NCLEX Role Development Lecture 2

Question 0

The right person will __________ the right tasks to the right person to be performed on the right patient.

A. direction
B. task
C. delegate
D. circumstance
E. supervision

Answer 0

Answer: C. delegate

Question 1

What part of SBAR is this?
State your name and unit. I am calling about: client name and room number. The problem I am calling about is the patient has respirations below 8.

A. Situation
B. Background
C. Assessment
D. Recommendation

Answer 1

Answer: Situation

Question 2

“Professional _____________ are the spaces between the nurse’s power and the patient’s vulnerability”
- National Council of State Boards of Nursing

A. Nursing Practice
B. Standards
C. Boundaries
D. Lifelong Learning

Answer 2

Answer: C. Boundaries

Question 3

What part of SBAR is this?
Ask for a consultant to see the client now.
Other suggestions.
Are any tests needed: CXR, ABG, EKG, CBC, BNP, others.
If a change in treatment is ordered, then ask how often do you want vital signs?
If the client doesn’t improve, when do you want us to call again?

A. Situation
B. Background
C. Assessment
D. Recommendation

Answer 3

Answer: Recommendation

Question 5

The right _______is one that is delegable for a specific client, such as tasks that are repetitive, require little supervision, and are relatively noninvasive.

A. direction
B. task
C. circumstance
D. delegation
E. supervision

Answer 5

Answer: B. task

Question 6

“Boundary violations can result when there is _______ between the needs of the nurse and those of the patient.”

A. confusion
B. changes
C. communication
D. collaboration

Answer 6

Answer: confusion

Question 7

Is it _________?
- Have I confused the direction by giving too much unnecessary information?

A. Concise
B. Correct
C. Complete
D. Clear
Which of the 4 C’s of initial direction?

Answer 7

Answer: Concise

Question 8

“_____________ is an extreme form of boundary violation and includes any behavior that is seductive, sexually demeaning, harassing, or reasonably interpreted as sexual by the patient.”

A. Ethical Misconduct
B. Sexual Misconduct
C. Unintentional tort
D. Battery

Answer 8

Answer: B Sexual Misconduct

Question 9

What part of SBAR is this?
State the admission diagnosis and date of admission. State the pertinent medical history.

A. Situation
B. Background
C. Assessment
D. Recommendation

Answer 9

Answer: Background

Question 10

Unstructured time frame
Not goal directed
Non-theoretical
Independent Relationships
Informal Duties
No financial concerns
What are these examples of in relation to social vs. professional relationships?

Answer 10

Answer: Social

Question 11

A. Library resources
B. PDA
C. Electronic health record
- Computer literacy
D. Online/Web based data bases
- http://rncre8r.wetpaint.com
- Preferred sites end in “org,” “gov,” or “edu.”
- WebMD
- PDRHealth
- healthline.com
- medscape.com
- dictionary.com
- Use caution with sites such as Wikipedia. Avoid personal blogs, commercial sites selling miracle products, etc.
What are these resources examples of in relation to nursing education?

Answer 11

A: Life-long Learning

Question 13

“The _________ is the only full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent and state nurses associations and its organizational affiliates. The advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public.
A. Health Insurance Portability and Accountability Act (HIPAA)
B. Omnibus Reconciliation Act (OBRA)
C. American Nurses Association (ANA)
D. Occupational Safety Healthcare Act (OSHA)

Answer 13

Answer: C. American Nurses Association (ANA)

Question 14

What part of SBAR is this?
A brief synopsis of the treatment to date.

A. Situation
B. Background
C. Assessment
D. Recommendation

Answer 14

Answer: Background

Question 15

What skills are needed for delegation? (SATA)

1. Assessment
2. Collaboration
3. Planning
4. Communicating clear messages
5. Implementation
6. Matching job to what is delegated
7. Diagnosis
8. Providing clear goals
9. Teaching
10. Giving responsibility and accountability
11. Providing feedback
12. Evaluating

Answer 15

Answer:

1. Assessment
2. Collaboration (Incorrect)
3. Planning
4. Communicating clear messages
5. Implementation (Incorrect)
6. Matching job to what is delegated
7. Diagnosis (Incorrect)
8. Providing clear goals
9. Teaching (Incorrect)
10. Giving responsibility and accountability
11. Providing feedback
12. Evaluating

Question 16

Communication Matching Quiz

1. Information ______ is not communication.
2. The ______ is responsible for clarity.
3. Use simple and exact _______.
4. ________ should be encouraged.
5. The sender must have ________.
6. _______ of others is essential.
7. _________ channels of communication are best.

