10/31/23, |5:28 |AM Test |bank |- |medical |surgical |nursing |10th |edition |ignatavicius |workman-
bte…
Medical Surgical Nursing 10th Edition
| | | |
Ignatavicius Workman Test Bank
| | | |
Chapter |01: |Overview |of |Professional |Nursing |Concepts |for |Medical-Surgical |Nursing
|Ignatavicius: |Medical-Surgical |Nursing, |10th |Edition
MULTIPLE |CHOICE
1. A |new |nurse |is |working |with |a |preceptor |on |a |medical-surgical |unit. |The |preceptor |advises
|the |new |nurse |that |which |is |the |priority |when |working |as |a |professional |nurse?
a. Attending |to |holistic |client |needs
b. Ensuring |client |safety
c. Not |making |medication |errors
d. Providing |client-focused |care
ANS: |B
All |actions |are |appropriate |for |the |professional |nurse. |However, |ensuring |client |safety |is |the
| priority. |Health |care |errors |have |been |widely |reported |for |25 |years, |many |of |which |result |in
| client |injury, |death, |and |increased |health |care |costs. |There |are |several |national |and
| international |organizations |that |have |either |recommended |or |mandated |safety |initiatives.
Every |nurse |has |the |responsibility |to |guard |the |client’s |safety. |The |other |actions |are
|important
for |quality |nursing, |but |they |are |not |as |vital |as |providing |safety. |Not |making |medication
|errors | does |provide |safety, |but |is |too |narrow |in |scope |to |be |the |best |answer.
DIF: | Understanding TOP: | Integrated |Process: |Nursing |Process:
|Intervention | KEY: |Client |safety
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
2. A |nurse |is |orienting |a |new |client |and |family |to |the |medical-surgical |unit. |What
|information | does |the |nurse |provide |to |best |help |the |client |promote |his |or |her |own
|safety?
a. Encourage |the |client |and |family |to |be |active |partners.
b. Have |the |client |monitor |hand |hygiene |in |caregivers.
c. Offer |the |family |the |opportunity |to |stay |with |the |client.
d. Tell |the |client |to |always |wear |his |or |her |armband.
ANS: |A
Each |action |could |be |important |for |the |client |or |family |to |perform. |However, |encouraging
|the | client |to |be |active |in |his |or |her |health |care |as |a |safety |partner |is |the |most |critical. |The
|other | actions |are |very |limited |in |scope |and |do |not |provide |the |broad |protection |that |being
|active |and | involved |does.
DIF: | Understanding TOP: |Integrated |Process: |Teaching/Learning
| KEY: |Client |safety
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
3. A |nurse |is |caring |for |a |postoperative |client |on |the |surgical |unit. |The |client’s |blood
|pressure | was |142/76 |mm |Hg |30 |minutes |ago, |and |now |is |88/50 |mm |Hg. |What |action
|would |the |nurse | take |first?
a. Call |the |Rapid |Response |Team.
b. Document |and |continue |to |monitor.
c. Notify |the |primary |health |care |provider.
d. Repeat |the |blood |pressure |in |15 |minutes.
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ANS: |A
The |purpose |of |the |Rapid |Response |Team |(RRT) |is |to |intervene |when |clients |are |deteriorating
| before |they |suffer |either |respiratory |or |cardiac |arrest. |Since |the |client |has |manifested |a
| significant |change, |the |nurse |would |call |the |RRT. |Changes |in |blood |pressure, |mental
|status, | heart |rate, |temperature, |oxygen |saturation, |and |last |2 |hours’ |urine |output |are
|particularly | significant |and |are |part |of |the |Modified |Early |Warning |System |guide.
|Documentation |is |vital, | but |the |nurse |must |do |more |than |document. |The |primary |health
|care |provider |would |be | notified, |but |this |is |not |more |important |than |calling |the |RRT. |The
|client’s |blood |pressure | would |be |reassessed |frequently, |but |the |priority |is |getting |the
|rapid |care |to |the |client.
