NL Flashcards
Choose the unlicensed assistive personnel tasks that are considered indirect patient care activities. Select all that apply.
Stocking a dressing cart.
Talking with a patient’s family.
Reporting intake and output to the nurse
Cleaning an IV pump
Taking a defective blood pressure machine to maintenance
Stocking a dressing cart.
Cleaning an IV pump
Y Taking a defective blood pressure machine to maintenance
You are a new nurse on an orthopedic unit, and you are learning how to integrate delegation into your daily work. What might be important for you to consider to improve your delegation?
A. Organize your work and consider who is best to do what tasks and when.
B. When you delegate, do not overburden UAPs as they will work harder if they like you
C. Recognize that your performance appraisal will depend on demonstrating that you are able to do the entire job
D. After you delegate to UAPs, you will have minimal contact with patients UAPs are caring for.
A. Organize your work and consider who is best to do what tasks and when.
Head nurse Joey is physically available to guide and to assist the new staff. While she inserts a nasogastric tube ( NGT). The type of supervision is classified as:
Direct supervision
Olndirect supervision
Off-site supervision
Democratic supervision
Direct supervision
Which activity llustrates the nurse manager’s effective supervision of an assignment?
A. The manager communicates the assignment to the staff.
B. The nurse understands the UAP’s scope of practice,
C. The nurse manager visits the patients on the team.
D. The nurse is told to care for team of patients.
C. The nurse manager visits the patients on the team.
The interaction between two supervisors, this best describes which type of communication?
Upward communication
Horizontal Communication
Downward communication
Diagonal communication
Horizontal Communication
What are the five rights of delegation? Select all that apply.
Right person
Right time span
Right task
Right supervision
Right location
Right person
Right task
Right supervision
Select the options that illustrate guidelines for consistency in effective delegation. Select all that apply.
Be fair about unpleasant activities.
Give only indirect care tasks.
Indicate priorities.
Be sure directions are clear.
Be positive about assignments.
Be fair about unpleasant activities.
Indicate priorities.
Be sure directions are clear.
Be positive about assignments.
A nursing instructor is teaching a class on conflict and conflict resolution.She relates to the class that conflict in an organization is
important and that an optimal level of confict will generate which of
the following?
A. Creativity,a problem-solving atmosphere,a weak team spirit,andnmotivation of its workers,
B. Creativity,a staid atmosphere,a weak team spirit,and motivation of its workers.
C. Creativity,a problem-solving atmosphere,growth,andmotivation for its workers.
D. A bureaucratic atmosphere,a strong team spirit,and motivation for its workers.
C. Creativity,a problem-solving atmosphere,growth,andmotivation for its workers.
The nursing student has developed a poster presentation regarding delegation. Which statement made by this student would be evaluated as correct?
A. There is a sharing of authority between the person delegating the work and - the person who accepts the delegation.
B. The nurse retains accountability for nursing work assigned to others.
C. Employers decide which work the nurse can delegate and should document this list in the nurse’s job description.
D. The nurse who delegates work should dictate exactly how the work should be accomplished.
B. The nurse retains accountability for nursing work assigned to
others
What is often the newly licensed nurse’s greatest barrier to delegation?
A. Not knowing what can be delegated
B. Not wanting to overburden staff members who are already busy
C. Fear of loss of control
D. Denying that delegation is possible
C. Fear of loss of control
Which option reflects a barrier to effective delegation by the nurse?
Trying to do everything for the patients
Trying to empower staff
Providing feedback to staff
Litle need to delegate
Trying to do everything for the patients
The nurse says to the UAP, “I am worried about Ms. Smith’s blood pressure. Check it throughout the afternoon.” What critical factors have the nurse left out of this delegation instruction? Select all that apply.
- How often the blood pressure should be taken.
- What are reportable parameters.
- Nothing, the UAP should understand what the nurse means.
- If this assignment has priority over other jobs.
- How the nurse wants the blood pressure measured
How often the blood pressure should be taken.
What are reportable parameters.
