ATI Leadership Proctored Assessment 2019–2024 | Complete CMS Review & Rationales (Updated Study Guide)

ATI Leadership Proctored Assessment 2019–2024 | Complete CMS Review & Rationales (Updated Study Guide)ATI Leadership Proctored Assessment 2019–2024 | Complete CMS Review & Rationales (Updated Study Guide) Two staff nurses not taking breaks. Which action should you take first? Determine the reason the nurses are not breaks. Manager reviews code of ethics. Which statement by a staff nurse indicate understanding? I can delegate removal of 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. Cdiff, the charge nurse should intervene for the action of- wears goggles when emptying bedpan of liquid stools. Client adult child ask about treatment plan. Which response should nurse make? I cannot provide this information without your mother’s consent. Nurse manager reviewing isolation guidelines. Which statement indicates understanding? I will have a client who is on airborne precautions wear a mask when out of the room. Nurse on surgical unit preparing transfer to rehab. What include in change of report? the time the client received his last dose of pain medication. Nurse getting verbal prescription? Morphine sulfate 10 mg IV q 4 h IV prn for pain. Supervising nurse after client fall. Which action indicates understanding? Include the clients account of the fall in the incident report. Conflict between nurses. Which action should nurse manager take. Gather information regarding the situation. Nurse supervising AP feeding dysphagia. Nurse identifies as correct technique. Instruct client to place her chin toward chest when swallowing A nurse witnesses’ coworker not following procedure when discarding controlled substance which action should you take? Request that the coworker complete the incident report. Submit incident report to risk manager Document a factual account of the incident A nurse planning develops a standard for removal indwelling cath. Which resources nurse use? Critical pathway Nurse caring for client increased intracranial pressure and is receiving IV corticosteroids. What information important at change of shift. Glasgow coma scale score. A nurse is precepting, which action should preceptor take first demonstrate appropriate time management. Determine client care goals. A nurse is caring for client has cancer. Partner asking about hospice. What statement is appropriate?Hospice care is a multidisciplinary program for clients who are terminally ill.Charge nurse teaching about living will. Which of the following information about living wills should the charge nurse include in the teaching? Addresses resuscitation measures A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who is floated to med surg unit. A client who has gestational diabetes Which task should be assigned to the LPN Reinforcing dietary teaching with a client who has heart disease. A newly licensed nurse realizes she administered 25mg PO to the wrong client. Action takes first? Measure the clients’ vital signs Nurse planning discharge for client had lung resection. Social work referral. Assessment due to support? The client needs to arrange financial resources to purchase equipment. Stroke 2 day finding for speech referral? impaired voluntary cough. Planning care disorientated and history wondering. Which action plan to take? Provide distractions for the client during the day. Client confidentiality. Which statement by the new nurse indicates understanding of the teaching? I can post the clients vital signs in the clients’ room. Information about advance directives include? Instructions regarding treatment the client desires or does not desire. Client falls, after problem identification, which of the following actions should the nurse plan to take first part of quality improvement? Implement a fall prevention plan. Preschool age bruises both arms spiral facture? Report the child injury to CPS A nurse triaged tag system. Which client assess first? Client with red tag Nurse floating from med surg to ED? Perform urinary catheterization for client experiencing cerebrovascular accident. Febrile admitted for treatment pneumonia. In according to care pathway, antibiotic therapy is prescribed. Which situation requires a variance report regard to the care pathway? A blood culture was obtained after antibiotic therapy initiated. Preoperative teaching cholecystectomy. Client does not speak English. What do you do? Access a language line to interpret what is being sad. Client disorientated and had cardiac arrhythmia. Which of the following actions should nurse take?Proceed with treatment without obtaining written consent. Hazardous and infectious materials. Which situation should the nurse include as a safe handing technique. A nurse places a mask on a client with tuberculous before transport to radiology department. Change of shift report include? The client is in radiology department for an x-ray. A nurse manager is discussing critical pathway use during a staff meeting. Which of the following information should the nurse manager include as an outcome of critical pathway use? Decreased care delays AP ask nurse to use computer and put vitals in. What do you