VATI RN LEADERSHIP AND
MANAGEMENT 2019 QUESTIONS AND
ANSWERS
Aknursekiskcaringkforkakclientkwhenktheykerroneouslykadministerkakmedicationkdosagekt
hatkiskgreaterkthankthekamountkprescribed.kWhichkofkthekfollowingkethicalkprincipleskiskt
heknursekdemonstratingkwhenktheyknotifykthekproviderkofkthekmedicationkerror?k-
kanswer--Veracity.
Holdskthatkonekshouldktellkthektruth.
Aknursekiskperformingkmorningkroundskforkakclientkandkfindskthekclient'skbedtimekmedic
ationksittingkatkthekbedsidekinkakmedicationkcup.kWhichkofkthekfollowingkactionskshouldk
theknursektake?k-kanswer--
Documentkthekmissedkmedicationkadministrationkinkthekclient'skmedicalkrecord.
Itkiskthekresponsibilitykofktheknursektokrecordkthekfactskofkthekmissedkmedicationkadmini
strationkinkthekclientskmedicalkrecord.
Aknursekiskprovidingkteachingktokakclient'skadultkchildkregardingkthekclientskdischargekto
khomekwithkhospicekcare.kWhichkofkthekfollowingkstatementskbykthekclient'skadultkchildki
ndicateskankunderstandingkofkthekteaching?k-kanswer--
Thekhospicekteamkwillkprovidekserviceskforkthekentirekfamily,knotkjustkmykfather.
Hospicekserviceskarekprovidedkbykakteamkofkhealthkcarekprofessionalskandknonprofess
ionalkthatkofferkakfullkrangekofkservices,ksupportingkbothkthekclientkandkfamilykthroughkth
ekdyingkprocess.
Aknursekmanagerkiskschedulingkakmeetingktokaddresskakconflictkbetweenkstaffkmember
skandkakclient'skfamily.kInkthekmeeting,kstaffkandkfamilykmemberskwillkidentifykcommonk
goalskandkexpressktheirkconcerns.kWhichkofkthekfollowingkconflictkresolutionkstrategiesk
isktheknursekmangerkimplementing?k-kanswer--Collaboration
Collaborationkinvolveskbothkpartieskagreeingktokworkktowardskakcommonkgoalkratherkth
ankindividualkgoalsktokfinskakmutuallyksatisfyingksolutionktokthekconflict.kThekgoalkbeco
meskwhatkiskbestkoverall,kratherkthankwhatkeachkindividualkwantskorkthinkskiskbest.
Aknursekinkankacutekcarekfacilitykiskcaringkforkakclientkwhokiskleavingkagainstkmedicalkad
vicek(AMA).kWhichkofkthekfollowingkactionskshouldktheknursektake?kSATAk-kanswer--
RequestkthekclientksignkankAMAkform.
Notifykthekproviderkofkclient'skintent.
Advisekthekclientkaboutkthekdangerskofkleaving.
, AksignedkAMAkformkcankassistkwithkakcounterclaimkofknegligence.
TheknursekshouldkimmediatelyknotifykthekproviderkofkthekclientskintentktokleavekAMA.
TheknursekshouldkdiscusskthekpotentialkdangerskofkleavingkAMA,ksuchkaskcomplication
skofkthekclientskmedicalkcondition.
Akchargeknursekiskconductingkankin-
servicekonkadvocacykforkakgroupkofknewlyklicensedknurses.kWhichkofkthekfollowingkexa
mpleskshouldkthekchargeknursekincludekinkthekteachingkaskakdemonstrationkofkclientkad
vocacy?kSATAk-kanswer--
Aknursekreportskakprocedurekwaskcompletedkincorrectlykbykanotherknursektokthekcharg
eknurse.
Aknursekarrangeskforkankinterpreterkforkakclientkwhokspeakskakdifferentklanguage.
Theknursekshouldkreportkimproperkcompletionkofkakprocedurektokthekchargeknursekandk
completekankincidentkreportkdescribingkthekincident.kReportingktokthekchargeknursekiska
nkactkofkclientkadvocacy,kwhichkallowskthekchargeknursektokfurtherkmonitorkthekclientskc
onditionkandkpreventknegativekoutcomes.
Requestingkankinterpreterkforkakclientkwhokspeakskakdifferentklanguagekthanktheknurse.
kAnkinterpreterkwillkfacilitatekunderstandingkofkthekteachingkandkallowkthekclientktokcom
municatektheirkneedsktoktheknurse.
