Name: Score:
20 Multiple choice questions
,Term 1 of 20
The health care provider gives the preoperative nurse a signed consent form and walks away
rapidly. The client turns to the nurse and states, "I don't know what is going on. Why do I need
surgery?" What is the most appropriate action?
1. Call the nursing supervisor
2. Call the operating room scheduler and cancel the surgery
3. Page the health care provider and request clarification on behalf of the client
4. Report the incident to hospital administration
3
Informed consent requires that the health care provider performing the procedure
explain everything to the client's satisfaction (within reason). Signed consent may be
witnessed by the nurse. If the client does not fully understand informed consent, the
nurse must notify the health care provider or refer up the chain of nursing command. The
nurse is not responsible for verifying that the client understands the procedure and its
respective risks.
(Option 1) This would be appropriate if the health care provider refuses to talk to the
client.
(Option 2) This is not the nurse's responsibility; this request would have to be relayed up
the chain of nursing command.
(Option 4) This is premature; the incident is isolated and not all facts are known.
Educational objective: Clients may not consent to an invasive procedure without being
informed of the clinical reasoning, consequences, and possible complications.
1.Establish airway by positioning, suctioning, and oxygen as needed.
2.Assess breath sounds and respiratory effort.
3.Prepare for chest decompression if needed.
4.Maintain vascular access using a large-bore catheter.
5.Use direct pressure for external bleeding.
The primary survey includes assessment of airway/cervical spine, breathing, circulation,
disability, and exposure. First, the nurse should establish airway patency by positioning,
suctioning, and providing oxygen as needed. Assess breath sounds and respiratory
effort and provide chest decompression if needed in order to assess breathing. Maintain
vascular access using a large-bore catheter and use direct pressure for any external
bleeding.
,3 Provide additional support and temporarily lower expectations.
The charge nurse should manage a task by temporarily lowering expectations and
providing additional support to an unlicensed nursing personal (UNP) who is lacking
competence. This strategy allows the UNP to build on strengths, minimize weaknesses,
and gain confidence.
Providing constructive feedback and assigning another task may not improve the
strategy of the UNP and may affect the productivity of the new task. Withdrawing the
UNP from the task and providing open vocal feedback may weaken the working
relationship and the UNP may lose confidence or become frustrated. The charge nurse
should be aware of accountability to the organization in case of a failure of the
delegation, but assigning the UNP for further training may lead to high risk for legal
liability.
3
Brainstorming helps to get a large volume of creative options from the team by
providing a safe environment for the contribution of ideas.
The application of the Delphi technique, focus groups strategy, and nominal group
techniques are also effective in minimizing these problems, but do not provide a large
volume of creative options. The Delphi technique involves collection and summarization
of opinions and judgments on a particular issue from expert panels through interviews,
surveys, or questionnaires. A focus group involves organizing moderated discussions
with small groups of people to identify problems or evaluate processes; it is less likely to
provide a nonjudgmental environment for generating ideas. A nominal group technique
allows the opportunity to the team members to share ideas, but their ideas are judged
and merits are given to each idea.
, Term 2 of 20
A nurse leader is teaching about the functional model of nursing to a student nurse. Which
statements made by the student nurse indicate effective learning? Select all that apply.
1 "I will focus on one nurse caring for one client."
2 "I will accentuate the use of team collaborations."
3 "I will focus on tasks and activities allotted to me."
4 "I will provide comprehensive and coordinated nursing service."
5 "I will coordinate the unlicensed personnel to provide care to a large group of clients."
3 "I will focus on tasks and activities allotted to me."
5 "I will coordinate the unlicensed personnel to provide care to a large group of clients."
In the functional model of nursing, one mainly focuses on performing tasks and activities
that are allotted to him or her. Coordinating with unlicensed personnel to provide care
to a large group of clients indicates the functional model of nursing.
Focusing on one nurse caring for one client is seen in the case method of client care
delivery. Concentrating on the use of team collaborations indicates the model analysis
of primary nursing of client care delivery. Providing comprehensive and coordinated
nursing services indicates the primary nursing model.
1, 4, 5
Seeking feedback from the team will help the team members in reaching the
organizational goals and a shared vision. The most important leadership quality is to
motivate the team members in such a way that they are satisfied with their jobs and
helped in reaching their goals. Asking team members to participate in decision making
will improve their job satisfaction.
Allotting the work schedules and penalizing team members for poor performance are
the duties of a nurse manager.
2, 5
The registered nurse may delegate the tasks of basic client care to the unlicensed
assistive personnel (UAP), but is responsible and accountable for the outcome of the
task. UAP are responsible for the client's basic hygiene and comfort.
A physician may delegate the task of client care to the registered nurse and other
assistive personnel. A licensed practical nurse (LPN) or licensed vocational nurse (LVN)
generally carries out tasks such as administering oral medication, but is not typically
responsible for client hygiene if UAP are available.
