LEGAL: Management and Leadership/Ethical NCLEX questions

LEGAL: Management and Leadership/Ethical NCLEX questions LEGAL: Management and Leadership/Ethical NCLEX questions The team leader notices at the beginning of the shift that all of the IV ABX for a client are still in the medication room. Which action should the team leader take first? 1. ask client if client received the meds on previous shift 2. return meds to pharmacy so client does not get billed 3. ask nurse who cared for the client about the medications 4. notify the nurse-manager of the unit - 3. team leader should attempt to clarify with the involved staff first The nurse is triaging clients from a large disaster. Which client should receive care first? 1. client w/ lrg shard of glass piercing chest wall, RR 32 2. client w/ forearm disfigured w/ protruding bone, finger cap refill 2 seconds 3. child w/ 3-in. oozing laceration on leg 4. woman who is 2 months pregnant, partial-thickness burn on forearm - 1. the integrity of the chest wall has been compromised and is becoming a "breathing" problem. The others can wait up to two hours There has been a large disaster, and nurses have been floated to help with the lrg influx of clients. Which client is most appropriate to assign to the nurse floated from the mother-baby unit? 1. 1 day postop hemicolectomy male with foley cath 2. women in pelvic traction who is 3 mo. pregnant 3. elderly woman who has herpes zoster 4. male admitted for hearing command voices to kill himself - 1. gv floated nurse clients with whom they can use the skills they would ordinarily use. 1 is similar to client with c-section; OB nurses do not handle traction (woman dsnt hv issues r/t pregnancy; OB nurse shouldnt take care of infectious clients to avoid inadvertent transmission; OB nurses are nor experienced in managing suicidal clients Which is an example of a staff nurse functioning in the role of an informal leader? 1. verifying adequate staff coverage for a shift 2. filling out a discipline form on a nursing assistant 3. encouraging a peer to join a committee 4. attending a hospital-wide policy meeting - 3. A *leader* doesn't always have formal power and authority but influences the success of a unit by being an excellent role model and by guiding, encouraging, and facilitating professional growth and development. A *manager* has formal power and authority from the status within the organization, and such a power and authority are detailed in the the manager's job description Staff from two different dept. are disagreeing over the transfer process b/w there respective dept. Which is the best process to handle this disagreement? 1. ask director of nursing to establish a policy 2. allow the staff to handle the issue on their own without authoritative interference 3. Arrange managers from the dept. to determine a solution 4. set up a meeting of staff from the departments to identify key issues - 4. A staff nurse at the nurse's station answers the phone and is told there is a bomb in a client's room. What action should the nurse take? 1. put call on hold and obtain charge nurse 2. transfer call to security 3. ask caller for details about the bomb placement 4. signal to staff to close the clients door - 3. with potential danger, it is important to determine as much information as possible What is the most important aspect to determine when deciding which nursing care delivery system should be used? 1. staff preference 2. staff licensure 3. number of staff 4. experience of staff - 2. determining who has responsibility for making decisions regarding client care is an essential element of all client care delivery systems On a busy med-surg unit, a winter storm has prevented most of the staff members from getting to work. One RN, two LPNs, and three UAPs have been able to get to work. What nursing care delivery system should be implemented in this situation? 1. team nursing 2. primary nursing 3. functional nursing 4. case management - 3. *Functional nursing* best uses the skills of all staff in a timely manner during this crisis. This delivery system requires the lest staff and delegates tasks to those who can best perform them. *Team nursing* doesn't allow for the best use of a limited number of staff who must care for a large number of clients. *Primary nursing* and *case management* require more RNs than are currently available The ED staff report not receiving enough info from the long-term care (LTC) facility that are transferring clients. What is the best approach? 1. tell ED staff to handle it with the LTC staff by calling for what is needed 2. realize that the behavior of others cannot be controlled 3. organize a meeting b/w the facilities to develop a satisfactory process 4. call the director of the LTC facility and ask that nursing be more complete - 3. A new graduate nurse is completing the scheduled 4-week orientation to a med-surg unit. Which self-recognized need should prompt the new graduate nurse to request some additional time or training before ending orientation? 1. uncomfortable if had to manage a cardiac arrest independently 2. unclear on staffing assignments are made on the unit 3. frequently unable to establish new IV access on the first attempt 4. unable to manage more than two clients at a time - 4. ..................