Chapter 11: Building Nursing Management Skills Zerwekh 9th ED

During clinical experience, the student nurse is assigned a patient scheduled to undergo numerous treatments. The student decides it is not possible to complete all the needed treatments in the time scheduled for this clinical day. The student nurse consults with the clinical instructor to a. delegate. c. procrastinate. b. prioritize. d. do the easiest treatment first. - ANS: B Plan your care of a patient who requires multiple treatments or complex nursing care by determining the priority of the patient's problems or needs so that you can provide care to the patient's highest priority needs first. Delegation would not be the most logical or appropriate choice as the student is not working over anyone. It is not always wise to do the easiest treatment first because difficult treatments may have unexpected outcomes that may challenge time management. Procrastination is never a good approach in managing patient care. PTS: 1 DIF: Cognitive Level: Analysis REF: p. 249 OBJ: Discuss strategies to manage and prioritize your time in the clinical setting. TOP: Nursing time management in clinical MSC: NCLEX®: Safe and effective care environment—management of care 2. A nurse is discharging a patient who primarily speaks German. Which action(s) should the nurse take to communicate effectively with the patient? (Select all that apply.) a. Contact interpreter services to interpret discharge instructions to the patient. b. Provide discharge instructions for the patient that are written in German. c. Ask the patient to repeat the discharge instructions back to the interpreter as he understands them. d. Forego the interpreter because you are just showing him how to change a dressing. e. Give the patient discharge instructions that are written in English. - ANS: A, B, C The nurse should contact interpreter services and request a German-speaking interpreter. The nurse should provide all discharge instructions with the help of the interpreter and ask the patient to repeat back what he has heard. By using a Team STEPPS strategy "check back," the nurse can ensure that the patient understands the discharge instructions what he needs to do for himself when he leaves. PTS: 1 DIF: Cognitive Level: Application REF: p. 240 OBJ: Discuss Team STEPPS Tools as an evidence-based teamwork system to