DIF: | Applying TOP: | Integrated |Process: |Communication |and
|Documentation | KEY: |Rapid |Response |Team |(RRT), |Clinical |judgment
MSC: | Client | Needs | Category: | Physiological | Integrity: | Physiological | Adaptation
4. A |nurse |wishes |to |provide |client-centered |care |in |all |interactions. |Which |action |by |the |nurse
best |demonstrates |this |concept?
a. Assesses |for |cultural |influences |affecting |health |care.
b. Ensures |that |all |the |client’s |basic |needs |are |met.
c. Tells |the |client |and |family |about |all |upcoming |tests.
d. Thoroughly |orients |the |client |and |family |to |the |room.
ANS: |A
Showing |respect |for |the |client |and |family’s |preferences |and |needs |is |essential |to |ensure |a
holistic |or |“whole-person” |approach |to |care. |By |assessing |the |effect |of |the |client’s |culture |on
| health |care, |this |nurse |is |practicing |client-focused |care. |Providing |for |basic |needs |does |not
| demonstrate |this |competence. |Simply |telling |the |client |about |all |upcoming |tests |is |not
| providing |empowering |education. |Orienting |the |client |and |family |to |the |room |is |an
|important | safety |measure, |but |not |directly |related |to |demonstrating |client-centered |care.
DIF: | Understanding TOP: |Integrated |Process: |Culture |and |Spirituality
| KEY: | Client-centered |care, |Culture MSC: | Client |Needs |Category: |Psychosocial
|Integrity
5. A |client |is |going |to |be |admitted |for |a |scheduled |surgical |procedure. |Which |action |does
|the | nurse |explain |is |the |most |important |thing |the |client |can |do |to |protect |against
|errors?
a. Bring |a |list |of |all |medications |and |what |they |are |for.
b. Keep |the |provider’s |phone |number |by |the |telephone.
c. Make |sure |that |all |providers |wash |hands |before |entering |the |room.
d. Write |down |the |name |of |each |caregiver |who |comes |in |the |room.
ANS: |A
Medication |reconciliation |is |a |formal |process |in |which |the |client’s |actual |current |medications
| are |compared |to |the |prescribed |medications |at |the |time |of |admission, |transfer, |or
|discharge. | This |National |client |Safety |Goal |is |important |to |reduce |medication |errors. |The
|client |would | not |have |to |be |responsible |for |providers |washing |their |hands, |and |even |if |the
|client |does |so,
this |is |too |narrow |to |be |the |most |important |action |to |prevent |errors. |Keeping |the |provider’s
| phone |number |nearby |and |documenting |everyone |who |enters |the |room |also |do |not |guarantee
| safety.
DIF: | Applying TOP: | Integrated |Process:
|Teaching/Learning | KEY: |Client |safety, |Informatics
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
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6. Which |action |by |the |nurse |working |with |a |client |best |demonstrates |respect |for |autonomy?
a. Asks |if |the |client |has |questions |before |signing |a |consent.
b. Gives |the |client |accurate |information |when |questioned.
c. Keeps |the |promises |made |to |the |client |and |family.
d. Treats |the |client |fairly |compared |to |other |clients.
ANS: |A
Autonomy |is |self-determination. |The |client |would |make |decisions |regarding |care. |When |the
| nurse |obtains |a |signature |on |the |consent |form, |assessing |if |the |client |still |has |questions |is
|vital, | because |without |full |information |the |client |cannot |practice |autonomy. |Giving
|accurate | information |is |practicing |with |veracity. |Keeping |promises |is |upholding |fidelity.
|Treating |the | client |fairly |is |providing |social |justice.
DIF: | Applying TOP: | Integrated |Process: |Caring KEY: |Ethics, |Autonomy
| MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of
|Care
7. A |nurse |asks |a |more |seasoned |colleague |to |explain |best |practices |when |communicating |with
|a |
person |from |the |lesbian, |gay, |bisexual, |transgender, |and |questioning/queer |(LGBTQ)
|community. |What |answer |by |the |faculty |is |most |accurate?
a. Avoid |embarrassing |the |client |by |asking |questions.
b. Don’t |make |assumptions |about |his |or |her |health |needs.
c. Most |LGBTQ |people |do |not |want |to |share |information.
d. No |differences |exist |in |communicating |with |this |population.
