Managing Multiple Patient's (Module 3)

Question 1

What is the primary purpose of the RN asking the patient at the completion of nursing care “Is there anything else I can do for you before I leave?’

Answer 1

To increase patient satisfaction

Question 2

What are the outcomes of effective teamwork? Select all that apply.

Answer 2

A. Reduce clinical errors
B. Foster staff satisfaction
C. Increase patient satisfaction
D. Improve patient outcomes

Question 3

Members of the interdisciplinary team include:

Answer 3

The patient, direct caregivers, and supportive health care providers

Question 4

Which of the following communication skills are essential for effective feedback to team members? Select all that apply

Answer 4

A. Uses a fair and respectful approach
B. Occurs soon after the behavior is demonstrated
C. Provides a specific example of behavior
D. Offers direction for future activity

Question 5

Which is an essential organizational characteristic that helps to empower members of an effective health care team?

Answer 5

Mutual trust

Question 6

Which behavioral competencies as identified by the American Nurses Association are expected of the RN? Select all that apply

Answer 6

A. Practices ethically
B. Integrates evidence and research findings into practice
C. Evaluates own practice
D. Communicates effectively in all areas of practice

Question 7

How does the RN working within interdisciplinary team help develop the patient’s plan of care?

Answer 7

Coordinates and communicates the plan of care goals

Question 8

Place the following teaching activities in the correct order to best help a patient and their family prepare for a safe discharge.

Answer 8

1. Assess the health care needs
2. Develop mutually accepted goals with the patient
3. Provide written instructions based on patient literacy
4. Evaluate effectiveness of the discharge process

Question 9

A patient whose primary language is Mandarin, smiles when the RN asks about pain location and severity. How should the RN proceed?

Answer 9

Access a qualified interpreter

Question 10

The staff member asks the RN to take a picture of a patient using the staff members personal phone. How should the RN respond?

Answer 10

Inform the staff member that this is a violation of patient confidentiality

Question 11

A pregnant patient is admitted to the hospital in a premature labor. That patients sibling is an RN currently working a shift on a medical/surgical unit in the hospital. What is an appropriate action by the RN to obtain more information on the patient.

Answer 11

Speak with the family during the RNs break

Question 12

What is a desired outcome for the use of the Electronic Medical Record?

Answer 12

Facilitate continuity of care

Question 13

A patient has a patient controlled analgesic pump (PCA) for pain control after abdominal surgery. When the patient is asked about pain,the patient states the pain is a 6 on a 0 to 10 scale. What should be the RNs initial action?

Answer 13

Review the hx in the pump for the number of attempts and number of doses delivered

Question 14

What are key behaviors by the RN that promote patient satisfaction? Select all that apply

Answer 14

A. Ensuring privacy and maintaining a clean environment
B. Being attentive to the patients verbal and non verbal communication
C. Providing reliable individualized discharge information
D. Introducing self and explaining the role in the patients care

Question 15

A patient is readmitted with heart failure after discharge 3 days ago. What would the focus of an interdisciplinary team meeting?

Answer 15

To evaluate previous discharge plan

Question 16

What are appropriate actions by the RN preventing medication errors? Select all that apply

Answer 16

A. Access the “smart pump” drug library before initiating a weight based medication
B. Use the”smart pump” features when infusing heparin
C. Have a second RN check dose before overriding an IV pump alert
D. Scan the medication and the patients identification bracelet before administration

Question 17

Which factor is most responsible for unexpected occurrences involving death or serious injury in the health care setting?

Answer 17

Breakdown in communication

Question 18

Base your answers on the SBAR of John Short.
*The RN received the SBAR report on John Short from the nurse in the pediatric intensive care unit (picu). What additional question should the receiving RN ask the PICU nurse?

Answer 18

“Has the psychologist met with the child yet?”

Question 19

Base your answers on the SBAR of John Short.
*Which professional can best provide guidance and explore options with John and his family about therapeutic problem solving techniques?

Answer 19

Psychologist

Question 20

Base your answers on the SBAR of John Short.
*When the RN is administering an antidepression medication John’s parents asks if the medication will cause further damage to John’ liver. How should the RN reply?

Answer 20

The clinical pharmacist can speak with you and John about medication

Question 21

The RN is organizing an interdisciplinary team meeting to discuss short and long term care of John Short. In additon to the RN, who should be included in the meeting?