do? Log out so the AP can log in to document the vital signs Fire small trash can. What action following the removal of client? Activate fire alarm ED which is highest priority? A client who reports shortness of breath and left neck and shoulder pain. Assess need supplies to manage the tracheostomy at home? Obturator Pipe cleaners Oxygen tank Which task delegate to an AP? Using a pain rating scale to monitor a client pain level. A home health nurse is performing a safety assessment of a client home. Findings identify a hazard? The client’s bedside lamp is plugged in using an extension cord with two prongs. Using SBAR handoff for ED to med surg unit what information should be included in background? The clients code status Purpose interdisciplinary conference. The nurse should identify that which of the following clients’ needs interdisciplinary conference. A client who had a recent stroke and is showing manifestations of depression Client does not want blood. Giving the patient blood will be a violation of which principle? Autonomy Client tells nurse unsure about having procedure. What response? If you have any concerns about the procedure, it can be cancelled Which information nurse report to the physical therapist? A client has a hemoglobin of g/dL Charge completing care assignments. Which of the following assignment is appropriate for a licensed practical nurse? A client who is 1 day postoperative and has a continuous bladder irrigation Client has DM 1 tells nurse she decides to go home. Which action take?Here the client signs the AMA form Nurses taking in cafeteria. What do you do first? Report the incident to the nursing supervisor Discharge of terminal cancer, family can benefit from respite care services. When client ask how this service can help. Which of the following responses by the nurses is appropriate. It makes it possible for to have some time away from caring for your wife Client has chlamydia, which action should nurse take? Report the infection to the local health department. Change of shift report. What should charge nurse address first? Two staff members have called to say they will be absent. Son is reading electronic records. Nurses action? Report the possible violation of client confidentiality to the nurse manager A client who is unconscious and has extensive internal injures arrives via ambo. Cannot reach family, what permits staff? Implied consent Following coronary artery bypass grafting. Which of the following client issues should the nurse address first? Low pain tolerance Recommend for discharge? A client has DvT and INR 2.0 Client is with neighbor needs emergency surgery. Nurses action? Attempt to notify clients guardian to obtain consent Which should assign to AP Tag a malfunctioning piece of equipment broken. A nurse from labor and deliver float to med surg., Which action for float? Inform the nurse supervisor of lack of experience on the med surg unit. Fire who should nurse evacuate first. A client receiving iv chemo and is ambulatory. Education and finds that below benchmark. Which of the following strategies should the nurse manager implement first? Determine factors that interfere with the documentation of client education. 4 clients, which is highest priority? A client who has peripheral vascular disease and has an absent pedal pulse in the right foot. Prevalence of tay- schs disease (rare disorder passed from parents to child. Absent if an enzyme that helps break down fatty substances. Which resource should the nurse use to obtain information? An evidence-based nursing journalWhich finding indicate wound healing Deep red color on the center of a clients wound. Schedule interdisciplinary conference with? aPTT therapeutic range 0.3-0.7 A client who is receiving heparin and has aPTT of 34 seconds Visitors ask questions about client. Nurse action? Please ask your relative about this because I cannot share that information about her. Chemo new breast cancer diagnosis. Client wants to try other treatment. Which action nurse take? Respect the clients decision about not receiving chemotherapy Patient unable to afford nebulizer? Social worker Client gait belt not in place and client falls. No note is made with the information that a gait belt was not being used. Which ethical principles should the charge nurse follow? Veracity (tell the truth, never lie, or give false reassurance. Fidelity-keeping promise, do what you say. Beneficence – kindness and charity LPN cannot educate but can reinforce the teaching. LPN can perform tracheostomy care. An RN can delegate suctioning to LPN. An RN can delegate urinary catheter placement. An RN can delegate feeding to AP client NOT on swallow precautions. An RN can delegate collection of urine sample to AP. AP cannot do initial vitals on patients post op till after 2 hours, this includes patient who received Narcan. Client falls on floor do what first? Check client for injuries. Client post op 2 hr cardiac cath. This task can be delegated to AP Client sons ask for information regarding medication - I’m sorry you will have to ask mother or DOC. Case management nursing model is collaboration between disciplines creates a multidisciplinary care plan for each