Ati

Question 0

Contact precautions

Answer 0

Shigella
MRSA
RSV
Herpes simplex: gown and gloves
Anthrax

Question 1

Droplet precautions

Answer 1

Meningococcal pneumonia

Pharyngitis, strep, scarlet fever, rubella, pertussis, mumps, pneumonic plague

Question 2

Airborne precautions

Answer 2

TB

Question 3

LPN tasks

Answer 3

Wound irrigation 
Catheter
Sterile specimens
Enteral feeding
Sterile dressing changes
Monitoring client findings, reinforcement of client teaching from a standard care plan, tracheostomy care, suctioning, checking NG tube patency, urinary catheter insertion, medication administration minus intravenous in some states

Question 4

AP tasks

Answer 4

Ambulating
Thickening foods
Activities of daily living such as bathing, grooming, dressing, toileting, ambulating, feeding without swallow precautions, positioning, and bedmaking. Specimen collection, intake and output, vital signs on stable clients, basic dressing changes

Question 5

Critical pathways

Answer 5

Prevent unnecessary expense.

Include time bound activities, interventions, and outcomes. This should include treatment milestones.

Question 6

Disaster tags

Answer 6

Class I/ red tag
Class II/yellow tag. Trt in 30 min-2 hours
Class III/green tag. Non urgent, minor. LPN treats.
Class IV/black tag. Expected to die. Have AP transport.

Question 7

Advocacy

Answer 7

Promoting and protecting safety for staff and clients by providing info that allows staff to act autonomously.

Ex. In service for readmission due to complications.

Question 8

Change

Answer 8

Role model positive behavior
Encourage staff members who support change to discuss issue with resistive staff.

Do not: redirect conversation, reprimand, or tell them to move.

Question 9

Plan for hand hygiene

Answer 9

Set a goal for improvement in adherence. Is first step.

Question 10

Effective time management.

Answer 10

Make a list of non-essential tasks for later

Delegate, chart as you go.

Question 11

Conflict resolution

Answer 11

Latent conflict: awareness of situations that cause it
Perceived conflict: Discussing in an impersonal manner
Felt conflict: Those affected become personally involved
Manifest conflict: begin to take action
Conflict aftermath: positive and negatives are recognized.

Question 12

Living will

Answer 12

Family members have the right to question the mental capacity of the client at the time the living will was completed. Evidence that the client was incompetent could result in the living will being revoked.

Question 13

Advanced directives

Answer 13

Do not require a prescription for it to be valid

Question 14

Spanish speaking

Answer 14

Use a Spanish English medical dictionary. Use bilingual assistive personnel to help. Request the use of an interpreter. Do not ask a family member and do not speak loudly.

Question 15

Health education order

Answer 15

Determine knowledge needed by group/assessment
Develop learning objectives/planning
Encourage family participation/implementation
Client outcomes/evaluation

Question 16

Restraint order

Answer 16

Place restraint
Written order
Staff member remains with pt
Check q 15-30 min
Document

Question 17

Implement change strategy

Answer 17

Educate staff about changes
ID resistance
Set target dates
Require compliance

Question 18

Discipline process

Answer 18

1. Verbally reprimand in managers office. Suggestions for improvement and correction.
2. Written warning. Manager review specific rules and policy violations and discusses potential consequences if it continues
3. Employee is placed on suspension. The time gives the employee opportunity to examine the issues and consider alternatives
4. The employee is terminated after multiple warnings have been given and the employee continues to violate them.

Question 19

Transformational leader

Answer 19

Empowering followers to assume responsibility for a communal vision and personal development is a secondary outcome.

Question 20

Transactional leader

Answer 20

Focus is on immediate problems, maintaining the status quo, and using rewards to motivate followers

Question 21

Maslows

Answer 21

Physiological
Safety and security
Love and belonging
Self-esteem
Self actualization

Question 22

Assigning

Answer 22

The process of transferring the authority, accountability, and responsibility of client care to another member

Question 23

Delegating

Answer 23

Transferring the authority and responsibility to another team member to complete a task while retaining the accountability

Question 24

Supervising

Answer 24

Directing, monitoring, and evaluating the performance of tasks by another member of the healthcare team. RNs are responsible for the supervision of client care tasks delegated to assistive personnel and LPNs.

Question 25

An inappropriate assignment

Answer 25

First bring it to the attention of the scheduling/charge nurse and negotiate a new assignment. If no resolution, take the concern up the chain of command. If still unresolved, and unsafe staffing complaint form or an assignment despite objection or document unsafe practice situation should be filed with the appropriate administrator. Failure to accept the assignment without following proper channels may be considered abandonment.

Question 26

Tasks to consider when delegating

Answer 26

Predictability of the outcome, the potential for harm, Complexity of care, the need for problem-solving and innovation, the level of interaction with the client. They should also consider the delegatee factors such as education and training, knowledge and skill, the level of critical thinking required, the ability to communicate, demonstrated competence, the culture, and agency policies and procedures.

Question 27

Five rights of delegation

Answer 27

Right task, right circumstance, to the right person, with the right direction and communication, and the right supervision and evaluation.

Question 28

Steps in providing educational programs

Answer 28

1. Identify and respond: identify the need for knowledge or skill proficiency
2. Analyze the deficiencies and develop objectives
3. Research
4. Plan
5. Implement
6. Evaluate

Question 29

Root cause analysis

Answer 29

They are done for sentinel event such as death, serious injury, but can be done as part of the improvement process. It investigates the consequence and possible causes. It analyzes the possible causes and relationships that may exist. It determines additional influences at each level of relationship. It determines the root cause or causes. Potential solutions and corrective actions are then analyzed and one is selected. Educational or corrective action is implemented. It is re-evaluated at a determined time.

Question 30

Problem-solving

Answer 30

Identify the problem
Discuss possible solutions
Analyze identified solutions/list the pros and cons
Select a solution
Implement the solution along with a procedure and a timeline
Evaluate the solution