Answer 21

Patient
Parent
Pediatrician 
Gastroenterologist (Liver specialist)
Social worker
Psychologist
Spiritual care specialist 
Discharge planner
UAP

Question 22

Which statement by a 13 year old to the RN should initiate a referral to a mental health professional?

Answer 22

“I think of many ways to punish those who disrespect me.”

Question 23

What is a patient care outcome after implementing computerized physician/provider order entry?

Answer 23

Provides the prescriber with clinical support tools

Question 24

As the interdisciplinary team enters the patient room druing patient rounds, the 15 year old patient asks “What are you all looking at?” How should the RN resond?

Answer 24

Explain the purpose of the rounds

Question 25

A 16 year old patient is admitted to the pediatric unit with intentional fracture of the right tibia and fibula. The RN had decided that an interdisciplinary team meeting is warranted. What is the priority purpose of the meeting?

Answer 25

To discuss the reason for the intentional injury

Question 26

The RN is caring for a patient receiving from an intentional drug overdose. The patient asks “Do I really need to be watched every minute? Can the sitter be removed? I promise to be good.” What is the RNs response?

Answer 26

“Not at this time. We all are concerned about your safety.”

Question 27

A patient is fluctuating between hypoactive and hyperactive delirium and currently is alert and orientated to place and person. The physician asks the RN “What is the best location for the interdisciplinary patient care rounds?” What is the appropriate response by the RN?

Answer 27

“In the conference room.”

Question 28

A patient who is 29 weeks pregnant was admitted with acute nausea and diarrhea to the medical nursing unit. Which members of the interdisciplinary team should the admitting RN contact? Select all that apply

Answer 28

A. Dietitian
B. Obstetrical RN
C. Neonatologist

Question 29

The laboratory staff is communicating a “critical” value of a blood potassium of 5.5mEq/L (normal value is 3.8 to 5mEq/L) on a patient. Which is the RNs response?

Answer 29

Read back the value to the laboratory personnel

Question 30

Which of the following actions by a team member raises an ethical concern for the RN?

Answer 30

Posting co workers health issues on a social media site

Question 31

A patient recovering from acute respiratory distress asks the RN “What is the name of the dog in the corner of the room?” There is no dog in the corner of the room. Who would the RN include in an interdisciplinary team meeting? Select all that apply

Answer 31

A.physician/provider
B. Respiratory therapist
C. Family member

Question 32

The RN notices an unattended computer in the nursing station is displaying patient information. What would be the first action the RN takes?

Answer 32

Log off the computer

Question 33

A patient admitted with syncope is ordered to be continuous cardiac monitoring. Which statement by a patient indicates more patient education is needed form the RN?

Answer 33

“If I have rhythm, then I am OK.”

Question 34

During a patient care emergency the physician/provider asks, “What is the patients blood pressure?” The RN responds loudly and clearly “70/50.” This is an example of which form of communication?

Answer 34

Call out

Question 35

A patient with chronic obstructive pulmonary disease (COPD) is being discharged home with supplemental O2. Which member of the health care eam is best suited to review oxygen therapy?

Answer 35

Respiratory therapist

Question 36

When initiating education for a patient who has been newly dx with acute heart failure, the patient states “I am finding it hard to concentrate.” Just leave the information. Which action should the RN do? Select all that apply

Answer 36

A. Ask the patient to elaborate more on the statement
B. Have the patient identify a health care support person
C. Collaborate with patient to prioritize teaching goals

Question 37

During an interdisciplinary team meeting, the patient receiving palliative care requests to have a pet dog visit. The hospital policy allows visitation by certified therapy animals only. Which action by the RN is most appropriated?

Answer 37

Work with nurse manager to accommodate the patient wishes

Question 38

When the RN is assessing who has severe sepsis the patient states “I am afraid I will die. Why am I being punished?” What is the best response by the RN?

Answer 38

“Can you tell me more about your feeling of being punished?”

Question 39

Which member of the interdisciplinary team should the RN include when planning a safe discharge for an adolescent who is pregnant and hospitalized for severe hyperemesis gravidarum? Select all that apply

Answer 39

Advanced Practice nurse
nutritionist
family member

Question 40

Which action observed by the RN performing quality improvement audits causes the RN to be concerned about security of the patients information?

Answer 40

A persons computer identification information posted at the nursing station

Question 41

A patient who has diabetes is hospitalized with acute infection and hyperglycemia. The patient states “I test myself at home. I can do the glucose testing here in the hospital.” What is the most appropriate RN response?

Answer 41

“I would like to watch to see how you do the test.”