client. Nurse overhears patient taking to an attorney. Nurse action? Report the conversation. Client advocacy includes notify surgeon when consent is signed, help client make a list of questions, clarifying the dosage of med, carrying out end of life wishes. Which is reason client is unable to reach short term goalsThe underlying problem behind the weight gain.LPN cannot do injections- help the client requesting assistance so the RN can give the injection. High degree of tension. Which initial methods used to resolve this issue- work with nurses to identify stressors In which order: Measure clients’ vitals Instruct client to call for assistance. Notify provider Complete the risk manager Which can be delegate to AP: Collecting stool sample. Measure oral intake. Providing postmortem care. Which client assess first Client newly applied cast report tingling of fingers. Task delegated to LPN Performing trach. Suction for stable client. Morphine, requirement for giving? Nurse observes disposal of unused med. Alzheimer’s diseases living with adult child – Adult day care Following approaches by unit manager reflects assertive response. Meet one on one with vocal staff. Report a client receiving Keflex / cephalexin who has dyspnea Lithium priority assessment- poor motor coordination Code of ethics document is- a guide for professional actions. Priority action to address health care associated infections. Conduct a chart gather and review information. Factor nurse manager consider when planning performance review? The nurse should have a copy of performance standards before appraisal interview. Nurse assign to RN- administer blood, develop a plan of care, calculating tpn Audit, what statement should nurse include. A structure audit evaluates the setting and resources available Outcome audit evaluates results A root cause analysis is indicated when a sentinel event occurs. After data collection is completed, it is compared to a benchmarkRelevant regarding the efficacy of the procedure- Incidence of complications Include in transport report- the clients advance directive status, the client’s medical diagnosis, need for special equipment. C6 injury interprofessional team- PT, OT, Vocational counselor, psychologist Nurse manager directs the team to collect as much data as possible and recommend several options. Which following decision making styles is this? Integrative Nurse just assumed role as manger, which action support interprofessional collaboration? Recognizing knowledge and skill of each team member. Encourage client and family to participate in care Support team member request for referral. Client says too young for advance directives- contact a client rep to talk with client and offer additional information. Preceptor explaining role of advocate- client understands what is done, inform members of team client has DNR status, reporting that health team on pervious shift did not perform prescribed care. Which of the following outlines the rights of individuals in health care setting- Patient care partnership. Client DNR expires- call provider to determine whether the order should be immediately reinstated. Increase client’s risk for falls home healthHX pervious falls Reduced vision Impaired memory Wears house slippers Kyphosis – rounding of back Restraints for confused patient with HIP injuryApply arm and leg restraints immediately Get order from provider Have family sign consent Moving patient from sheet- the nurse feet are facing forward the center of bed. AP blood glucose reading not working correctly, what action- recalibrate the glucometer and recheck the clients blood glucose Order sequence for administering antihypertensive errorMonitor clients’ vitals Instruct the client to remain in bed until further notice. Call provider Complete incident report Notify risk manager Incident report information to includeDescription of incident documented in health record Incident report not shared with client Include description of incident and interventions The risk management department investigated the incident Managing Client Care: Appropriate Assignment During Orientation - New RNs should be assigned a patient that they are competent caring for, and only after their skills have been observed and approved by an experienced RN. Airway Management: Discharge planning for a Client Who Has a Tracheostomy- Always have two extra trach tubes (one your size and one size smaller). Keep an obturator for each trach tube and trach ties. Always keep sterile saline and lubricant with you. Professional Responsibilities: Responding to a Visitor's Question About Status of a Client- Information cannot be shared with unauthorized individuals, including family members, unless they provide the code. Managing Client Care: Prioritizing Client Care - Systemic before local. Acute before chronic. Actual problems before potential problems. Listen carefully to clients and don't assume. Recognize and response to trends vs. transit findings. Recognize indications of medical emergencies & complications vs expected findings. Apply clinical knowledge to procedural standards to determine the priority action. Justice (fair treatment), beneficence (doing good), nonmaleficence (doing no harm), fidelity (faithfulness), autonomy (independence), veracity (truthfulness). Professional Responsibilities: Obtaining Informed Consent in an Emergency- Informed consent is not needed if the pt is unconscious and surgery is immediately required to save their life. Phone order - First, write down the prescription. Next, repeat the prescription back to the provider. Document phone conversation in client chart. Identifying a Tort- A wrongful act or an infringement of a right Managing Client Care: Performance Improvement ProcessStandards are made available to employees by way of policies and procedures. Quality issues are identified by staff, management, or risk management department. an inter professional team is developed to review the issue. The current state of structure and process related to the issue is analyzed. Data is collected. If benchmark is not met, possible influencing factors are determined. Assessing a Client's Home for Safety Hazards- Remove items that could cause client to trip. Place electrical cords against the wall. Make sure steps and sidewalks are in good repair. Place grab bars near the toilet and the tub. Use nonskid mat in the tub or shower. Ensure lighting is adequate. Assessing for Evidence of Healing- Inflammation means that the body's immune system is working to heal the wound. Need for Variance Report- A variance report compares the planned budget and the actual financial outcome. Facility Protocols: Caring for a Client Who Has Been Exposed to Anthrax- Treat with antibiotics.MVC triage which one does doc see first- client who arm contusion and manifests asymmetrical thoracic movement. Which action should nurse take to check for understanding of procedure- Ask client to verbalize the purpose, risks, and benefits of the procedure. A nurse notes pain assessment is not being done – report issue to nurse manager Before DC verify patency of PICC line Social worker- Addresses financial concerns about affording care or family concerns upon discharge case manager- coordinate resources to achieve health care outcomes based on quality, access, and cost. Includes resources for home care. A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. Which of the following actions should the nurse expect the- Assist in weighing the options involved in the decision. (Ethic committees are members of the interprofessional team who assist with problem solving related to ethical dilemmas. The ethics committee examines all the facts and provides support for the clients and caregivers). Nursing process to address increase cases of UTI - The first action the nurse manager should take when using the nursing process is to assess. The nurse should conduct a chart audit to gain important info about the factors responsible for the increased incidences of infection. Quality improvement team, how should the team evaluate the effectiveness of their plan?- Compare data from clients' records regarding skin integrity with established criteria. Chart audits are an efficient and accurate way to measure if a change in performance improvement indicator has occurred after an intervention is implemented. Consult for planning for policy - State Nurse Practice Act (NPA) State Nurse Practice Act (NPA) - The nurse should consult the NPA in this situation Because the NPA defines the scope and boundaries of professional nursing practice. The NPA provides guidelines for developing standardized procedures within specific facilities where expanded nursing functions have been approved in collaboration with nurses, providers, and administration. Patient Self-Determination Act- This Requires the nurse asking if the client has an advance directive. A nurse asks a newly hired AP to remove a client's indwelling urinary catheter. Which of the following actions should the nurse take to ensure that the AP is qualifies to perform this task? Review the AP's skill competency checklist. A review should validate that they have demonstrated the ability to safely perform the procedure. A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal assessment. Which of the following actions should the charge nurse expect the newly license nurse to take? place the client in a dorsal recumbent position for the examination and ensure the client relaxes her abdominal muscles. Use the bell of the stethoscope to auscultation for vascular bruits.Begin the assessment by inspecting the client's abdomen for changes in color, contour, and symmetry. Have the client empty the bladder before beginning the procedure for optimal examination of the abdomen. Assistive personnel (AP) tells a charge nurse that it is unfair that they have to take care of all the clients who are incontinent. Which of the following responses should the charge nurse make? "I delegate task to personnel based on their job description." This response addresses the AP's concerns and provides clear info about the charge nurse's responsibility when delegating task. Use a 60 mL-syringe to flush out a clogged tube. A client who has multiple sclerosis and reports ataxia. The client is safe to discharge because multsclerosis is a chronic disorder and ataxia is an expected finding. "The nurse should