ANS: |B
Many |members |of |the |LGBTQ |community |have |faced |discrimination |from |health |care
| providers |and |may |be |reluctant |to |seek |health |care. |The |nurse |would |never |make
|assumptions | about |the |needs |of |members |of |this |population. |Rather, |respectful |questions |are
|appropriate. |If | approached |with |sensitivity, |the |client |with |any |health |care |need |is |more
|likely |to |answer | honestly.
DIF: | Understanding TOP: |Integrated |Process: |Teaching/Learning
KEY: | Health |care |disparities, |LGBTQ MSC: | Client |Needs |Category: |Psychosocial |Integrity
8. A |nurse |is |calling |the |on-call |health |care |provider |about |a |client |who |had |a |hysterectomy
|2 |days |ago |and |has |pain |that |is |unrelieved |by |the |prescribed |opioid |pain |medication.
|Which | statement |comprises |the |background |portion |of |the |SBAR |format |for
|communication?
a. “I |would |like |you |to |order |a |different |pain |medication.”
b. “This |client |has |allergies |to |morphine |and |codeine.”
c. “Dr. |Smith |doesn’t |like |nonsteroidal |anti-inflammatory |meds.”
d. “This |client |had |a |vaginal |hysterectomy |2 |days |ago.”
ANS: |B
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SBAR |is |a |recommended |form |of |communication, |and |the |acronym |stands |for |Situation,
| Background, |Assessment, |and |Recommendation. |Appropriate |background |information
| includes |allergies |to |medications |the |on-call |health |care |provider |might |order. |Situation
describes |what |is |happening |right |now |that |must |be |communicated; |the |client’s |surgery |2 |days
ago |would |be |considered |background. |Assessment |would |include |an |analysis |of |the |client’s
problem; |none |of |the |options |has |assessment |information. |Asking |for |a |different |pain
| medication |is |a |recommendation. |Recommendation |is |a |statement |of |what |is |needed |or |what
| outcome |is |desired.
DIF: | Applying TOP: | Integrated |Process: |Communication |and
|Documentation | KEY: |Teamwork |and |collaboration, |SBAR
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of |Care
9. A |nurse |working |on |a |cardiac |unit |delegated |taking |vital |signs |to |an |experienced |assistive
|personnel |(AP). |Four |hours |later, |the |nurse |notes |that |the |client’s |blood |pressure |taken |by
AP |was |much |higher |than |previous |readings, |and |the |client’s |mental |status |has |changed.
|the |
|What | action |by |the |nurse |would |most |likely |have |prevented |this |negative |outcome?
a. Determining |if |the |AP |knew |how |to |take |blood |pressure
b. Double-checking |the |AP |by |taking |another |blood |pressure
c. Providing |more |appropriate |supervision |of |the |AP
d. 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 |would |either |have |asked |the |AP |about |the
|vital | signs |or |instructed |the |AP |to |report |them |right |away. |An |experienced |AP |would |know
|how |to | take |vital |signs |and |the |nurse |would |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 |AP | and |are |permissible |to |delegate. |The |only |appropriate |answer |is |that |the
|nurse |did |not |provide | adequate |instruction |to |the |AP.
DIF: | Analyzing TOP: | Integrated |Process: |Communication |and
|Documentation | KEY: |Teamwork |and |collaboration, |Delegation
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of |Care
10. A |newly |graduated |nurse |in |the |hospital |states |that |because |of |being |so |new, |participation
|in | quality |improvement |(QI) |projects |is |not |wise. |What |response |by |the |precepting |nurse |is
|best?
a. “All |staff |nurses |are |required |to |participate |in |quality |improvement |here.”
b. “Even |being |new, |you |can |implement |activities |designed |to |improve |care.”
c. “It’s |easy |to |identify |what |indicators |would |be |used |to |measure |quality.”
d. “You |should |ask |to |be |assigned |to |the |research |and |quality |committee.”
