Which statement by the RN demonstrates an external barrier to…
Question Answered Which statement by the RN demonstrates an external barrier to… Which statement by the RN demonstrates an external barrier to effective delegation?”I am uncomfortable asking the AP for help for fear they won’t like me”.”I don’t know what care the LPN/LVNs can do for my clients”. submitted”I am taking care of too many clients because we are short staffed”.”I am not confident the LPN/LVN will perform agood job with the client’s care”.1.25 points possible (graded, results hidden)The RN delegated care of a client to the LPN/LVN. The client’s condition has now changed. The client is septic and unstable. What is the most appropriate RN action in this situation?Tell the LPN/LVN to increase vital signs to every 30 minutes and report them to you promptly.Tell the AP to assist the LPN/LVN with vital signs and ambulating the client to the bathroom.Tell the LPN/LVN you will assume responsibility for the client and assign them to a stable client. submittedTell the LPN/ LVN to call the provider with client lab results.The AP caring for a client with a pacemaker reports to the nurse that the client was short of breath, so they increased the oxygen via nasal cannula “to help you out”. What is the best response by the RN to the AP?”Please tell me how high you set the flow rate and if you checked the pulse oximetry after the change.””Thank you, I appreciate your help. I need to get this discharge done quickly”.”You should never change the client’s oxygen without my approval first.” submitted”Thank you, I appreciate your help but I am responsible for the decision to increase the oxygen.”The RN is working with an LPN/LVN who will be administering medications to their clients. A client on a Heparin intravenous infusion needs to have the infusion rate increased. What is the best action for the RN to take in this situation?Show the LPN/LVN how to increase the infusion rate so they can do it next time.Instruct the LPN/LVN on what time and how much to increase the infusion rate.Increase the infusion rate and inform the LPN/LVN of the change and to observe any increased bleeding. submittedHave the LPN/LVN take over your assessment of a client’s wound while you change the infusion rate.Which sequence of activities best describes the RN’s use of professional judgment when delegating care?Determine scope of practice of personnel, determine client needs, determine if the task requires nursing judgmentDetermine degree of supervision needed, determine competence of personnel, determine laws and rule supporting delegation. submittedDetermine client needs, determine laws and rule supporting delegation, determine the job responsibilities of personnel.Determine if the task requires nursing judgment, determine scope of practice of personnel, determine predictability of task results.Which client situation demonstrates the RN’s responsibility for evaluating safe client outcomes?A client being discharged who is cared for by another RN.A client being admitted by the advanced practice nurse.A client with a wound infection cared for by an LPN/LVN.A client with acute renal failure cared for by another RN. SubmittedThe nurse manager solicits support from the nursing staff when preparing the unit budget. Which activities by the nursing staff assist with positive management of resources? Select all that apply.Prevent interruptions when administering medications.Promote self-care activities for all team members.Delegate tasks to the appropriate health care worker.Use “down time” to have social conversations with peers.Keep extra supplies in the patient’s room to save time.Which statement by the RN reflects an aggressive approach to conflict resolution?”We need to find a solution to this problem so that patient care doesn’t suffer.” submitted”You need to follow my instructions exactly as I explained to you.””I want to understand your position but it is still not clear to me.””It is not what I want, it is what the patient needs.”Which is an example of assertive communication by the RN during the interdisciplinary team patient care meeting?”The intervention you are suggesting is wrong for this patient.””We are here to seek ways to improve care.” submitted”The pharmacist needs to be reprimanded for delivering the meds late.””The patient fell because he did not ask for help.”The nurse manager asks clinic employees to participate in a nurse-led committee. The goal of the committee is to design and implement a plan addressing patient dissatisfaction with long wait times. What type of leadership is the nurse manager displaying?AuthoritarianLaissez-faireDemocratic submittedAutocraticDuring a unit meeting, the nursing staff identifies a concern with the shift report process. The nurse manager says, “Go ahead and do something else.” Which style of leadership is the nurse manager using?TransformationalLaissez-faire submittedAuthoritarianDemocraticThe RN sees an assistive personnel enter a patient’s room without wearing the necessary personal protective equipment (PPE) for transmission-based precautions. Which is the best response by the RN?”Your behavior is why we have so many infections on this nursing unit.””I wear all the PPE if I am not touching the patient.””Appropriate PPE is essential to reduce the risk of health care infections.” submitted”Not wearing the correct PPE is bad nursing practice.” Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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