CAPSTONE LEADERSHIP POST ASSESSMENT
What behaviors would indicate to the charge nurse that one of the nurses could be
experiencing countertransference? (Found in the Mental Health Review Module)
Countertransference occurs when a health care team member displaces characters of
people in her past onto a client.
Behaviors: o Nurse overly identifies with client
o Nurse competes with client o
Nurse argues with client
List the six (6) Quality and Safety Education for Nurses (QSEN) competencies and explain their
importance.
1. Safety: Minimizes the risks factors that could cause injury/harm while promoting
care and maintaining a secure environment
2. Patient-centered care: Provision of caring, compassionate, & culturally sensitive care
3. Evidence based practice: Use of current knowledge from research from other
reputable sources
4. Informatics: use of information technology as a
communications/informationgathering tool
5. Quality improvement: Care related and organizational process that involves
development/ implementation to improve healthcare services & better meet client’s
needs
6. Teamwork & collaboration: Delivery of client care in partnership with
multidisciplinary members of healthcare team, to achieve continuity of care &
positive client outcomes
A nurse is serving as a representative on a quality improvement committee. What are some
reliable resources for information when developing policies and procedures?
Begins with identification of standards and outcome indicators based on evidence
-standard is developed and approved
-standards are made available (policies and procedures)
-quality issues identified (staff,management)
-team developed to review the issues
-structure and process related to issue is analyzed
-data collection methods determined (quantitative method, audits)
-data is collected, analyzed, and compared with established benchmark
A client's wife calls the charge nurse to the room and states she is very angry with the nursing
staff because her husband is "not receiving adequate nursing care". What problem solving
strategies should the charge nurse use in this situation?
, Analyze identified solution – the potential pros and cons of each possible solution should
be discussed and attempt to narrow down the number of viable solutions. Select-based
on this analysis select a solutions for implementation.
A nurse manager will carry out new performance improvement measures. List the steps of the
performance improvement process.
• Standard is developed and approved by facility committee
• Standards are made available to employees by way of policies and procedures Quality
issues are identified by staff, management, or risk management department.
What teaching strategies should a nurse include in the discharge plan for a client with Multiple
Sclerosis? (Review the Adult Med Surg Review Module)
• Try to stay as active as you can
• Pick a regular time for bowel movement such as after a meal or a warm bath, to try to
have a bowel movement.
• Avoid constipation by drink more fluids , stay active or become more active and eat
foods with lots of fiber.
Upon admission to a healthcare facility, what are the nurse’s responsibilities regarding a living
will?
• Living will is a legal document that expresses the client’s wishes regarding certain &
specific medical treatment to occur in the event the client becomes incapacitated and is
facing end-of-life issues
A nurse is caring for a client with human immunodeficiency virus (HIV) and is concerned about
maintaining client confidentiality. What are the components of the HIPPA privacy rule that this
nurse should uphold?
• Rights of clients to obtain copies of medical records & ability to submit requests to
amend erroneous/incomplete information
• Requirement for healthcare providers & insurance providers to provide written
information regarding how medical information is used and how its shared with other
entities
• Rights of clients to privacy & confidentiality
Following a motor vehicle accident of a 21-year-old male, the client is pronounced brain dead.
The family states, “We would like to donate his organs and help someone who needs them.”
How will the nurse respond knowing their responsibility regarding organ donation? The nurse
should contact the transplant team
The charge nurse takes a telephone order for morphine 50 mg IVP every 3 hours. After hanging
up the phone, the nurse feels this order is not safe. List three (3) strategies to prevent errors of
miscommunication when receiving telephone orders.
• Ensure that the order is complete before ending the conversation with the provider,
spell out unfamiliar drug names, read back the order in its entirely, write the order
directly onto the provider’s order sheet, indicate that the order was received verbally by
writing the initials V.O. next to the provider’s name
What behaviors would indicate to the charge nurse that one of the nurses could be
experiencing countertransference? (Found in the Mental Health Review Module)
Countertransference occurs when a health care team member displaces characters of
people in her past onto a client.
Behaviors: o Nurse overly identifies with client
o Nurse competes with client o
Nurse argues with client
List the six (6) Quality and Safety Education for Nurses (QSEN) competencies and explain their
importance.
1. Safety: Minimizes the risks factors that could cause injury/harm while promoting
care and maintaining a secure environment
2. Patient-centered care: Provision of caring, compassionate, & culturally sensitive care
3. Evidence based practice: Use of current knowledge from research from other
reputable sources
4. Informatics: use of information technology as a
communications/informationgathering tool
5. Quality improvement: Care related and organizational process that involves
development/ implementation to improve healthcare services & better meet client’s
needs
6. Teamwork & collaboration: Delivery of client care in partnership with
multidisciplinary members of healthcare team, to achieve continuity of care &
positive client outcomes
A nurse is serving as a representative on a quality improvement committee. What are some
reliable resources for information when developing policies and procedures?
Begins with identification of standards and outcome indicators based on evidence
-standard is developed and approved
-standards are made available (policies and procedures)
-quality issues identified (staff,management)
-team developed to review the issues
-structure and process related to issue is analyzed
-data collection methods determined (quantitative method, audits)
-data is collected, analyzed, and compared with established benchmark
A client's wife calls the charge nurse to the room and states she is very angry with the nursing
staff because her husband is "not receiving adequate nursing care". What problem solving
strategies should the charge nurse use in this situation?
, Analyze identified solution – the potential pros and cons of each possible solution should
be discussed and attempt to narrow down the number of viable solutions. Select-based
on this analysis select a solutions for implementation.
A nurse manager will carry out new performance improvement measures. List the steps of the
performance improvement process.
• Standard is developed and approved by facility committee
• Standards are made available to employees by way of policies and procedures Quality
issues are identified by staff, management, or risk management department.
What teaching strategies should a nurse include in the discharge plan for a client with Multiple
Sclerosis? (Review the Adult Med Surg Review Module)
• Try to stay as active as you can
• Pick a regular time for bowel movement such as after a meal or a warm bath, to try to
have a bowel movement.
• Avoid constipation by drink more fluids , stay active or become more active and eat
foods with lots of fiber.
Upon admission to a healthcare facility, what are the nurse’s responsibilities regarding a living
will?
• Living will is a legal document that expresses the client’s wishes regarding certain &
specific medical treatment to occur in the event the client becomes incapacitated and is
facing end-of-life issues
A nurse is caring for a client with human immunodeficiency virus (HIV) and is concerned about
maintaining client confidentiality. What are the components of the HIPPA privacy rule that this
nurse should uphold?
• Rights of clients to obtain copies of medical records & ability to submit requests to
amend erroneous/incomplete information
• Requirement for healthcare providers & insurance providers to provide written
information regarding how medical information is used and how its shared with other
entities
• Rights of clients to privacy & confidentiality
Following a motor vehicle accident of a 21-year-old male, the client is pronounced brain dead.
The family states, “We would like to donate his organs and help someone who needs them.”
How will the nurse respond knowing their responsibility regarding organ donation? The nurse
should contact the transplant team
The charge nurse takes a telephone order for morphine 50 mg IVP every 3 hours. After hanging
up the phone, the nurse feels this order is not safe. List three (3) strategies to prevent errors of
miscommunication when receiving telephone orders.
• Ensure that the order is complete before ending the conversation with the provider,
spell out unfamiliar drug names, read back the order in its entirely, write the order
directly onto the provider’s order sheet, indicate that the order was received verbally by
writing the initials V.O. next to the provider’s name