ensure that the client understands the information given by the surgeon." The nurse has the responsibility to assess the client's understanding of the procedure as well as any misconceptions. It is best to ask the client to state what was explained to them using their own words. Set a formal meeting with the nurse w/in 24 hrs. Once the nurse manager has removed the nurse from the work environment and arranged for safe transportation home, the nurse manager should arrange to meet with the nurse within the next 24 hrs. Aquathermia Pad Instruct client to report if aquathermia pad gets too warm because it can cause injury. Check the leg 15-20 min after applying the pad to ensure no evidence of complications. The client should NOT adjust the temperature because it can result in pain and impaired circulation. Ensure the call light is within reach of the client. The nurse should monitor the client's skin for increased redness and should discontinue the pad if it is noted, the nurse should report this finding to the provider. A nurse is assessing a client who is postoperative and has a PCA. The client exhibits restlessness, an elevated pulse, and decreased blood pressure. Which of the following actions should the nurse take? Place the client in a modified Trendelenburg position. The client's restlessness and change in vital signs indicates a change in the client's status, possibly caused by hemorrhage or hypovolemic shock. Placing the client in a modified Trendelenburg position increases venous circulation. A nurse manager is presenting an in-service about preventing readmission of clients due to complications following joint arthroplasty. Which of the following leadership tasks is the nurse performing? Advocacy: the nurse acts as an advocate by promoting and protecting safety for staff and clients by providing information that allows staff to act autonomously. Collaboration- Collaboration is a conflict resolution strategy that involves finding a win-win solution. Compromising- Compromising is a conflict resolution strategy that involves each individual agreeing to give up something they value. Smoothing- Smoothing is a conflict resolution strategy that focuses on areas of agreement instead of differences. A nurse manager is developing a class for newly licensed nurse on strategies to promote client rights. Which of the following should the nurse manager include?Verify that a provider prescription is in the medical record for clients who have restraints. A nurse should verify that there is a provider prescription for a client who has restraints to prevent false imprisonments. Which of the following should the nurse recommend a s qualitative research method? Phenomenology- a qualitative research method that provides additional understanding of participants experiences with emotional variances, such as grief and hope. Meta-analysis- Quantitively research method that provides a statistical analysis of multiple studies conducted on the same topic Experimental Study- Experimental study is a quantitative research method that uses control and treatment groups to test at least one independent variable. Secondary Analysis- Quantitative research method that uses previously collected data to answer newly formed hypotheses. Which of the following conditions is considered a nationally noticeable infectious disease? Chlamydia trachomatis What type or precaution should you use? shigella (contact) -measles (airborne) -toxic shock syndrome (standard) -pertussis (contact) A nurse is caring for a client who is experiencing adverse effects after receiving a new medication. Which of the following communication tools should the nurse use for management of this complication? SBAR frameworkNurses use critical pathways to implement evidence-based strategies and promote cost effective care for clients. The pathway shows an estimate of the number of days the client will be hospitalized. Critical pathways are specific to a client diagnosis and show the average length of stay a client with the diagnosis type will have; this pathway often reduces the cost of care by streamlining care services. Deviance from the pathway require documentation of explanation because it usually indicated the client is not progressing at the expected rate. A nurse for a client who has chest pain. The client says, "I am going home immediately." Which of the following actions should the nurse take? (SATA) -Document the client's intent to leave the facility against medical advice (AMA). -The nurse is legally responsible to warn the client of the risks involved in leaving the hospital against medical advice -Ask the client to sign a form relinquishing responsibility of the facility to provide legal protection for the hospital. A nurse is explaining the use of incident reports to a group of nurses in an orientation program. Which of the following information should the nurse manager include? (SATA) -Incident reports include a description of the incident and actions taken. -The risk management department investigates the incident. -Document factual description of the event in the client's health record. - Do not inform the client or individual involved that an incident report has been