A. language
B. feedback
C. acknowledgement
D. giving
E. direct
F. sender
G. credibility

Answer 16

Answer: 1D, 2F, 3A, 4B, 5G, 6C, 7E

Question 16

What part of SBAR is this?
Briefly state the problem: what it is, when it happened, or started and how severe.

A. Situation
B. Background
C. Assessment
D. Recommendation

Answer 16

Answer: Situation

Question 17

Is it _______?
- Does it give all the information necessary to complete the task?

A. Concise
B. Correct
C. Complete
D. Clear
Which of the 4 C’s of initial direction?

Answer 17

Answer: complete

Question 19

ANA Code of Ethics with Interpretive Statements

Answer 19

Check the link on slides

Question 21

Right ____________ is a clear, concise description of the task, including its objective, limits, and expectations, is given. Communication must be ongoing between RN and assistive personnel during a shift of care.

A. supervision
B. task
C. delegate
D. circumstance
E. direction

Answer 21

Answer: E direction/communication

Question 22

Name the Five Rights of Clinical Delegation?

Answer 22

1. Right task
2. Right circumstances
3. Right person
4. Right direction/communication
5. Right supervision

Question 23

What part of SBAR is this?
Do you think we should (state what you would like done).

A. Situation
B. Background
C. Assessment
D. Recommendation

Answer 23

Answer: Recommendation

Question 24

What part of SBAR is this?
Transfer the client to the ICU.
Come to see the client at this time.
Talk to the client and/or family about code status.

A. Situation
B. Background
C. Assessment
D. Recommendation

Answer 24

Answer: Recommendation

Question 25

A nurse never _______ a task that he or she dislikes doing or would not do independently because this can create negative feelings and poor working relationships.

A. direction
B. task
C. delegation
D. circumstance
E. supervision

Answer 25

Answer: C. delegation

Ex. if a nurse is in the room when a client asks to be placed on a bedpan, the nurse should assist the client rather than leave the room to find the nurse assistant.

Question 26

What part of SBAR is this?
Most recent vital signs. The client is on or off oxygen. Any changes from prior assessments.

A. Situation
B. Background
C. Assessment
D. Recommendation

Answer 26

Answer: Assessment

Question 26

Is it _________? - Do the directions follow policy, procedure, job description, and the law? ``` A. Concise B. Clear C. Complete D. Correct Which of the 4 C’s of initial direction? ```

Answer 26

Answer: D. Correct

Question 26

Right _____________is appropriate monitoring, evaluation, intervention as needed, and feedback are provided. Assistive personnel should feel comfortable to ask questions and seek assistance ``` A. direction B. supervision C. delegate D. circumstance E. task ```

Answer 26

Answer: B supervision

Question 27

Boundary crossings are brief excursions across professional lines of behavior that may be __________ while attempting to meet a special therapeutic need of the patient.” - National Council of State Boards of Nursing

Answer 27

Answer: inadvertent, thoughtless, or even purposeful

Question 27

What is the nursing mission statement?

Answer 27

Answer: “Nurses advancing our profession to improve health for all. “

Question 29

Is it ______? - Is what I am saying understood? ``` A. Concise B. Correct C. Complete D. Clear Which of the 4 C’s of initial direction? ```

Answer 29

Answer: Clear

Question 30

``` www.gccaz.edu Library Articles and Databases Nursing, Medicine, and Health CINAHL Search for topic What are these resources examples of in relation to nursing education? ```

Answer 30

Answer: Evidence-based Practice (EBP) Care Sheets

Question 31

``` Structured time Goal directed Focus on client’s needs Theory-based interaction Part of a treatment team Legal and ethical duties Financial issues Confidentiality Documentation What are these examples of in relation to social vs. professional relationships? ```

Answer 31

Answer: Professional

Question 31

The right __________ include the appropriate client setting, available resources, and other relevant factors are considered. In an acute care setting, clients’ conditions can change quickly. Good clinical decision making is needed to determine what to delegate. ``` A. direction B. task C. delegation D. circumstance E. supervision ```

Answer 31

Answer: D circumstance

Question 32

What part of SBAR is this? Changes in mental status, skin color, neuro changes, musculoskeletal (joint deformity, weakness), respiratory rate/quality, pulse/BP rate/quality, pain, GI/GU (nausea/vomiting/diarrhea/output, retractions/use of accessory muscles, rhythm changes, wound drainage. A. Situation B. Background C. Assessment D. Recommendation

Answer 32

Answer: Assessment