exam prep, leadership 1, ATI Leadership, VATI RN Leadership and Management 2019, leadership 7 version

exam prep, leadership 1, ATI Leadership, VATI RN Leadership and Management 2019, leadership 7 version A nurse tells the unit manager, "I am tired of all the changes on the unit. If things don't get better, I'm going to quit." Which of the following responses by the unit manager is appropriate? "So you are upset about all the changes on the unit?" A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first? Determine the reasons the nurses are not taking scheduled breaks. A client has a new permanent pacemaker inserted. Which of the following home care instructions should the nurse include? Regular programming evaluations can be conducted by telephone A nurse manager is reviewing isolation guidelines with a newly licensed nurse indicates an understanding of the teaching? I will wear a cover gown when caring for a client who has herpes simplex. A staff nurse is supervising a newly licensed nurse who is preparing to administer an intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse is appropriate? Checking residual volume before each feeding A nurse is preparing an education program about professional codes of ethics for nurses. Which of the following information should the nurse plan to include? A code of ethics a set of principles for nursing practice The nurse receives change-of-shift report for the following 4 clients. Which patient should the nurse assess first? An older adult client who has bacterial pneumonia and a new onset of restlessness A charge nurse is assessing staff knowledge about safety procedures regarding needle stick injuries. Which of the following statements by a nurse indicates appropriate understanding of these safety procedures? "An incident report should be completed if a client receives a stick from her own used needle" A case manager is reviewing documentation on several clients and notes a progress report that falsely identifies a client as HIV+ due to multiple sexual partners. The CM should identify that which of the following torts has occurred? Libel A charge nurse making rounds observes that an AP has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first? Remove restraints To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those who oppose those changes. Which of the following conflict resolution strategies is the nurse manager using? Competing A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of the following actions is priority? Remove IV pump from the client's room A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states that she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? Social worker A charge nurse is completing client care assignments. Which of the following assignments is appropriate for a LPN? A client who is 1 day postoperative and has a continuous bladder irrigation A nurse is caring for a client who is comatose and has advanced directives designating his adult daughter as his healthy proxy. The client's partner instructs the nurse to institute CPR if the client experiences cardiac arrest. Which of the following actions should the nurse take first? Inform the partner that the staff must follow the client's advance directives A L&D nurse is assigned to float to a med-surg unit. Which of the following actions should the nurse take first? Request orientation to the med-surg unit A nurse in the ED is preparing a married 17 y/o client for an appendectomy. The client's parents are enroute to the facility but have not spoken with the surgeon. Which of the following actions should the nurse take first? Have the client sign the consent form after the surgeon explains the procedure. Client satisfaction surveys from a surgical unit indicate that pain is not being adequately relieved during the first 12 hours postoperatively. The unit manager decides to identify postoperative pain as a quality indicator. Which of the following data sources will be helpful in determining the reason why clients are not receiving adequate pain management after surgery? Pain assessment policy A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following statements by a staff nurse indicate understanding of the teaching? SATA: "I can delegate the removal of an IV catheter to an LPN on the unit" "I will attend continuing education classes for professional growth." "I administer pain medication to my clients even if they have a history of narcotic addiction."