ANS: |B
The |preceptor |would |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 TOP: | Integrated |Process: |Communication |and |Documentation
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Medical Surgical Nursing 10th Edition
| | | |
Ignatavicius Workman Test Bank
| | | |
Chapter |01: |Overview |of |Professional |Nursing |Concepts |for |Medical-Surgical |Nursing
|Ignatavicius: |Medical-Surgical |Nursing, |10th |Edition
MULTIPLE |CHOICE
1. A |new |nurse |is |working |with |a |preceptor |on |a |medical-surgical |unit. |The |preceptor |advises
|the |new |nurse |that |which |is |the |priority |when |working |as |a |professional |nurse?
a. Attending |to |holistic |client |needs
b. Ensuring |client |safety
c. Not |making |medication |errors
d. Providing |client-focused |care
ANS: |B
All |actions |are |appropriate |for |the |professional |nurse. |However, |ensuring |client |safety |is |the
| priority. |Health |care |errors |have |been |widely |reported |for |25 |years, |many |of |which |result |in
| client |injury, |death, |and |increased |health |care |costs. |There |are |several |national |and
| international |organizations |that |have |either |recommended |or |mandated |safety |initiatives.
Every |nurse |has |the |responsibility |to |guard |the |client’s |safety. |The |other |actions |are
|important
for |quality |nursing, |but |they |are |not |as |vital |as |providing |safety. |Not |making |medication
|errors | does |provide |safety, |but |is |too |narrow |in |scope |to |be |the |best |answer.
DIF: | Understanding TOP: | Integrated |Process: |Nursing |Process:
|Intervention | KEY: |Client |safety
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
2. A |nurse |is |orienting |a |new |client |and |family |to |the |medical-surgical |unit. |What
|information | does |the |nurse |provide |to |best |help |the |client |promote |his |or |her |own
|safety?
a. Encourage |the |client |and |family |to |be |active |partners.
b. Have |the |client |monitor |hand |hygiene |in |caregivers.
c. Offer |the |family |the |opportunity |to |stay |with |the |client.
d. Tell |the |client |to |always |wear |his |or |her |armband.
ANS: |A
Each |action |could |be |important |for |the |client |or |family |to |perform. |However, |encouraging
|the | client |to |be |active |in |his |or |her |health |care |as |a |safety |partner |is |the |most |critical. |The
|other | actions |are |very |limited |in |scope |and |do |not |provide |the |broad |protection |that |being
|active |and | involved |does.
DIF: | Understanding TOP: |Integrated |Process: |Teaching/Learning
| KEY: |Client |safety
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
3. A |nurse |is |caring |for |a |postoperative |client |on |the |surgical |unit. |The |client’s |blood
|pressure | was |142/76 |mm |Hg |30 |minutes |ago, |and |now |is |88/50 |mm |Hg. |What |action
|would |the |nurse | take |first?
a. Call |the |Rapid |Response |Team.
b. Document |and |continue |to |monitor.
c. Notify |the |primary |health |care |provider.
d. Repeat |the |blood |pressure |in |15 |minutes.
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ANS: |A
The |purpose |of |the |Rapid |Response |Team |(RRT) |is |to |intervene |when |clients |are |deteriorating
| before |they |suffer |either |respiratory |or |cardiac |arrest. |Since |the |client |has |manifested |a
| significant |change, |the |nurse |would |call |the |RRT. |Changes |in |blood |pressure, |mental
|status, | heart |rate, |temperature, |oxygen |saturation, |and |last |2 |hours’ |urine |output |are
|particularly | significant |and |are |part |of |the |Modified |Early |Warning |System |guide.
|Documentation |is |vital, | but |the |nurse |must |do |more |than |document. |The |primary |health
|care |provider |would |be | notified, |but |this |is |not |more |important |than |calling |the |RRT. |The
|client’s |blood |pressure | would |be |reassessed |frequently, |but |the |priority |is |getting |the
|rapid |care |to |the |client.
