A charge nurse is discussing issues with a staff nurse. When comparing statements with the aid
of the workforce nurse, the rate nurse must apprehend that
which of the subsequent displays an intrapersonal warfare?
A. "I'm now not sure whether or not I need to apply for the unit manager's position or begin a
family this 12 months."
b. "I feel pissed off because I just readmitted a purchaser who refuses to take their insulin."
c. "The unit supervisor is extra concerned with saving cash than with customers getting
high-quality care."
d. "Every time I request a further day without work I'm denied, however different nurses'
requests are accepted." - ANS-a. "I'm not positive whether or not I want to use for the unit
supervisor's function or start a own family this year."
The nurse's announcement indicates an intrapersonal warfare due to the fact the nurse is
suffering with competing non-public and expert values and goals.
A rate nurse is leading a committee this is revising the coverage for purchaser discharge. After
developing the initial plan, which of the following moves need to the nurse take next?
A. Set goal dates for crowning glory.
B. Identify areas of support.
C. Determine desires and targets.
D. Implement advocated strategies. - ANS-c. Determine dreams and objectives.
According to proof-primarily based exercise, the nurse attempting to make a change or revision
to a policy ought to first expand the preliminary plan and then decide desires and objectives.
Objectives define techniques or implementation steps to reap the identified goals.
A charge nurse is managing conflict with a staff nurse who does now not accept as true with the
patron care challenge. Which of the following statements example of the usage of the war
resolution approach referred to as smoothing?
A. "Would you be given the project if we reassign your consumer who has general care needs
and assign every other client who can offer extra self-care?"
b. "Tell me what modifications we need to make so that you'll sense comfortable with the
project."
c. "I failed to suggest to make you experience crushed. Why don't you appearance over the
assignments with me and recommend adjustments?"
,d. "You usually whole your work on time and do a wonderful task. I consider you can handle the
venture properly." - ANS-d. "You always whole your work on time and do a exceptional activity. I
trust you could handle the assignment well."
The fee nurse is the use of smoothing as a battle decision method by means of complimenting
or specializing in shared thoughts to reduce the emotional thing of the warfare.
A price nurse is planning consumer care assignments for a unit. Which of the following duties
need to the nurse assign to a certified practical nurse (LPN)?
A. Determine the swallowing potential of a client who has had a stroke.
B. Provide an enteral feeding to a client who has Crohn's disorder.
C. Develop a teaching plan for a client who has a new prognosis of type 2 diabetes mellitus.
D. Weigh a consumer who's three days postoperative following coronary artery skip grafting. -
ANS-b. Provide an enteral feeding to a purchaser who has Crohn's sickness.
Administration of an enteral feeding is inside the scope of practice of an LP. Therefore, it is
appropriate for the fee nurse to assign this task to an LPN.
A charge nurse is getting ready to look at a newly certified nurse carry out a ordinary stomach
assessment. Which of the subsequent actions should the charge nurse assume the newly
certified nurse to take?
A. Place the consumer in a dorsal recumbent function for the examination.
B. Auscultate for vascular bruits with the diaphragm of the stethoscope.
C. Begin the evaluation by way of the use of mild palpation over the abdomen.
D. Ensure that the customer has a full bladder earlier than beginning the procedure. - ANS-a.
Place the purchaser in a dorsal recumbent role for the examination.
To prepare the consumer for a routine abdominal assessment, the nurse ought to area the
customer in a dorsal recumbent or supine role and make sure that the patron relaxes their belly
muscle mass.
A charge nurse is reviewing the plan of take care of a customer who has lively herpes simplex
lesions. Which of the subsequent interventions is appropriate for the plan of care?
A. Admit the consumer to a personal room with negative-stress airflow.
B. Wear a robe and gloves whilst caring for the client.
C. Have the client wear a masks in the course of shipping.
D. Wear a face masks and eye safety whilst caring for the consumer. - ANS-b. Wear a robe and
gloves when being concerned for the customer.
The nurse ought to use touch precautions when caring for customers who've an contamination
from herpes simplex. Barriers with gloves and robes are obligatory.
, A fee nurse is supervising the care of several customers. Which of the subsequent actions calls
for intervention through the fee nurse?
A. A nurse is photocopying their assigned consumer's diagnostic take a look at outcomes.
B. An assistive employees (AP) files a purchaser's critical signs and symptoms at the
consumer's paper-based image record.
C. The unit secretary faxes a customer's laboratory effects to the company.
D. An RN stays with a client who is reading the scientific records that were requested. - ANS-a.
A nurse is photocopying their assigned client's diagnostic check effects.
Photocopying diagnostic check effects is a breach of the client's confidentiality and privacy.
A fee nurse observes that a body of workers nurse's behavior has changed over the past few
weeks. Which of the subsequent behaviors ought to the price nurse become aware of as an
indication that the group of workers nurse might be working at the same time as impaired?
A. Spends free time conversing with different group of workers on the nurses' station.
B. Frequent use of the restroom
c. Asks different nurses to manage ache medicine for their clients
d. Delegates obligations to assistive employees (AP) - ANS-b. Frequent use of the restroom
Frequent use of the restroom can suggest that the nurse might be working while impaired. Other
indicators can include frequent errors, temper swings, lack of ability to recognition, and
immoderate losing of controlled materials.
A client is being discharged with a postoperative contamination, requiring daily home IV
antibiotics through a peripherally inserted vital catheter (PICC) line. Which of the following
movements must the case supervisor perform prior to discharge?
A. Assess the client's home environment for possible reservoirs of contamination.
B. Verify the patency of the PICC line.
C. Provide dressing exchange and wound assessment teaching.
D. Ensure that home infusion remedy has been organized. - ANS-d. Ensure that home infusion
remedy has been arranged.
It is the case supervisor's duty to ensure that all important referrals have been made to facilitate
the consumer's transition to domestic care.
A consumer is thinking about having a tubal ligation and reviews being uncertain approximately
if it's miles the right thing to do. Which of the subsequent actions need to the nurse take?
A. Provide data about trade start manage strategies.
B. Ask if the consumer has mentioned the choice with their partner.