HURST REVIEW: MANAGEMENT OF CARE UPDATED ACTUAL Questions and CORRECT Answers

HURST REVIEW: MANAGEMENT OF
CARE UPDATED ACTUAL Questions and
CORRECT Answers
As a new nurse, you cannot provide safe care to your clients if you don't know how to - CORRECT
ANSWER - -manage care

-assign care
-supervise care
-prioritize care



The judgments you make in management situations have to be based on - CORRECT ANSWER -
med-surg knowledge



If you don't understand disease processes, you cannot - CORRECT ANSWER - set priorities of
care or determine which staff member would be best to take care of the client


You MUST know your _______________________, and then you can move on to
________________________ - CORRECT ANSWER - core content; management decisions



Assignments include - CORRECT ANSWER - the routine care, activities, and procedures that are
within the authorized scope of practice of the RN, LPN/LVN, or part of the routine functions of the UAP



Assignment is the sharing of - CORRECT ANSWER - routine work that each staff member is
responsible for during a given shift or work period



The assigned tasks should be part of - CORRECT ANSWER - the course work taught in the basic
educational program of the staff member



Delegation is - CORRECT ANSWER - allowing a specific task to be performed that is not
routinely performed and is BEYOND the traditional role of the individual to which the nursing activity
skill, or procedure is delegated

,The key is that the staff member who is delegated the task has - CORRECT ANSWER - received
additional training or education and has validated competency to perform the delegated task



You can delegate the responsibility of the task, but you cannot - CORRECT ANSWER - delegate
the ultimate accountability



The RN is accountable for - CORRECT ANSWER - ALL aspects of nursing care that are being
provided including the choices you make about who is considered competent to perform each task



What are the 5 rights of delegation? - CORRECT ANSWER - 1. right person

2. right circumstances
3. right task
4. right direction/communication
5. right supervision and evaluation/feedback



The Right Task: What is the traditional role of the UAP? - CORRECT ANSWER - UAP is an
umbrella term that NCSBN defines as any unlicensed personnel trained to function in a supportive
nursing role, regardless of the title



The Right Task: What type of clients can the RN delegate to the UAP? - CORRECT ANSWER --
perform tasks on STABLE clients in uncomplicated
situations
-routine, simple, repetitive, common activites that do NOT require nursing judgment



The Right Task: Examples of tasks that the UAP can perform? - CORRECT ANSWER - -hygiene

-feeding
-I&O
-routine vital signs
-ambulation


EVERYDAY THINGS!

, The Right Task: Can a UAP take VS ona client receiving IV Dopamine? - CORRECT ANSWER -
no, because it requires nursing judgment


The Right Task: Can the UAP provide a total bed bath and dress the client? - CORRECT
ANSWER - yes



The Right Task: Can the UAP serve meals and assist with eating? - CORRECT ANSWER - yes



The Right Task: Can the UAP obtain a urine specimen from a catheter? - CORRECT ANSWER -
no, this is a sterile procedure


The Right Task: Can the UAP turn the client every 2 hours and provide skin care? - CORRECT
ANSWER - yes


The Right Task: Can the UAP assist the client to the bathroom with a walker? - CORRECT
ANSWER - yes



The Right Task: Can the UAP perform a fleet enema? - CORRECT ANSWER - no, because this is
a medicated procedure



The Right Task: Can the UAP answer the client's call light? - CORRECT ANSWER - yes



The Right Task: Can the UAP clean and sanitize the client's room? - CORRECT ANSWER - yes


The Right Task: Can the UAP change the linen on a totally bedridden client? - CORRECT
ANSWER - yes



The Right Task: Can the UAP provide mouth care and denture cleansing? - CORRECT ANSWER -
yes



The Right Task: UAPs CAN'T do - CORRECT ANSWER - medications