managing client care

Question 1

client care coordination

Answer 1

• In order to provide quality client care and reduce the risk of adverse events, client care coordination is a necessity. Nurses must be aware of their role on the health care team and how to effectively manage time and
  organize client care activities

Question 2

time management (Exam)

Answer 2

The process of planning the time available in accordance with goals to achieve.
It is essential for nurses to know how to prioritize client care activities according to time constraints

Question 3

strategies for time management (Exam)

Answer 3

• Plan your day
• Make lists
• Prioritize and focus on what’s important.
• Limit distractions.
• Take a break when possible.
• Delegate safely.
• Say “no” when overextended.
• Take care of yourself.

Question 4

time management matrix (Exam)

Answer 4

• A tool to help prioritize tasks
• What is urgent and important vs not urgent and not important, and what’s
  in between?

Question 5

SMART goals

Answer 5

specific
measurable
attainable
realistic
timely

Question 6

SBAR

Answer 6

situation
background
assessment
reccomendation

Question 7

SOAP

Answer 7

subjective
objective
assessment
plan

Question 8

measuring client acuity levels

Answer 8

• Acuity is the complexity of a client’s
  condition.
• The use of an acuity calculation
  tool helps ensure client assignments are consistent and fair.
• Acuity tools may vary by facility, but basically clients are ranked from stable to high risk based on the tasks involved in their care.

Question 9

IDEAL discharge planning (Exam)

Answer 9

• (I) Include the client and caregivers.
• (D) Discuss the 5 key areas:
  medications, home life, warning signs,
  test results, follow-up.
• (E) Educate the client: condition,
  discharge process, next steps.
• (A) Assess effectiveness of
  education.
• (L) Listen to the client’s goals and
  preferences.

Question 10

when does IDEAL discharge planning begin

Answer 10

at admission

Question 11

IDEAL (Exam)

Answer 11

include
discuss
education
assess
listen

Question 12

delegation

Answer 12

• Defined as one person assigning
  tasks to another person.
• All licensed nurses and assistive personnel (AP) have a personal responsibility to know what their role and scope of practice entails.

Question 13

the five rights of delegation (Exam)

Answer 13

• Right task
• Right circumstance
• Right person
• Right directions and communication
• Right supervision and evaluation

Question 14

managing groups of patients

Answer 14

• Pairs two or more nurses together
  as a team to care for a group of clients.
• Utilizes the nurses’ various experience levels and skills while sharing the responsibilities.
• Increased teamwork results in more effective and safer client care.

Question 15

noncompliance

Answer 15

failure to act in accordance to plan

Question 16

abuse towards staff

Answer 16

verbal or physical is not acceptable

Question 17

chemical impairment

Answer 17

patient opioid use disorders

Question 18

interprofessional collaboration

Answer 18

• Due to the ever-increasing complexity of client health conditions and treatments, the
  need for interprofessional collaboration and communication has never been greater

Question 19

barriers to interprofessional collaboration

Answer 19

• Miscommunication
• Distrust
• Lack of respect among provider types
• Different levels of perceived importance
• Misunderstanding of each other’s
  roles

Question 20

the interprofessional education collaborative

Answer 20

• In 2011, the Interprofessional Education Collaborative (IPEC) developed a core competency to provide structure to teamwork to accomplish client-centered care. There are four areas addressed in this competency.
  
  • Values and ethics for interprofessional practice
  • Roles and responsibilities
  • Interprofessional communication
  • Teams and teamwork