filed. Incident reports arefor facility quality assurance. -Do not place the incident report in the client's health care record to shield it form discovery in the event of a lawsuit. Incident commander- Expect the incident commander to manage the incident and key leaders within the facility. Medical command physician- as defined in a hospital's emergency response plan, the person responsible for determining the number, acuity, and medical resource needs of victims arriving from the incident scene and or organizing the emergency health care team response to injured or ill patients. Expect the medical command physician to oversee use of resources (equipment and personnel). Conflict Resolution—"Would you accept the assignment if we reassigned your client who has total care needs and assign another client who can provide more self care?" The charge nurse is using compromise by giving up a demand while asking the staff nurse also to give up a demand. Conflict Resolution— "Tell me what changes we need to make so that you'll feel comfortable with the assignment." This is using cooperation by giving up her own desires for the desires of the staff nurse. Conflict Resolution—"I didn't mean to make you feel overwhelmed. Why don't you look over the assignments with me and suggest changes?" The charge nurse is using collaboration by putting aside individual desires and focusing on shared decision making. Conflict Resolution— "You always complete your work on time and do a great job. I believe you can handle the assignment well." The charge nurse is using smoothing as a conflict resolution strategy by complimenting or focusing on shared ideas to reduce the emotional component if the conflict. Incident reporting- The identification and reporting of occurrences that could have led, or did lead, to an undesirable outcome. The nurse should complete an incident report as part of error reporting and quality improvement and does not relate to the management of client care. Root Cause Analysis- An analytical technique used to determine the basic underlying reason that causes a variance or a defect or a risk. A root cause may underlie more than one variance or defect or risk. The nurse should use root cause analysis during the quality control process to determine why a standard is not being met. A nurse is caring for four clients. Which of the following tasks can the nurse assign to an AP? Perform chest compressions on a client who is in cardiac arrest. Patient Self Determination Act (PSDA) - A federal law that mandates that every individual has the right to make decisions regarding medical care, including the right to refuse treatment and the right-to-die. The PSDA requires a nurse to give clients information about end-of-life options. Good Samaritan Laws - A series of laws, varying in each state, designed to provide limited legal protection for citizens and some health care personnel when they are administering emergency care. However, healthcare professionals are still accountable for maintaining a reasonable standard of care.Emergency Medical Treatment and Active Labor Act (EMTALA) - A federal regulation that ensures the public's access to emergency health care regardless of ability to pay. Also known as the "anti-patientdumping statute," forbidding turning a patient away at the door or sending him to a public hospital because of inability to pay. The EMTALA includes guidelines for care within a health care facility for all clients, regardless of financial status. State Nurse Practice Act - State Nurse Practice Act defines the scope and limitations of professional nursing practice. States nurse practice acts are administrative laws that provide formal guidelines for nursing practice. Stages of Conflict Resolution- 1. Latent Conflict- involves awareness of potential situations that can create conflict 2. Perceived Conflict- Those who are affected discuss the situation in an impersonal manner. 3. Felt Conflict- Those who are affected become personally involved 4. Manifest Conflict- Signaled by those who are involved taking action. 5. Conflict Aftermath- Those who are involved recognize the positive and negative outcomes of how the situation was managed. Five Rights of Delegation right task right circumstance right person right direction/communication right supervision/evaluation A client is being discharged with a postoperative infection, requiring daily home IV antibiotics through a peripherally inserted central catheter (PICC) line. Which of the following actions should the case manager perform prior to discharge? Ensure that home infusion therapy has been arranged. It is the case manager's responsibility to ensure that all necessary referrals have been made to facilitate the client's transition to home care. **The nurse who is discharging has the responsibility to verify the patency of the PICC line and provides dressing change and wound assessment teaching. Patient Protection and Affordable Care Act This is the health care reform law. Focuses on reform of the private health insurance market; providing better coverage for those with pre-existing conditions; improving prescription drug coverage in Medicare; protect the patient form annual