RN VATI Leadership 2019

1. A nurse is caring for a client who is 4 hr postoperative following an appendectomy. • Nonmaleficence 2. A nurse is performing morning rounds for a client and finds the client’s bedtime medications sitting at the bedside in a medication cup. • Document the missed medication administration in the client’s medical record 3. A nurse is providing discharge teaching to a client’s adult child regarding the client’s discharge to home with hospice care. • The hospice team will provide services for the entire family, not just my father 4. A nurse manager is scheduling a meeting to address a conflict between staff members and a client’s family. • Collaboration 5. A nurse in an acute care facility is caring for a client who is leaving against medical advice (AMA). Select all that apply • Request the client sign an AMA form • Notify the provider • Advise the client about the dangers of leaving 6. A charge nurse is conducting an in-service on advocacy for a group of newly licensed nurses. (select all that apply) • A nurse reports a procedure was completed incorrectly by another nurse to the charge nurse • A nurse arranges for an interpreter for a client who speaks a different language 7. A nurse manager is working with a team to resolve an ethical dilemma. STEPS • Identify and state • List actions • Decide • Communicate 8. A nurse suspects a client is developing opioid use disorder and reduces the client’s dosage of pain medication by 50% without a prescription from the provider. • Gross negligence 9. A nurse is providing teaching for a client about advance directives • My health care proxy will make my health care decisions when I am no longer able 10. A nurse manager is providing disciplinary action for a staff nurse who is claiming 1 hr of overtime every day for the past month to complete computer documentation. • Speak with the nurse regarding the incident 11. A nurse is admitting a client who has heart failure and speaks a different language that the nurse. • Observe the client’s nonverbal expressions 12. A nurse manager is considering changing the policy for administering medications to clients on a unit. • Determine the unit staff’s perception of the need for change 13. A nurse is developing a plan of care for a client who has chronic kidney disease • Document within the medical record that the client has advance directives in place 14. A nurse from an acute pediatric unit who has not cared for adult clients in more than 5 yeard in assigned to float to a medical-surgical unit • Negotiate specific tasks to perform with the nursing supervisor 15. A nurse is caring for client who was involved in a medical vehicle crash with his partner • Let the client know that he will be updated as soon as possible 16. A nurse manager is meeting with a staff nurse who is consistently late for work. • When you come to work late, I am concerned that client care will be jeopardized 17. A nurse manager on a maternal newborn is completing a chart audit to determine the percentage of clients over the past 3 months who breastfed their newborns prior to discharge. • Outcome 18. A nurse is receiving change-of-shift reports for a group of clients. Assess first • A client who is postoperative and has respiratory rate of 10/min