Managing Patient Care (MPC)
RN enters room of patient in contact precautions and patient is on the floor. The RN should do these things in this order.
What is: 1) Call provider.
2) Ask staff member for assistance in getting patient back to bed.
3) Inspect patient for injuries.
4) Instruct patient to put on call light if needs to get out of bed again.
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RN enters room of patient in contact precautions and patient is on the floor. The RN should do these things in this order.
What is: 1) Call provider. 2) Ask staff member for assistance in getting patient back to bed. 3) Inspect patient for injuries. 4) Instruct patient to put on call light if needs to get out of bed again.
CORRECT ANSWER: 3, 2, 4, 1
Inspect for injuries first!
What is: 1) Frequency with which procedure is performed
2) patient satisfaction with performance of the procedure
3) Incidence of complications related to the procedure
4) Accurate documentation of how procedure was performed
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RN is participating in QI (Quality Improvement) study of a procedure frequently performed on the unit. This data would help evaluate efficacy of the procedure.
What is: 1) Frequency with which procedure is performed 2) patient satisfaction with performance of the procedure 3) Incidence of complications related to the procedure 4) Accurate documentation of how procedure was performed
CORRECT ANSWER: 3 - you may want to look at the other data but 3 is the only answer that relates to the efficacy of the procedure.
What is: CHOOSE ALL THAT APPLY
1) Obtain VS on patient who is 2 hrs post cardiac cath
2) Administer PRBCs (packed cells-blood) to cancer patient
3) Instruct discharged patient on wound care
4) Develop plan of care for new admit with pneumonia
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RN is making assignments on med-surg unit. The RN can delegate this task or tasks to the PN.
What is: CHOOSE ALL THAT APPLY 1) Obtain VS on patient who is 2 hrs post cardiac cath 2) Administer PRBCs (packed cells-blood) to cancer patient 3) Instruct discharged patient on wound care 4) Develop plan of care for new admit with pneumonia
CORRECT ANSWER: Only #1 - VS can be delegated to PN - PN can do VS on patient getting blood, can reinforce teaching, and can suggest additions to plan of care, but cannot develop one.
What is:
1) Avoidance
2) Smoothing
3) Cooperating
4) Negotiating
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A new RN on a unit notices that the nurse manager does not intervene on the unit even when conflict between members escalates. This is the type of conflict resolution that the nurse manager is using.
What is: 1) Avoidance 2) Smoothing 3) Cooperating 4) Negotiating
CORRECT ANSWER: 1 - Avoidance
A decision making style where the team uses a LIMITED amount of data and generates SEVERAL options.
What is: 1) Complete Incident Report
2) Delegate the task to the PN
3) Ask the AP if she needs help and explain importance of monitoring and charting I&O's
4) Notify the nurse manager
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A PN at the end of a shift reports to the RN that the AP did not calculate I&O's for several patients. The RN should take this action.
What is: 1) Complete Incident Report 2) Delegate the task to the PN 3) Ask the AP if she needs help and explain importance of monitoring and charting I&O's 4) Notify the nurse manager
CORRECT ANSWER: #3 - RN should make sure AP charts the I&O and understands this for the future - you do not want to re-delegate task to PN, 1 and 4 not necessary unless AP left and is unreachable.
What is: CHOOSE ALL THAT APPLY
1) Type of anesthesia used in surgery
2) Advance Directive Status
3) VS on the day of admission to the hospital
4) Medical diagnosis
5) Need for specific equipment
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RN is transferring a patient to a long term care (LCT) facility 72 hrs post op. The RN should include these elements in the hand-off to the LCT facility.
What is: CHOOSE ALL THAT APPLY 1) Type of anesthesia used in surgery 2) Advance Directive Status 3) VS on the day of admission to the hospital 4) Medical diagnosis 5) Need for specific equipment
CORRECT ANSWER: ALL EXCEPT for numbers 1 and 3
These were too long ago to include in hand off - only pertinent information should be shared with LTC facility
A decision making style where the team uses a LARGE amount of data and generates ONE option.
What is: CHOOSE ALL THAT APPLY
1) Skill proficiency
2) Assignment of a preceptor
3) Budgetary principles
4) Computerized Charting
5) Socialization to culture on unit
6) Facility policies and procedures
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The nurse manager is creating an orientation plan for new RNs on his unit. He should include these elements in orientation.
What is: CHOOSE ALL THAT APPLY 1) Skill proficiency 2) Assignment of a preceptor 3) Budgetary principles 4) Computerized Charting 5) Socialization to culture on unit 6) Facility policies and procedures
CORRECT ANSWER: ALL except budgetary principles
This is usually the nurse manager's responsibility.
Who is: CHOOSE ALL THAT APPLY
1) Physical Therapist
2) Speech Therapist
3) Occupational Therapist
4) Psychologist
5) Vocational counselor
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RN is participating in an interprofessional conference for a spinal cord injury patient who was a construction worker prior to his injury. These members should be included on the interprofessional team.
Who is: CHOOSE ALL THAT APPLY 1) Physical Therapist 2) Speech Therapist 3) Occupational Therapist 4) Psychologist 5) Vocational counselor
CORRECT ANSWER: ALL except for 2 - Speech therapist would only be indicated for difficulty with speech or swallowing
A decision making style where the team uses a LARGE amount of data and generates SEVERAL options.
What is: CHOOSE ALL THAT APPLY
1) A structure audit evaluates setting and resources available for patient care.
2) An outcome audit evaluates the results of nursing care provided.
3) A root cause analysis (RCA) is indicated when a sentinel event (patient is harmed or killed) occurs
4) A retrospective audit is completed while the patient is receiving care.
5) After data is collected, it is compared to a benchmark.
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Nurse manager is providing staff with information about the audit process. The nurse manager should include these statements.
What is: CHOOSE ALL THAT APPLY 1) A structure audit evaluates setting and resources available for patient care. 2) An outcome audit evaluates the results of nursing care provided. 3) A root cause analysis (RCA) is indicated when a sentinel event (patient is harmed or killed) occurs 4) A retrospective audit is completed while the patient is receiving care. 5) After data is collected, it is compared to a benchmark.
CORRECT ANSWER: ALL except for 4 - Retrospective Audits occur when the patient is no longer receiving care.
What is: CHOOSE ALL THAT APPLY
1) Notify the patients family that he wants to leave
2) Document that the patient left AMA (against medical advice)
3) Explain to the patient the risks involved if he chooses to leave AMA
4) Ask the patient to sign a form relinquishing the hospital of responsibility
5) Prevent the patient from leaving the hospital until the provider arrives
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RN is taking care of a patient who was admitted 2 hrs ago for chest pain with a history of MI. He becomes angry and states that he is fine and is going home. The RN should take these actions.
What is: CHOOSE ALL THAT APPLY 1) Notify the patients family that he wants to leave 2) Document that the patient left AMA (against medical advice) 3) Explain to the patient the risks involved if he chooses to leave AMA 4) Ask the patient to sign a form relinquishing the hospital of responsibility 5) Prevent the patient from leaving the hospital until the provider arrives
CORRECT ANSWER: ALL EXCEPT for 1 and 5
1 violates right to confidentiality and 5 could be construed as assault, battery or false imprisonment