How the nurse wants the blood pressure measured
Which issues should the nurse manager consider related to delegation? Select all that apply.
A. Delegation is a simple task assignment.
B. The manager retains accountability for the project.
C. Someone else will have the responsibility and authority to do the task.
D. The employee has the appropriate authority to act alone,
E. The manager must- supervise every portion the task.
B. The manager retains accountability for the project.
C. Someone else will have the responsibility and authority to do the
task.
D. The employee has the appropriate authority to act alone,
Which of the following statements best describe effective delegation?
A. Nursing education programs prepare new nurses to effectively use delegation.
B. Delegation is something experienced nurses do, and new nurses do not do.
C. Reirbursement is not related to delegation.
D. Delegation is difficult and takes time to learn how to do it effectively.
A. Nursing education programs prepare new nurses to effectively use delegation.
What action should be taken by the nurse who is preparing to delegate a task?
A. Assess the documentation that will need to be completed regarding the task.
B. Review of al/ the patients’ charts on the team.
C. Review the complexity and skill required to perform the task.
D. Ask the patient it having someone other than the nurse provide care is acceptable.
C. Review the complexity and skill required to perform the task.
Which activities are appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)? Select all that apply.
Diabetic diet teaching
Postoperative wound care
change dressing Sterile نا
Routine vital signs
Hygienic care
Routine vital signs
Hygienic care
Two staff nurses are arguing about working on holidays.ln trying to resolve this conflict,the nurse manager understands that interpersonal conflict arises when:
A. Risk-taking seems to be unavoidable.
B. Personal and professional priorities do not match
C. The ways in which people should act do not match the ways in effectively use delegation.
D. People see events differently
D. People see events differently
One of the patients on a nurse’s team has become very ill and is requiring more of the nurse’s ime than was anticipated. The nurse
must delegate some patient care activities in order to have time to care for this critically ll patient. Which activity can this nurse only delegate to another nurse?
A. Assessment of a newly admitted patient.
B. Checking the blood pressure of a patient who had blood pressure elevation yesterday.
C. Helping a patient with a shower.
D. Delivering a specimen to the lab.
A. Assessment of a newly admitted patient.
Successful resolution of conflict yields constructive outcomes and leads to:
Inhibition of movement.
improved team functioning.
Diminished resolutions
Lower employee satisfaction levels.
Improved team functioning.
The nurse determines that one of the unlicensed assistive personnel (UAP) working with her patients does not follow safety precautions when ambulating patients. What should the nurse consider before acting on this knowledge? Select all that apply.
- The tasks performed by UAPs must conform to hospital policy and
procedure. - The nurse must act as a patient advocate.
- The nurse should follow the UAP job description as witen by the
hospital’s administration. - If the nurse’s supervisor tells the nurse to delegate this task to the
UAP the nurse is still accountable for errors made by the UAP. - The nurse is accountable only for the work personally performed.
- The tasks performed by UAPs must conform to hospital policy and
procedure. - The nurse must act as a patient advocate.
- If the nurse’s supervisor tells the nurse to delegate this task to the
UAP, the nurse is still accountable for errors made by the UAP.
Client Henry is to be discharged soon but is still not knowledgeable about how to use his cane. What underlying principle in nursing ethics should guide the nurse in doing his duty?
Responsibility
Competence
Accountability
Advocacy
Responsibility
The following statements below are acts of nursing negligence, except for one:
Use of defective equipment
Disagreeing with the physician
Careless execution of doctor’s order
Errors in administering medications
Disagreeing with the physician
Situation: Client Zee is not compliant to his treatment ECT (electroconvulsive therapy) and does not take his medications due to his suspicious personality. His nurse was so hopeless that she threatened client Zee not to give him his regular meals if he will ot submit himself to his therapy and treatments. What kind of malpractice was committed in this situation?
False imprisonment
Battery
Assault
Fraud
Assault
It is a kind of will that is entirely written, dated, and signed by the
client himself. It is called:
Notarial will
Nuncupative will
Holographic will
None of the above
Holographic wil