NUR 410 Exam 3 Questions with Correct Answers
Patient Outcomes
nur 410 wk 9 ppt* Correct Answer-1. Nurses must be able to determine
what outcome is to be achieved for patients in order to effectively
prioritize, delegate and supervise
2. Patients who are hospitalized are more critically ill and many times
have comorbidities that impact their care
3. In planning care, nurses must consider all options and focus on which
options should be prioritized
4. is it a simple task such as oral hygiene or complicated such as
weening off of vent?
5. can person live w/o having particular task done? will it impact pt
safety?
6. ambulating pt first time post op-> should be done by RN not nursing
assistant (RN does baseline assessment)
7. acuity tool used to measure how sick pt is and give numerical value->
determines number of staff needed to take care of pts on that unit
Prioritization Correct Answer-1. Prioritization is defined as "deciding
which needs or problems require immediate action and which ones could
be delayed until a later time because they are not urgent."
Lacharity, LA, Kumagal, CK, & Bartz, B. (2019).
2. feeding someone is not urgent, administering antibiotics is something
that needs to be done on time
,Knowing the Patient's 4 P's for Prioritizing Care Correct Answer-1.
Purpose for care
-is this essential for pt safety? nebulizer tx, inhaler
2. Picture - current clinical picture
-is this person stable rn? don't need to assign an RN? rather LPN
-some facilities allow LPNs to administer IV meds (not IV push)
depends on state's nurse practice act and facility's policy
3. Plan care
-how care will be given. organize care so that everybody knows what
each person is doing
4. Part
-who's part to do that care?
Levels to Consider in Setting Priorities Correct Answer-1. A, B, C's
(Cardiac status, circulation and vital signs)
-abnormal labs
2. Mental health changes, acute pain, unresolved medical problems, and
acute elimination risks.
3. Health issues other than listed in the two above and those issues
related to education, safety, relationships, security and self-esteem.
Delegation and Assignment Correct Answer-1. ANA defines delegation
as "the process for a nurse to direct another person to perform nursing
tasks and activities."
,2. ANA says that delegation is a transfer of responsibility rather than
authority.
3. NCSBN, collaborating with the ANA, states assignment "describes
the distribution of work that each staff member is responsible for during
a given shift or work period."
4. has to be within nurse's realm or scope of practice
5. charge nurse is responsible for assigning tasks based on who's capable
of doing what
pt hemorrhaging-> delegate secretary to page anesthesia, ask RN to prep
for OR, talk to pt and family-> all before told to do so by physician
Supervision Correct Answer-1. A nurse must also supervise when he/she
delegates a task.
2. If a nursing assistant is unprepared or untrained to complete a task, the
RN must determine whether or not to take time to train the unlicensed
person or to delegate to another staff member or to do it himself/herself.
3. how to find out who can do what on unit? besides preceptor.... job
description, nurse practice act for state regarding what LPN and RNs can
do, facility usually spells this out, need to know where to find info
The Five Rights of Delegation Correct Answer-1. Right Circumstances
-is pt stable? can pt tolerate getting out of bed, breathing tx
2. Right Task
3. Right Person
-can this be done safely by tech? or RN, LPN
-is person experienced or not?
, -how to determine who's skilled, unskilled on new unit—-> how they
talk to pts, how they interact w staff members, how new they are, what
they can and cannot do
4. Right direction and Communication
-Communication is Clear, Concise, Correct and Complete
-clear: need to spell out to person what assignment is, to ensure
assignment is understood—-> can you repeat back what i just said?
-may be language barrier in some facilities
-concise as to details
5. Right Supervision
Right Supervision Correct Answer-1. Includes following-up to
determine what the results were after the task is completed
2. Hold a team huddle or brief report session after the initial bedside
report to outline the plan of care for the patients, provide direction to
unlicensed personnel
3. Continue to hold huddles before and after breaks and before the end
of the shift to see what needs to be finished before report to the other
shift
Team Meeting to Obtain and Provide Feedback (pg. 356) Correct
Answer-1. Debriefing meeting: Questions such as "What would you
recommend I do differently if we worked together tomorrow on the
same group of patients?" LaClarity et. al. p. 6.