Aknursekmangerkiskworkingkwithkakteamktokresolvekankethicalkdilemma.kWhichkofkthekfol
lowingkstepskshouldkthekteamktakektokmakekankinformedkdecision?k-kanswer--
Identifykandkstatektheknaturekofkthekethicalkdilemma.
Listkactionsktoktakekbasedkonkaklistkofkalternatives.
Decidektokselectkonekalternative.
Communicatekthekjustificationkforkthekdecision.
Aknurseksuspectskakclientkiskdevelopingkopioidkusekdisorderkandkreduceskthekclientskdo
sagekofkpainkmedicationkbyk50%kwithoutkakprescriptionkfromkthekprovider.kTheknursekc
heckskonkthekclientk1hrklaterkandkseeskthekclientksittingkupkinkakchair.kThekclientktellskthe
knurse,k"Ikamkinktookmuchkpainktokreachktheknursekcallkbutton."kTheknursekiskliablekforkw
hichkofkthekfollowingklegalkviolations?k-kanswer--Grossknegligence
Grossknegligencekiskankextremekbreachkofkcarekwithkankintentional,krecklesskdisregardk
ofkconsequences.kTheknurse'skactionskwerekintentionalkandkreckless,kinkoppositionkofkt
hekprovider'skprescription,kandkplacedkthekclientkatkriskkforkpainkandkinjury.
Aknursekiskprovidingkteachingkforkakclientkaboutkadvancekdirectives.kWhichkofkthekfollo
wingkclientkstatementskindicateskankunderstandingkofkthekteaching?k-kanswer--
MykhealthkcarekproxykwillkmakekmykhealthkcarekdecisionskwhenkIkamknoklongerkable.
Thekclientkshouldkdiscusskherkhealthkcarekwisheskwithkthekhealthkcarekproxykwhilekshek
iskable.
Aknursekmangerkiskprovidingkdisciplinarykactionkforkakstaffknursekwhokiskclaimingk1hrkofk
overtimekeverykdaykforkthekpastkmonthktokcompletekcomputerkdocumentation.kWhichko
fkthekfollowingkactionskshouldktheknursekmanagerktakekfirst?k-kanswer--
Speakkwithktheknursekregardingkthekincident.
MANAGEMENT 2019 QUESTIONS AND
ANSWERS
Aknursekiskcaringkforkakclientkwhenktheykerroneouslykadministerkakmedicationkdosagekt
hatkiskgreaterkthankthekamountkprescribed.kWhichkofkthekfollowingkethicalkprincipleskiskt
heknursekdemonstratingkwhenktheyknotifykthekproviderkofkthekmedicationkerror?k-
kanswer--Veracity.
Holdskthatkonekshouldktellkthektruth.
Aknursekiskperformingkmorningkroundskforkakclientkandkfindskthekclient'skbedtimekmedic
ationksittingkatkthekbedsidekinkakmedicationkcup.kWhichkofkthekfollowingkactionskshouldk
theknursektake?k-kanswer--
Documentkthekmissedkmedicationkadministrationkinkthekclient'skmedicalkrecord.
Itkiskthekresponsibilitykofktheknursektokrecordkthekfactskofkthekmissedkmedicationkadmini
strationkinkthekclientskmedicalkrecord.
Aknursekiskprovidingkteachingktokakclient'skadultkchildkregardingkthekclientskdischargekto
khomekwithkhospicekcare.kWhichkofkthekfollowingkstatementskbykthekclient'skadultkchildki
ndicateskankunderstandingkofkthekteaching?k-kanswer--
Thekhospicekteamkwillkprovidekserviceskforkthekentirekfamily,knotkjustkmykfather.
Hospicekserviceskarekprovidedkbykakteamkofkhealthkcarekprofessionalskandknonprofess
ionalkthatkofferkakfullkrangekofkservices,ksupportingkbothkthekclientkandkfamilykthroughkth
ekdyingkprocess.
Aknursekmanagerkiskschedulingkakmeetingktokaddresskakconflictkbetweenkstaffkmember
skandkakclient'skfamily.kInkthekmeeting,kstaffkandkfamilykmemberskwillkidentifykcommonk
goalskandkexpressktheirkconcerns.kWhichkofkthekfollowingkconflictkresolutionkstrategiesk
isktheknursekmangerkimplementing?k-kanswer--Collaboration
Collaborationkinvolveskbothkpartieskagreeingktokworkktowardskakcommonkgoalkratherkth
ankindividualkgoalsktokfinskakmutuallyksatisfyingksolutionktokthekconflict.kThekgoalkbeco
meskwhatkiskbestkoverall,kratherkthankwhatkeachkindividualkwantskorkthinkskiskbest.
