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Exam (elaborations)

FCCA 274C Nursing final.docx

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1. You've started the timed comprehensive 274C Managing Multiple Patients/Working with Interdisciplinary Teams exam. This is a timed exam. You have 130 minutes to complete this quiz. Monitor the timer as you progress so you do not run out of time. You must work independently on the quiz. Use of references (textbooks, notes, other individuals, internet sources, etc.) is not allowed. Note: there is no 'Submit' button for the exam as a whole. Each response must be submitted individually. o When you've completed the exam, please review it in its entirety, to ensure that you've clicked on 'Submit' for each question. o When the time allotted for the exam runs out, any questions which have been submitted will be eligible for credit. o Any questions which have NOT been submitted will NOT receive credit, even if a response has been saved. 274C-C_CE-1-0011 1.25 points possible (graded, results hidden) When an RN enters a patient room to perform a dressing change, the case manager is discussing discharge plans with the patient. What is the most appropriate action by the RN? Summarize the discussion about discharge for the patient. Arrange with the patient a later time to complete the task. submitted Request the case manager return after the dressing change to complete the plan. Proceed with the dressing change during the discharge plan discussion. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 274C-C_CE-1-0014 1.25 points possible (graded, results hidden) A patient recovering from a motor vehicle accident is scheduled for transfer to an extended care facility. The patient states to the RN “I’m a little bit nervous about this transfer.” Which intervention by the RN will foster a smooth transition to the next level of care? Explore the option of family accompanying the patient during transport. Inform the patient that anxiety about a new facility is normal and everything will be fine. Encourage the patient to perform relaxation techniques taught by the social worker. Collaborate with the health care provider about an anti-anxiety medication for the patient. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 274C-C_CE-1-0017 1.25 points possible (graded, results hidden) A patient tells the RN “I have not spoken with my family in years. I know I am dying and would like the chance to see them again.” What is the appropriate reply by the RN? “Would you like us to facilitate a family meeting?" submitted “It is good to let go of past differences.” “I can pray with you for inner peace if you’d like.” “Do you think your past actions caused family disagreement?” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 274C-C_CE-1-0006 1.25 points possible (graded, results hidden) During interprofessional rounds, one team member consistently interrupts other members of the team. What is the appropriate action by the RN to resolve the issue? Privately speak with that person to convey the impact of the behavior. submitted Suggest the nurse manager attend rounds to help address the behavior. Encourage team members to provide essential information when asked. Tell that member to stop interrupting and listen to all team members. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 274C-C_CE-1-0004 1.25 points possible (graded, results hidden) The parents ask the RN about long term follow-up care after surgical repair of a cleft palate for their infant. What is the appropriate response by the RN to address continuity of care? “No additional surgical follow-up is required once the surgeon discharges the baby.” “Results of surgery are usually excellent; your pediatrician will manage follow-up care.” “Follow-up care for the baby includes a team approach to identify issues as the baby grows.” submitted “The infant will do well, however you both should undergo genetic testing.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 274C-C_CE-1-0019 1.25 points possible (graded, results hidden) During interdisciplinary rounds, a patient reports frequent nightmares that are interfering with restorative rest. What would be an appropriate short term goal agreed to by the patient and the team? The patient will resume regular activities of daily living. The patient will have no “flashbacks” or disturbing thoughts. The patient will be able to discuss the event without feeling anxious. submitted The patient will be able to sleep without medication. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 274C-C_CE-1-0002 1.25 points possible (graded, results hidden) A patient has chronic myalgia related to Lyme disease. Which members of the team would contribute to the patient’s plan of care? Select all that apply. Registered Nurse Physical therapist Respiratory Therapist

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