ARE
While auditing unit documents, a nurse finds some omissions. Which term best describes when the nurse meets with the staff to discuss the findings and communicates ways to achieve the desired goals?
1. leadership
2. followership
3. management
4. decision making
3. Management
Rationale: The process of guiding, planning, and controlling others in a situation where communication is shared to improve clinical processes and outcomes is referred to as management.
What are the 6 QSEN competencies?
1. Patient-centered care
2. Teamwork and collaboration
3. Evidence-based practice
4. Quality improvement
5. Safety
6. Informatics
What does IOM stand for?
Institute of Medicine
Who acts as a delegator in the absence of the registered nurse?
1. charge nurse
2. patient care associate
3. licensed practical nurse
4. unlicensed nursing personnel
1. charge nurse
Rationale: The charge nurses act as a delegator on the basis of knowledge and experience in clinical settings. In the absence of a registered nurse, the charge nurse usually delegates the tasks.
This competency uses patient care data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care system.
Quality Improvement
The nurse manager is evaluating a staff nurse's knowledge, skills, and attitudes when addressing safety issues with client care. What observations indicate the nurse is skilled when addressing safety concerns? (Select all that apply.)
1.Documents care immediately after providing it
2. Devises methods that enhance teamwork
3. Participates in conflict resolution
4. Recognizes deficiencies between current and best practice
5. Participates in root cause analysis when appropriate
1, 5.
A healthcare team is caring for a client with dental pain. Which task is most suitable to be delegated to unlicensed assistive personnel (UAP) to provide effective client care?
1. administering analgesics
2. administering intravenous antibiotics
3. administering nerve block anesthesia
4. administering mouth wash hygiene
4. Administering mouth wash hygiene
rationale:
The UAP scope of practice includes administering mouth wash to the client. Instructing the UAP to administer medications such as antibiotics and anesthetics is inappropriate because the UAP is not eligible to do so and may not have the knowledge to administer medications. Administering nerve block anesthesia should be performed by the anesthesiologist.
This competency recognizes the patient as the source of control and coordinates care based on respect for patient preferences, values, and needs.
Patient Centered Care
QSEN has developed multiple quality and safety elements to guide nursing practice. Identify which of these are considered a part of the six key elements.
1. Quality Improvement, teamwork and collaboration, and EBP
2. Fact finding, mission statements, and strategic planning
3. Stakeholder feedback, budget reconciliation, and strategic planning
4. Financial reporting, wait time measurements, and time delays in getting treatments.
1. Quality Improvement, teamwork and collaboration, and EBP
Transferring responsibility to multiple players, usually with varying degrees of education and experience, while retaining the ultimate accountability for providing the client care?
1. leadership
2. delegation
3. supervision
4. assignment
2. Delegation
rationale:
Delegation is a process of sharing the responsibility of client care. It involves the transfer of responsibility for the performance of an activity from one individual to another, with the delegator retaining accountability for the outcome.
Each competency is determined by three set of characteristics.
Knowledge, skills and attitudes.
A novice nurse has accepted a position on a medical-surgical unit at a local university hospital. In order to provide safe care to clients, the nurse should plan to develop which competency?
1. Creating a culture of trust within the hospital
2. Functioning as a member of the healthcare team
3. Promoting appropriate values that clients should adopt
4. Reporting families for bringing food to the client's room
2. Functioning as a member of the healthcare team
The client is experiencing postoperative pain and requests a pain shot. Which of the following healthcare providers are legally permitted to administer an intramuscular (IM) injection to the client? Select all that apply.
1. registered nurse (RN)
2. licensed practical nurse (LPN)
3. licensed vocational nurse (LVN)
4. unlicensed nursing personnel (UNP)
5. unlicensed assistive personnel (UAP)
1, 2, 3
Rationale:
In this situation, the LPN and LVN can administer the IM medication; the RN can also administer the medication through IM when the condition is severe. The UNP and UAP can obtain, record, and report vital signs as delegated.
This competency uses information and technology to communicate, manage knowledge, mitigate error, and support decision making.
Informatics
After completing an assessment, the nurse determines a client is at risk for safety issues. Which data supports the nurse's conclusion? (Select all that apply).
1. Lives with adult married daughter and family.
2. Occasional dizziness with walking.
3. Prescribed antihypertensives and pain medication.
4. Ingests three meals a day and two snacks.
5. Receives an annual ophthmalmologic examination.
2, 3.