TEST BANK FOR MEDICAL-SURGICAL NURSING CONCEPTS FOR INTER PROFESSIONAL COLLABORATIVE CARE 10TH EDITION BY DONNA IGNATAVICIUS, 9780323612425, CHAPTER 1-69 COMPLETE EXAM WITH REAL ACTUAL QUESTIONS AND COMPLETE 100% CORRECTLY VERIFIED ANSWERS WITH WELL EXPLA

TEST BANK FOR MEDICAL-SURGICAL NURSING CONCEPTS FOR INTER PROFESSIONAL COLLABORATIVE CARE 10TH EDITION BY DONNA IGNATAVICIUS, 9780323612425, CHAPTER 1-69 COMPLETE EXAM WITH REAL ACTUAL QUESTIONS AND COMPLETE 100% CORRECTLY VERIFIED ANSWERS WITH WELL EXPLAINED RATIONALES GRADED A+ 2024 LATEST UPDATE ALREADY PASSED!!!!! WITH 100% GUARANTEED SUCCESS AFTER DOWNLOAD (*ALL YOU NEED TO PASS YOR EXAMS) . A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive personnel (UAP). Four hours later, the nurse notes the client’s blood pressure is much higher than previous readings, and the client’s mental status has changed. What action by the nurse would most likely have prevented this negative outcome? a. Determining if the UAP knew how to take blood pressure Double-checking the UAP by taking another blood pressure Providing more appropriate supervision of the UAP Taking the blood pressure instead of delegating the task ANS: C Supervision is one of the five rights of delegation and includes directing, evaluating, and following up on delegated tasks. The nurse should either have asked the UAP about the vital signs or instructed the UAP to report them right away. An experienced UAP should know how to take vital signs and the nurse should not have to assess this at this point. Double-checking the work defeats the purpose of delegation. Vital signs are within the scope of practice for a UAP and are permissible to delegate. The only appropriate answer is that the nurse did not provide adequate instruction to the UAP. DIF: Applying/Application REF: 6 KEY: Supervision| delegation| unlicensed assistive personnel MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care 10. A newly graduated nurse in the hospital states that, since she is so new, she cannot participate in quality improvement (QI) projects. What response by the precepting nurse is best? “All staff nurses are required to participate in quality improvement here.” “Even being new, you can implement activities designed to improve care.” “It’s easy to identify what indicators should be used to measure quality.” “You should ask to be assigned to the research and quality committee.” ANS: B The preceptor should try to reassure the nurse that implementing QI measures is not out of line for a newly licensed nurse. Simply stating that all nurses are required to participate does not help the nurse understand how that is possible and is dismissive. Identifying indicators of quality is not an easy, quick process and would not be the best place to suggest a new nurse to start. Asking to be assigned to the QI committee does not give the nurse information about how to implement QI in daily practice. DIF: Applying/Application REF: 6 KEY: Quality improvement MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care 11. A nurse is talking with a client who is moving to a new state and needs to find a new doctor and hospital there. What advice by the nurse is best? Ask the hospitals there about standard nurse-client ratios. Choose the hospital that has the newest technology. Find a hospital that is accredited by The Joint Commission. Use a facility affiliated with a medical or nursing school. ANS: C Accreditation by The Joint Commission (TJC) or other accrediting body gives assurance that the facility has a focus on safety. Nurse-client ratios differ by unit type and change over time. New technology doesn’t necessarily mean the hospital is safe. Affiliation with a health professions school has several advantages, but safety is most important. DIF: Understanding/Comprehension REF: 2 KEY: The Joint Commission (TJC)| accreditation MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control MULTIPLE RESPONSE A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of competency. Which areas should the manager assess to determine if the nursing staff demonstrate competency according to the Institute of Medicine (IOM) report Health Professions Education: A Bridge to Quality? (Select all that apply.) a. Collaborating with an interdisciplinary team Implementing evidence-based care Providing family-focused care Routinely using informatics in practice Using quality improvement in client care ANS: A, B, D, E