2. Providing positive feedback
3. if someone identifies prob w pt ask for suggestions for resolving the
issue
Patient Outcomes
nur 410 wk 9 ppt* Correct Answer-1. Nurses must be able to determine
what outcome is to be achieved for patients in order to effectively
prioritize, delegate and supervise
2. Patients who are hospitalized are more critically ill and many times
have comorbidities that impact their care
3. In planning care, nurses must consider all options and focus on which
options should be prioritized
4. is it a simple task such as oral hygiene or complicated such as
weening off of vent?
5. can person live w/o having particular task done? will it impact pt
safety?
6. ambulating pt first time post op-> should be done by RN not nursing
assistant (RN does baseline assessment)
7. acuity tool used to measure how sick pt is and give numerical value->
determines number of staff needed to take care of pts on that unit
Prioritization Correct Answer-1. Prioritization is defined as "deciding
which needs or problems require immediate action and which ones could
be delayed until a later time because they are not urgent."
Lacharity, LA, Kumagal, CK, & Bartz, B. (2019).
2. feeding someone is not urgent, administering antibiotics is something
that needs to be done on time
,Knowing the Patient's 4 P's for Prioritizing Care Correct Answer-1.
Purpose for care
-is this essential for pt safety? nebulizer tx, inhaler
2. Picture - current clinical picture
-is this person stable rn? don't need to assign an RN? rather LPN
-some facilities allow LPNs to administer IV meds (not IV push)
depends on state's nurse practice act and facility's policy
3. Plan care
-how care will be given. organize care so that everybody knows what
each person is doing
4. Part
-who's part to do that care?
Levels to Consider in Setting Priorities Correct Answer-1. A, B, C's
(Cardiac status, circulation and vital signs)
-abnormal labs
2. Mental health changes, acute pain, unresolved medical problems, and
acute elimination risks.
3. Health issues other than listed in the two above and those issues
related to education, safety, relationships, security and self-esteem.
Delegation and Assignment Correct Answer-1. ANA defines delegation
as "the process for a nurse to direct another person to perform nursing
tasks and activities."
,2. ANA says that delegation is a transfer of responsibility rather than
authority.
3. NCSBN, collaborating with the ANA, states assignment "describes
the distribution of work that each staff member is responsible for during
a given shift or work period."
4. has to be within nurse's realm or scope of practice
5. charge nurse is responsible for assigning tasks based on who's capable
of doing what
pt hemorrhaging-> delegate secretary to page anesthesia, ask RN to prep
for OR, talk to pt and family-> all before told to do so by physician
Supervision Correct Answer-1. A nurse must also supervise when he/she
delegates a task.
2. If a nursing assistant is unprepared or untrained to complete a task, the
RN must determine whether or not to take time to train the unlicensed
person or to delegate to another staff member or to do it himself/herself.
3. how to find out who can do what on unit? besides preceptor.... job
description, nurse practice act for state regarding what LPN and RNs can
do, facility usually spells this out, need to know where to find info
The Five Rights of Delegation Correct Answer-1. Right Circumstances
-is pt stable? can pt tolerate getting out of bed, breathing tx
2. Right Task
3. Right Person
-can this be done safely by tech? or RN, LPN
-is person experienced or not?
, -how to determine who's skilled, unskilled on new unit—-> how they
talk to pts, how they interact w staff members, how new they are, what
they can and cannot do
4. Right direction and Communication
-Communication is Clear, Concise, Correct and Complete
-clear: need to spell out to person what assignment is, to ensure
assignment is understood—-> can you repeat back what i just said?
-may be language barrier in some facilities
-concise as to details
5. Right Supervision
Right Supervision Correct Answer-1. Includes following-up to
determine what the results were after the task is completed
2. Hold a team huddle or brief report session after the initial bedside
report to outline the plan of care for the patients, provide direction to
unlicensed personnel
3. Continue to hold huddles before and after breaks and before the end
of the shift to see what needs to be finished before report to the other
shift
Team Meeting to Obtain and Provide Feedback (pg. 356) Correct
Answer-1. Debriefing meeting: Questions such as "What would you
recommend I do differently if we worked together tomorrow on the
same group of patients?" LaClarity et. al. p. 6.
2. Providing positive feedback
3. if someone identifies prob w pt ask for suggestions for resolving the
issue
