes in color, contour, and symmetry - empty bladder before Patient reports vomiting and diarrhea past 6hr, what should the nurse prioritize? - serum potassium level AP thinks assigned tasks are unfair, how should the charge nurse respond? - "I delegate tasks to personnel based on job description" Nontherapeutic response include the word - WHY Sterile field technique: - - flat surface - top flap AWAY from body - 2.5cm (1in) border around the edges - pick up the first sterile glove by grasping the folded cuff edge - use CLEAN gloves to remove soiled dressings - avoid reaching over field Critical pathway - - standardized approach to assist the nurse to provide cost -effective client care and shorten the length of stay - implement evidence -based strategies for common diagnosis Triage - Immediate --> sucking chest wound, asymmetry of the thorax Wait > 2 hr before receiving treatment --> 6-in laceration w/ clotted blood visible, fracture Minimal chance of survival --> penetrating head injury w/ RR of 4/min Confidentiality - - bedside report - access to information is limited to those who need to know the information --> direct care providers AND administrative - tell a client's partner that the client's lab tests cannot be disclosed w/o permission Quasi -intentional tort - invasion of privacy Prioritizing - 1st --> ABC + VS 2nd --> pain, abnormal labs, untreated conditions, change in LOC 3rd --> chronic illness, education, coping Wheelchair instructions: - - raise the footplates before transferring - lock BOTH brakes when transferring (bed to chair) - back into the elevator - ramp --> stand between wheelchair and bottom of the incline to provide better control by keeping weight close to the body How can a nurse ensure the AP is qualified to perform a task? - review AP's checklist validates that they have demonstrated the ability to safely perform the procedure What DOESN'T ensure the AP is quali fied to perform a task? - - showing AP how to perform - asking AP if they can perform - pairing the newly hired AP with an experienced AP does not provide evidence of competency Consent is required for - moderate sedation Consent ISN'T required for - - removal of staples - sputum specimen - ABGs - urinary catheter insertion How can a nurse verify that the client gave informed consent? - ask the client to explain the procedure that is being performed A floated med/surg nurse should be assigned what client on a ortho floor? - a client who had a right above -the-knee amputation 24 hours ago because the surgical dressing is usually left in place for 48 to 72 hr, so the residual limb does not require specia l care at this time.