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264 Cards in this Set
- Front
- Back
- 3rd side (hint)
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There are 12 bullets describing the responsibilities of an LPN charge nurse, what are the middle four? |
5. Assist the physician and diagnostic and therapeutic measures 6. Administer medications and treatments as prescribed 7. Maintain accurate and complete records of nursing data collection and interventions 8. Be efficient, be neat and orderly |
272 |
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Name some responsibilities in evaluating nursing assistants that as a charge nurse you should include. |
1. Observing skill performance and attitudes of nursing assistance 2. Providing daily oral/written feedback, including suggestions for improvement 3. Documenting observations 4. Presenting a final evaluation form |
266-267 |
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A nurse is caring for a postpartum patient. The nurse assesses the patient's fundus, notes that is deviated to the side, and instructs the patient to void. The nurse understands that this intervention should allow the fundus to effectively contract. The nurses thinking is purposeful and outcome oriented. This is an example of? |
Directed thinking |
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Routine vital signs on patients. The nurse has obtained vital signs many times before it is able to do so without much conscious thought. This is an example of? |
Non focused thinking |
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A nursing instructor encourages student nurses to use critical thinking in the clinical setting. The instructor understands that critical thinking? |
Uses both logic and intuition |
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A nursing student demonstrates the ability to break down complex information into its basic parts and related parts to the whole picture. This is an example of what cognitive level? |
Analysis |
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A student nurse recalls this sleeping medications are administered at 2100. When the student is question about why sleeping medications are given at this time, the student States, "I memorize that sleeping pills are given at 2100 I have no idea why." The student is using what cognitive level? |
Knowledge |
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A student nurse recently learned during a lecture about Maslow's hierarchy of needs. During the clinical rotation, the student is able to prioritize patient care based on Maslow's hierarchy of needs. The student is using what cognitive level? |
Application |
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A nurse is caring for a postpartum patient who is hemorrhaging. The nurse considers several possibilities for postpartum hemorrhaging, including retained placental fragments, full bladder, and uterine atony. The nurse is using what cognitive level? |
Analysis |
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A nursing student demonstrates the ability to recall and repeat memorized information but does not understand the information. This is an example of what cognitive level? |
Knowledge |
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A nursing student demonstrates the ability to basically understand information, recall it, and identify examples of that information. This is an example of what cognitive level? |
Knowledge |
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A nursing student demonstrates the ability to use learned material in new situations. This is an example of what cognitive level? |
Application |
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Clinical judgments about patients that result from critical thinking have what as their basis? |
Evidence |
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On the first postoperative day a patient received pain medication 6 hours ago. He states that he is not experiencing pain but refuses to deep breathe and ambulate at ordered. The nursing student caring for him consult her instructor, asking whether it might be advisable to administer pain medication. The student is using? |
Critical thinking |
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Strategy and nurse might use to improve critical thinking skills is to? |
Think about the meaning of relevant theory while giving patient care |
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The nursing student tells a peer, "once I began studying, I don't dare take a break. If I stop for even five minutes, I know I'll never go back to studying." The peer identifies the statement as? |
All or Nothing thinking |
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A patient tells the nursing student, "I keep thinking of the mistake I made that led to the accident. I can't get it out of my mind. Now my son has a broken leg." The nursing student correctly identifies this as? |
Ruminative thinking |
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Which question should be asked by a nursing student who is developing a plan to increase his critical thinking ability so as to achieve a higher grade? |
Do I comprehend information from textbooks and classes? |
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The student reads a definition of a nursing term and is asked to state whether the sentence is true or false. The cognitive level of this exercise is? |
Knowledge |
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When an instructor asks a nursing student to answer a question in her or his own words and give an example, the cognitive level utilized is? |
Comprehension |
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The nursing student has learned the principles of determining and recording intake and output when does student cares for a patient who has had a liquid breakfast and has voided twice and vomited once, the student documents intake and output in the patient's chart using the cognitive level known as... |
Application |
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During morning report, the nursing student receives the description of the assigned patient's current problem. When the student determines the priority nursing intervention, she is processing information at the cognitive level known as... |
Analysis |
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Which factor that influences critical thinking provides the best rationale for using a team meeting to plan care for a patient? |
Collaboration |
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Which remark by a nurse demonstrates the use of critical thinking? |
"I think about what other information I need before proceeding." |
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A student nurse asks "If RN's use a five-step nursing process and lpn/lvns use a four step process, what phase is missing? The best response would be, the phase of the nursing process is that the sole responsibility of the registered nurse is? |
Nursing diagnosis |
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The student nurse asked, how does knowing the nursing diagnosis assist lpn/lvn? The best response is based on understanding that? |