DIF: | Applying TOP: | Integrated |Process: |Communication |and
|Documentation | KEY: |Rapid |Response |Team |(RRT), |Clinical |judgment
MSC: | Client | Needs | Category: | Physiological | Integrity: | Physiological | Adaptation
4. A |nurse |wishes |to |provide |client-centered |care |in |all |interactions. |Which |action |by |the |nurse
best |demonstrates |this |concept?
a. Assesses |for |cultural |influences |affecting |health |care.
b. Ensures |that |all |the |client’s |basic |needs |are |met.
c. Tells |the |client |and |family |about |all |upcoming |tests.
d. Thoroughly |orients |the |client |and |family |to |the |room.
ANS: |A
Showing |respect |for |the |client |and |family’s |preferences |and |needs |is |essential |to |ensure |a
holistic |or |“whole-person” |approach |to |care. |By |assessing |the |effect |of |the |client’s |culture |on
| health |care, |this |nurse |is |practicing |client-focused |care. |Providing |for |basic |needs |does |not
| demonstrate |this |competence. |Simply |telling |the |client |about |all |upcoming |tests |is |not
| providing |empowering |education. |Orienting |the |client |and |family |to |the |room |is |an
|important | safety |measure, |but |not |directly |related |to |demonstrating |client-centered |care.
DIF: | Understanding TOP: |Integrated |Process: |Culture |and |Spirituality
| KEY: | Client-centered |care, |Culture MSC: | Client |Needs |Category: |Psychosocial
|Integrity
5. A |client |is |going |to |be |admitted |for |a |scheduled |surgical |procedure. |Which |action |does
|the | nurse |explain |is |the |most |important |thing |the |client |can |do |to |protect |against
|errors?
a. Bring |a |list |of |all |medications |and |what |they |are |for.
b. Keep |the |provider’s |phone |number |by |the |telephone.
c. Make |sure |that |all |providers |wash |hands |before |entering |the |room.
d. Write |down |the |name |of |each |caregiver |who |comes |in |the |room.
ANS: |A
Medication |reconciliation |is |a |formal |process |in |which |the |client’s |actual |current |medications
| are |compared |to |the |prescribed |medications |at |the |time |of |admission, |transfer, |or
|discharge. | This |National |client |Safety |Goal |is |important |to |reduce |medication |errors. |The
|client |would | not |have |to |be |responsible |for |providers |washing |their |hands, |and |even |if |the
|client |does |so,
this |is |too |narrow |to |be |the |most |important |action |to |prevent |errors. |Keeping |the |provider’s
| phone |number |nearby |and |documenting |everyone |who |enters |the |room |also |do |not |guarantee
| safety.
DIF: | Applying TOP: | Integrated |Process:
|Teaching/Learning | KEY: |Client |safety, |Informatics
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
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6. Which |action |by |the |nurse |working |with |a |client |best |demonstrates |respect |for |autonomy?
a. Asks |if |the |client |has |questions |before |signing |a |consent.
b. Gives |the |client |accurate |information |when |questioned.
c. Keeps |the |promises |made |to |the |client |and |family.
d. Treats |the |client |fairly |compared |to |other |clients.
ANS: |A
Autonomy |is |self-determination. |The |client |would |make |decisions |regarding |care. |When |the
| nurse |obtains |a |signature |on |the |consent |form, |assessing |if |the |client |still |has |questions |is
|vital, | because |without |full |information |the |client |cannot |practice |autonomy. |Giving
|accurate | information |is |practicing |with |veracity. |Keeping |promises |is |upholding |fidelity.
|Treating |the | client |fairly |is |providing |social |justice.
DIF: | Applying TOP: | Integrated |Process: |Caring KEY: |Ethics, |Autonomy
| MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of
|Care
7. A |nurse |asks |a |more |seasoned |colleague |to |explain |best |practices |when |communicating |with
|a |
person |from |the |lesbian, |gay, |bisexual, |transgender, |and |questioning/queer |(LGBTQ)
|community. |What |answer |by |the |faculty |is |most |accurate?
a. Avoid |embarrassing |the |client |by |asking |questions.
b. Don’t |make |assumptions |about |his |or |her |health |needs.
c. Most |LGBTQ |people |do |not |want |to |share |information.
d. No |differences |exist |in |communicating |with |this |population.
