Saunders Leadership/Management questions
with accurate answers
A case manager is reviewing the records of the clients in the nursing
unit. Which occurrence, if noted in a client's record, would the nurse
identify as a positive variance?
1.
A client is performing colostomy irrigations.
2.
The client with a leg ulcer is demonstrating signs of wound healing.
3.
A postoperative client is discharged home 1 day earlier than expected.
4.
The client with diabetes mellitus is administering insulin injections
appropriately. Ans✓✓✓ 3.
A postoperative client is discharged home 1 day earlier than expected.
Variances are actual deviations or detours from the critical path.
Variances are positive or negative, avoidable or unavoidable, and may
be caused by a variety of factors. A positive variance occurs when the
client achieves maximum benefits and is discharged earlier than
anticipated on his or her critical path. The correct option is the only one
,that identifies a positive variance. Options 1, 2, and 4 demonstrate
progression on a critical path, but they are not specifically associated
with the definition of a positive variance.
A child with an autism spectrum disorder (ASD) is being admitted to the
hospital for diagnostic tests. Which room assignment is the most
appropriate for the child?
1.
Private room
2.
Semiprivate room
3.
4-bed ward room
4.
Contact isolation room Ans✓✓✓ 1.
Private room
ASDs are complex neurodevelopmental disorders of unknown etiology
composed of qualitative alterations in social interaction and verbal
impairment with repetitive, restricted, and stereotype behavioral
patterns. Children with ASDs are unable to relate to persons or respond
,to social and emotional cues. Characteristically, these children engage in
repetitive behaviors, including head banging, twirling in circles, biting
themselves, and flapping their hands or arms. Abnormal communication
patterns include verbal and nonverbal communication. A child with an
ASD needs decreased stimulation, with limited visual and auditory
distractions. A private room would be the best environment, allowing for
control of visual and auditory distractions. The semiprivate and 4-bed
ward rooms would be too stimulating for the child with an ASD. ASD is
not a disorder that requires contact isolation
A client admitted voluntarily for treatment of an anxiety disorder
demands to be released from the hospital. Which action should the nurse
take initially?
1.
Contact the client's health care provider (HCP).
2.
Call the client's family to arrange for transportation.
3.
Attempt to persuade the client to stay "for only a few more days."
4.
Tell the client that leaving would likely result in an involuntary
commitment. Ans✓✓✓ 1.
, Contact the client's health care provider (HCP).
In general, clients seek voluntary admission. Voluntary clients have the
right to demand and obtain release. The nurse needs to be familiar with
the state and facility policies and procedures. The initial nursing action
is to contact the HCP, who has the authority to discuss discharge with
the client. While arranging for safe transportation is appropriate, it is
premature in this situation and should be done only with the client's
permission. While it is appropriate to discuss why the client feels the
need to leave and the possible outcomes of leaving against medical
advice, attempting to get the client to agree to staying "for only a few
more days" has little value and will not likely be successful. Many states
require that the client submit a written release notice to the facility
psychiatrist, who reevaluates the client's condition for possible
conversion to involuntary status if necessary, according to criteria
established by law. While this is a possibility, it should not be used as a
threat with the client.
A client has refused to eat more than a few spoonfuls of breakfast. The
health care provider has prescribed that tube feedings be initiated if the
client fails to eat at least half of a meal because the client has been losing
weight for 2 months. The nurse enters the room, looks at the tray, and
states, "If you don't eat any more than that, I'm going to have to put a
tube down your throat and get a feeding in that way." The client begins
to cry and tries to eat more. Based on the nurse's actions, the nurse may
be accused of which legal tort?
1.
Assault
with accurate answers
A case manager is reviewing the records of the clients in the nursing
unit. Which occurrence, if noted in a client's record, would the nurse
identify as a positive variance?
1.
A client is performing colostomy irrigations.
2.
The client with a leg ulcer is demonstrating signs of wound healing.
3.
A postoperative client is discharged home 1 day earlier than expected.
4.
The client with diabetes mellitus is administering insulin injections
appropriately. Ans✓✓✓ 3.
A postoperative client is discharged home 1 day earlier than expected.
Variances are actual deviations or detours from the critical path.
Variances are positive or negative, avoidable or unavoidable, and may
be caused by a variety of factors. A positive variance occurs when the
client achieves maximum benefits and is discharged earlier than
anticipated on his or her critical path. The correct option is the only one
,that identifies a positive variance. Options 1, 2, and 4 demonstrate
progression on a critical path, but they are not specifically associated
with the definition of a positive variance.
A child with an autism spectrum disorder (ASD) is being admitted to the
hospital for diagnostic tests. Which room assignment is the most
appropriate for the child?
1.
Private room
2.
Semiprivate room
3.
4-bed ward room
4.
Contact isolation room Ans✓✓✓ 1.
Private room
ASDs are complex neurodevelopmental disorders of unknown etiology
composed of qualitative alterations in social interaction and verbal
impairment with repetitive, restricted, and stereotype behavioral
patterns. Children with ASDs are unable to relate to persons or respond
,to social and emotional cues. Characteristically, these children engage in
repetitive behaviors, including head banging, twirling in circles, biting
themselves, and flapping their hands or arms. Abnormal communication
patterns include verbal and nonverbal communication. A child with an
ASD needs decreased stimulation, with limited visual and auditory
distractions. A private room would be the best environment, allowing for
control of visual and auditory distractions. The semiprivate and 4-bed
ward rooms would be too stimulating for the child with an ASD. ASD is
not a disorder that requires contact isolation
A client admitted voluntarily for treatment of an anxiety disorder
demands to be released from the hospital. Which action should the nurse
take initially?
1.
Contact the client's health care provider (HCP).
2.
Call the client's family to arrange for transportation.
3.
Attempt to persuade the client to stay "for only a few more days."
4.
Tell the client that leaving would likely result in an involuntary
commitment. Ans✓✓✓ 1.
, Contact the client's health care provider (HCP).
In general, clients seek voluntary admission. Voluntary clients have the
right to demand and obtain release. The nurse needs to be familiar with
the state and facility policies and procedures. The initial nursing action
is to contact the HCP, who has the authority to discuss discharge with
the client. While arranging for safe transportation is appropriate, it is
premature in this situation and should be done only with the client's
permission. While it is appropriate to discuss why the client feels the
need to leave and the possible outcomes of leaving against medical
advice, attempting to get the client to agree to staying "for only a few
more days" has little value and will not likely be successful. Many states
require that the client submit a written release notice to the facility
psychiatrist, who reevaluates the client's condition for possible
conversion to involuntary status if necessary, according to criteria
established by law. While this is a possibility, it should not be used as a
threat with the client.
A client has refused to eat more than a few spoonfuls of breakfast. The
health care provider has prescribed that tube feedings be initiated if the
client fails to eat at least half of a meal because the client has been losing
weight for 2 months. The nurse enters the room, looks at the tray, and
states, "If you don't eat any more than that, I'm going to have to put a
tube down your throat and get a feeding in that way." The client begins
to cry and tries to eat more. Based on the nurse's actions, the nurse may
be accused of which legal tort?
1.
Assault