Aknursekinkankacutekcarekfacilitykiskcaringkforkakclientkwhokiskleavingkagainstkmedicalkad
vicek(AMA).kWhichkofkthekfollowingkactionskshouldktheknursektake?kSATAk-kanswer--
RequestkthekclientksignkankAMAkform.
Notifykthekproviderkofkclient'skintent.
Advisekthekclientkaboutkthekdangerskofkleaving.
, AksignedkAMAkformkcankassistkwithkakcounterclaimkofknegligence.
TheknursekshouldkimmediatelyknotifykthekproviderkofkthekclientskintentktokleavekAMA.
TheknursekshouldkdiscusskthekpotentialkdangerskofkleavingkAMA,ksuchkaskcomplication
skofkthekclientskmedicalkcondition.
Akchargeknursekiskconductingkankin-
servicekonkadvocacykforkakgroupkofknewlyklicensedknurses.kWhichkofkthekfollowingkexa
mpleskshouldkthekchargeknursekincludekinkthekteachingkaskakdemonstrationkofkclientkad
vocacy?kSATAk-kanswer--
Aknursekreportskakprocedurekwaskcompletedkincorrectlykbykanotherknursektokthekcharg
eknurse.
Aknursekarrangeskforkankinterpreterkforkakclientkwhokspeakskakdifferentklanguage.
Theknursekshouldkreportkimproperkcompletionkofkakprocedurektokthekchargeknursekandk
completekankincidentkreportkdescribingkthekincident.kReportingktokthekchargeknursekiska
nkactkofkclientkadvocacy,kwhichkallowskthekchargeknursektokfurtherkmonitorkthekclientskc
onditionkandkpreventknegativekoutcomes.
Requestingkankinterpreterkforkakclientkwhokspeakskakdifferentklanguagekthanktheknurse.
kAnkinterpreterkwillkfacilitatekunderstandingkofkthekteachingkandkallowkthekclientktokcom
municatektheirkneedsktoktheknurse.
Aknursekmangerkiskworkingkwithkakteamktokresolvekankethicalkdilemma.kWhichkofkthekfol
lowingkstepskshouldkthekteamktakektokmakekankinformedkdecision?k-kanswer--
Identifykandkstatektheknaturekofkthekethicalkdilemma.
Listkactionsktoktakekbasedkonkaklistkofkalternatives.
Decidektokselectkonekalternative.
Communicatekthekjustificationkforkthekdecision.
Aknurseksuspectskakclientkiskdevelopingkopioidkusekdisorderkandkreduceskthekclientskdo
sagekofkpainkmedicationkbyk50%kwithoutkakprescriptionkfromkthekprovider.kTheknursekc
heckskonkthekclientk1hrklaterkandkseeskthekclientksittingkupkinkakchair.kThekclientktellskthe
knurse,k"Ikamkinktookmuchkpainktokreachktheknursekcallkbutton."kTheknursekiskliablekforkw
hichkofkthekfollowingklegalkviolations?k-kanswer--Grossknegligence
Grossknegligencekiskankextremekbreachkofkcarekwithkankintentional,krecklesskdisregardk
ofkconsequences.kTheknurse'skactionskwerekintentionalkandkreckless,kinkoppositionkofkt
hekprovider'skprescription,kandkplacedkthekclientkatkriskkforkpainkandkinjury.
Aknursekiskprovidingkteachingkforkakclientkaboutkadvancekdirectives.kWhichkofkthekfollo
wingkclientkstatementskindicateskankunderstandingkofkthekteaching?k-kanswer--
MykhealthkcarekproxykwillkmakekmykhealthkcarekdecisionskwhenkIkamknoklongerkable.
Thekclientkshouldkdiscusskherkhealthkcarekwisheskwithkthekhealthkcarekproxykwhilekshek
iskable.
Aknursekmangerkiskprovidingkdisciplinarykactionkforkakstaffknursekwhokiskclaimingk1hrkofk
overtimekeverykdaykforkthekpastkmonthktokcompletekcomputerkdocumentation.kWhichko
fkthekfollowingkactionskshouldktheknursekmanagerktakekfirst?k-kanswer--
Speakkwithktheknursekregardingkthekincident.