20 Multiple choice questions
,Term 1 of 20
The health care provider gives the preoperative nurse a signed consent form and walks away
rapidly. The client turns to the nurse and states, "I don't know what is going on. Why do I need
surgery?" What is the most appropriate action?
1. Call the nursing supervisor
2. Call the operating room scheduler and cancel the surgery
3. Page the health care provider and request clarification on behalf of the client
4. Report the incident to hospital administration
3
Informed consent requires that the health care provider performing the procedure
explain everything to the client's satisfaction (within reason). Signed consent may be
witnessed by the nurse. If the client does not fully understand informed consent, the
nurse must notify the health care provider or refer up the chain of nursing command. The
nurse is not responsible for verifying that the client understands the procedure and its
respective risks.
(Option 1) This would be appropriate if the health care provider refuses to talk to the
client.
(Option 2) This is not the nurse's responsibility; this request would have to be relayed up
the chain of nursing command.
(Option 4) This is premature; the incident is isolated and not all facts are known.
Educational objective: Clients may not consent to an invasive procedure without being
informed of the clinical reasoning, consequences, and possible complications.
1.Establish airway by positioning, suctioning, and oxygen as needed.
2.Assess breath sounds and respiratory effort.
3.Prepare for chest decompression if needed.
4.Maintain vascular access using a large-bore catheter.
5.Use direct pressure for external bleeding.
The primary survey includes assessment of airway/cervical spine, breathing, circulation,
disability, and exposure. First, the nurse should establish airway patency by positioning,
suctioning, and providing oxygen as needed. Assess breath sounds and respiratory
effort and provide chest decompression if needed in order to assess breathing. Maintain
vascular access using a large-bore catheter and use direct pressure for any external
bleeding.
,3 Provide additional support and temporarily lower expectations.
The charge nurse should manage a task by temporarily lowering expectations and
providing additional support to an unlicensed nursing personal (UNP) who is lacking
competence. This strategy allows the UNP to build on strengths, minimize weaknesses,
and gain confidence.
Providing constructive feedback and assigning another task may not improve the
strategy of the UNP and may affect the productivity of the new task. Withdrawing the
UNP from the task and providing open vocal feedback may weaken the working
relationship and the UNP may lose confidence or become frustrated. The charge nurse
should be aware of accountability to the organization in case of a failure of the
delegation, but assigning the UNP for further training may lead to high risk for legal
liability.
3
Brainstorming helps to get a large volume of creative options from the team by
providing a safe environment for the contribution of ideas.
The application of the Delphi technique, focus groups strategy, and nominal group
techniques are also effective in minimizing these problems, but do not provide a large
volume of creative options. The Delphi technique involves collection and summarization
of opinions and judgments on a particular issue from expert panels through interviews,
surveys, or questionnaires. A focus group involves organizing moderated discussions
with small groups of people to identify problems or evaluate processes; it is less likely to
provide a nonjudgmental environment for generating ideas. A nominal group technique
allows the opportunity to the team members to share ideas, but their ideas are judged
and merits are given to each idea.
, Term 2 of 20
A nurse leader is teaching about the functional model of nursing to a student nurse. Which
statements made by the student nurse indicate effective learning? Select all that apply.
1 "I will focus on one nurse caring for one client."
2 "I will accentuate the use of team collaborations."
3 "I will focus on tasks and activities allotted to me."
4 "I will provide comprehensive and coordinated nursing service."
5 "I will coordinate the unlicensed personnel to provide care to a large group of clients."
3 "I will focus on tasks and activities allotted to me."
5 "I will coordinate the unlicensed personnel to provide care to a large group of clients."
In the functional model of nursing, one mainly focuses on performing tasks and activities
that are allotted to him or her. Coordinating with unlicensed personnel to provide care
to a large group of clients indicates the functional model of nursing.
Focusing on one nurse caring for one client is seen in the case method of client care
delivery. Concentrating on the use of team collaborations indicates the model analysis
of primary nursing of client care delivery. Providing comprehensive and coordinated
nursing services indicates the primary nursing model.
1, 4, 5
Seeking feedback from the team will help the team members in reaching the
organizational goals and a shared vision. The most important leadership quality is to
motivate the team members in such a way that they are satisfied with their jobs and
helped in reaching their goals. Asking team members to participate in decision making
will improve their job satisfaction.
Allotting the work schedules and penalizing team members for poor performance are
the duties of a nurse manager.
2, 5
The registered nurse may delegate the tasks of basic client care to the unlicensed
assistive personnel (UAP), but is responsible and accountable for the outcome of the
task. UAP are responsible for the client's basic hygiene and comfort.
A physician may delegate the task of client care to the registered nurse and other
assistive personnel. A licensed practical nurse (LPN) or licensed vocational nurse (LVN)
generally carries out tasks such as administering oral medication, but is not typically
responsible for client hygiene if UAP are available.