ANS: |B
Many |members |of |the |LGBTQ |community |have |faced |discrimination |from |health |care
| providers |and |may |be |reluctant |to |seek |health |care. |The |nurse |would |never |make
|assumptions | about |the |needs |of |members |of |this |population. |Rather, |respectful |questions |are
|appropriate. |If | approached |with |sensitivity, |the |client |with |any |health |care |need |is |more
|likely |to |answer | honestly.
DIF: | Understanding TOP: |Integrated |Process: |Teaching/Learning
KEY: | Health |care |disparities, |LGBTQ MSC: | Client |Needs |Category: |Psychosocial |Integrity
8. A |nurse |is |calling |the |on-call |health |care |provider |about |a |client |who |had |a |hysterectomy
|2 |days |ago |and |has |pain |that |is |unrelieved |by |the |prescribed |opioid |pain |medication.
|Which | statement |comprises |the |background |portion |of |the |SBAR |format |for
|communication?
a. “I |would |like |you |to |order |a |different |pain |medication.”
b. “This |client |has |allergies |to |morphine |and |codeine.”
c. “Dr. |Smith |doesn’t |like |nonsteroidal |anti-inflammatory |meds.”
d. “This |client |had |a |vaginal |hysterectomy |2 |days |ago.”
ANS: |B
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bte…
SBAR |is |a |recommended |form |of |communication, |and |the |acronym |stands |for |Situation,
| Background, |Assessment, |and |Recommendation. |Appropriate |background |information
| includes |allergies |to |medications |the |on-call |health |care |provider |might |order. |Situation
describes |what |is |happening |right |now |that |must |be |communicated; |the |client’s |surgery |2 |days
ago |would |be |considered |background. |Assessment |would |include |an |analysis |of |the |client’s
problem; |none |of |the |options |has |assessment |information. |Asking |for |a |different |pain
| medication |is |a |recommendation. |Recommendation |is |a |statement |of |what |is |needed |or |what
| outcome |is |desired.
DIF: | Applying TOP: | Integrated |Process: |Communication |and
|Documentation | KEY: |Teamwork |and |collaboration, |SBAR
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of |Care
9. A |nurse |working |on |a |cardiac |unit |delegated |taking |vital |signs |to |an |experienced |assistive
|personnel |(AP). |Four |hours |later, |the |nurse |notes |that |the |client’s |blood |pressure |taken |by
AP |was |much |higher |than |previous |readings, |and |the |client’s |mental |status |has |changed.
|the |
|What | action |by |the |nurse |would |most |likely |have |prevented |this |negative |outcome?
a. Determining |if |the |AP |knew |how |to |take |blood |pressure
b. Double-checking |the |AP |by |taking |another |blood |pressure
c. Providing |more |appropriate |supervision |of |the |AP
d. 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 |would |either |have |asked |the |AP |about |the
|vital | signs |or |instructed |the |AP |to |report |them |right |away. |An |experienced |AP |would |know
|how |to | take |vital |signs |and |the |nurse |would |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 |AP | and |are |permissible |to |delegate. |The |only |appropriate |answer |is |that |the
|nurse |did |not |provide | adequate |instruction |to |the |AP.
DIF: | Analyzing TOP: | Integrated |Process: |Communication |and
|Documentation | KEY: |Teamwork |and |collaboration, |Delegation
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of |Care
10. A |newly |graduated |nurse |in |the |hospital |states |that |because |of |being |so |new, |participation
|in | quality |improvement |(QI) |projects |is |not |wise. |What |response |by |the |precepting |nurse |is
|best?
a. “All |staff |nurses |are |required |to |participate |in |quality |improvement |here.”
b. “Even |being |new, |you |can |implement |activities |designed |to |improve |care.”
c. “It’s |easy |to |identify |what |indicators |would |be |used |to |measure |quality.”
d. “You |should |ask |to |be |assigned |to |the |research |and |quality |committee.”
ANS: |B
The |preceptor |would |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 TOP: | Integrated |Process: |Communication |and |Documentation
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