Leadership HESI | Questions and Answers with complete solution

A new graduate nurse is employed in a small community hospital. The nurse notices practices which seem to be very physician driven and that patients have little input into their care. Families are seen as a nuisance rather than as partners in potential care provision. What is the best approach for the new nurse to use for improving care in this setting? a)Do nothing. They are too new to the organization to make change. b)Share with the physician the recommendations from various IOM reports. c)Share with their team members what they know about the aims of providing health care. d)Report the team members to the chief nursing officer who is unlikely to know the lack of details on this unit. - C Mr. Grandion was admitted to a rehabilitation center after discharge from a hospital. He has not walked in the 5 days while he was hospitalized and is provided a wheelchair. Dining with other residents is expected, and staffing is limited on a holiday weekend. What is the best strategy to ensure Mr. Grandion has sufficient nutrition and exercise? a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his room because the staff can't get him to the dining room in time for dinner b)Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he must be in the dining room if he wishes to eat. c)Request help from another unit before dinner and indicate the nature of help needed. d)Order a life device to transfer Mr. Grandion from his bed to the wheelchair. - c When entering the postoperative care unit, the nurse manager notices that the temporary agency nurse has incorrectly entered the rate of infusion for the patient's vasopressor medication, and the arterial line blood pressure has a reading of 76/40 mmHg. After discontinuing the intravenous medication infusion, what is the nurse manager's next intervention? a)Notify the nurse in charge of the unit. b)Ask if there is an assigned resource nurse to serve as mentor for the temporary nurse. c)Ask if there are standing orders for interventions for hypotension.d)Ask if the temporary nurse has had an orientation to the unit. - C An incident report of the incident described in the previous question needs to be completed. What is the appropriate wording to be included in the incident report? a)"Patient was noted to have a low arterial blood pressure (76/40), and the vasopressor medication was discontinued." b)"Patient's vasopressor medication was infusing at a higher rate than ordered and the medication was discontinued when the patient's blood pressure dropped to 76/40." c)"Nurse M.J. started the vasopressor medication, the patient subsequently was noted to have a blood pressure reading of 76/40, the medication was discontinued, and the physician was also notified." d)"Patient receiving vasopressor medication intravenously, blood pressure noted to be 76/40, and intravenous infusion discontinued. Physician notified and orders received for 500 mL normal saline administered for hypotension." - D The nurse is needing to provide information for Foley catheter insertion to a patient in the patient's primary language. Which action would the nurse follow for the best outcome in this situation? a) Assume the process of translating "word for word" is sufficient when a treatment is ordered for a culturally diverse patient. b) Request an English-speaking family member to provide the translation to the patient about the treatment. c) Create a cross-cultural semantic or word equivalency vocabulary list for the nursing unit to use with patient. D. Request a healthcare professional translator to translate verbally the source language to the target language with the patient regarding the procedure. - D