and lifetime coverage limits; allows parents to insure their dependents until the age of 26; protects clients form cancellation of their insurance due to illness. Quality Improvement Process The quality improvement process begins with identification of standards and outcome indicators based on evidence. Steps in the problem-solving process Identify the problem Discuss possible solutions Select solution ImplementationEvaluate A community experiences an outbreak of meningitis, and hospital beds are urgently needed. Which of the following clients should the nurse recommend for discharge? A client who was per admitted for rotator cuff surgery. a severe weather alert code has been activated. Which of the following actions should the nurse take? (SATA) Close the windows shades and drapes to protect clients from shattering glass. -Move the beds of non-ambulatory clients away from the windows to protect clients from shattering glass. -Relocate ambulatory clients into the hallway to protect the clients from shattering glass. -Turn the radio on for severe weather report. -Instruct others that it is unsafe to use the elevators. A nurse is planning safety interventions at a new clinic. Which of the following interventions should the nurse include? -Have staff who will be performing x-rays wear dosimeters. -Use non-latex products, when possible, to reduce the risk for latex allergy development or reaction. -Place sharps container at the point of care to reduce the risk for needle stick injury. -Instruct staff to remove equipment with frayed cords from the client care area and have someone certified repair the equipment. A nurse is preparing to teach the health care team about the concept of critical pathways. Which of the following statements about the purpose of a critical pathway should the nurse plan to include? A critical pathway is a multidisciplinary tool that guides client care and bases outcome on an externally imposed timeline. A critical pathway outlines the actions that members of the health care team must complete in a timely manner to achieve desired client outcomes and an appropriate length of stay for the particular diagnosis. Structure- A structure audit evaluates the relationship between quality care and appropriated structure and includes inputs such as environment in which are is delivered. Strategic Planning- Strategic planning is done as a part of the planning process. It typically examines the purpose, mission, philosophy, and goals of an organization. Steps to Take When Client Falls Out of Bed 1. Determine the client's level of conscious or check for injuries... Assess. 2. Call for help. 3. Notify the provider. 4. Complete an incident report. Win-Yield. This involves both parties no longer trying to resolve the conflict. Instead of taking the initiative to end the conflict, they agree to honor whatever the nurse manager decides. Win-Win Strategy- This conflict resolution strategy assumes that a reasonable solution can be reached that will satisfy the needs of all parties and is a collaborative approach. There is no power struggle, and both parties work together for a positive outcome that meets a common goal. Win-Lose Strategy- A win-lose strategy involves one party emerging victoriously and the other losing the struggle. If the losing party continues to pursue the situation, it becomes a competing strategy.Lose-Lose strategy is also an avoidance approach. The two parties abandon the struggle and take no further action, but the conflict remains. In this outcome, no one wins. A nurse is tracking the outcomes of clients on the unit who have received postoperative pain management. This activity demonstrates which of the following competencies of the Quality and Safety Education for Nurses (QSEN) initiative? -Safety -Informatics -Patient-Centered Care -Quality Improvement Quality Improvement. This QSEN competency involves using data to track outcomes with the goal of devising processes to improve clients' outcomes. Collect information, consider possible solutions, make a decision. An Rn and a LPN are caring for a client who has a small bowel obstruction and is NPO with NG tube set to continuous suction. Which of the following task should the RN perform? Assess for bowel sounds every 2 hours. A health care facility's leadership team is implementing a new computerized charting system. When preparing for the implementation date, which of the following actions should the nurse manager take first? Collect the staff members' input about planning and implementing the change. nurse in a pediatric unit is asked to prepare a list of clients who can be discharged home due to a local incident A preschooler with asthma who has scattered wheezes that resolves with PRN. A facility has identified an increase in health care-associated urinary tract infections (UTIs) on the medical-surgical unit. A nurse is participating in a quality improvement process to address this problem. Which of the following should be the first step in the process? establish best practice guidelines for reducing the incidence of UTIs. After developing the initial plan, which of the following actions should the nurse take next? Determine goals and objectives.