A nursing diagnosis identifies the patient's problems |
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Which of the following is the primary reason that lpn/lvn are taught to use the nursing process? |
To resolve patient problems |
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During the assessment phase the nursing process, lpn/lvn is expected to? |
Collect data about the patient |
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The nursing care plan requires the nurse to ambulate the patient twice daily. The phase of the nursing process in which the nurse is participating is? |
Implementation |
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And lpn/lvn demonstrates to a new mother how to safely bathe her infant. This is an example of the phase of the nursing process called |
Implementation |
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When the lpn/lvn participate in the evolution phase of the nursing process, she or he compares the patient's responses with the? |
Outcome criteria |
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Which of the following are considered subjective data? |
The patient tells the nurse that he has a headache |
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"I feel like I can't catch my breath" is an example of |
Subjective data |
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A blood pressure of 110/70 at 8 p.m. is most accurately described as an example of? |
Objective data |
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When a nurse uses Maslow's hierarchy of needs to prioritize the patients problems, which problem would be considered the highest priority? |
The patient is acutely short of breath |
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Which of the following statements regarding short term goals is accurate? |
Short term goals can be accomplished within days or hours |
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The patients problem has been identified as insufficient intake of oral fluids. The best outcome statement is: |
The patient will ingest 1500mL of oral fluid staring each 24 hour period |
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A student nurse asks "what's the primary purpose of the evaluation phase of the nursing process?" The best response is to... |
Compare actual patient outcomes with desired outcomes |
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How does the lpn/lvn use nursing diagnosis in patient care? |
To convert nursing diagnosis to patient problem |
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The phases the nursing process in which the LPN participates with the greatest degree are? |
Data collection and implementation |
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The RN head nurse is having a busy day. When the LPN reports data she has collected, the RN States, "incorporate that into the nursing care plan and write down the intervention you'd use. I'll co sign the entry." The LPN should? |
Tell the RN that this action is not within LPN scope of practice |
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The LP and learns at report that a patient's priority problems are pain in mobility to ambulate associated with arthritis. During the patient's bath, he become short of breath. The LPN should implement interventions based on? |
The patients change in status |
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Identify the outcome that would be appropriate to include in the nursing care plan of a patient who had undergone total knee replacement. |
The patient will transfer from the bed to a chair with assistance of a walker and one staff member by the third postoperative day |
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A nurse expresses difficulty deciding which nursing intervention to suggest for a patient with arthritic pain during an upcoming patient centered conference. A peer suggests referring to the (NIC) taxonomy. This would provide the nurse with information on? |
Identification of nursing measures to help patients progress toward goals |
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The patients nursing diagnosis is pain associated with walking related to knee injury. The lpn/lvn should accurately identify the patient problem as |
Knee pain |
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I beginning nurse asks an experienced nurse, "when should I focus on data collection?" Which statement provides the best description for when a nurse should collect patient center data? |
During each patient contact |
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The nursing process consists of collecting data (assessment), nursing diagnosis, planning, implementation, and evaluating nursing care. Which step of the nursing process is the sole responsibility of the registered nurse? |
Nursing diagnosis |
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A nurse is gathering and reviewing information about a patient. The nurse is participating which step of the nursing process? |
Data collection |
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An lpn/lvn is assisting the RN in the development of goals and interventions for the patients plan of care. The lpn/lvn is participating in which step of the nursing process? |
Planning |
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A nurse is comparing a patient outcomes of nursing care to the expected outcome. The nurse then communicates these findings to members of the healthcare team. The nurse is participating which step of the nursing process? |
Evaluation |
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A nurse reviews the patients care plans and find a goal for the patient to ambulate at least 3 times a day. The nurse assist the patient to accomplish this goal. The nurse is participating in which step of the nursing process? |
Implementation |
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A nurse is gathering data about a patient. The nurse determines that which of the following is subjective data? |
The patient complains of feeling anxious about her upcoming surgery |
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A nurse is gathering data about a patient. The nurse determines that which of the following is objective data? |
The patient has a heart rate of 99 beats per minute, respirations of 20 per minute, & a temperature of 99.2 degrees Fahrenheit |
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The nclex-pn examination includes items that required various levels of thinking the answer test item. These various levels are called... |
Cognitive levels |
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The cognitive levels used on the NCLEX -PN examination our knowledge, comprehension, application, and... |
Analysis |
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A patient states, "I'm feeling left sided chest pain that radiates to my left arm" this is an example of... |
Subjective data |
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A nurse notes that the patient is experiencing increased peripheral edema and has urinated 20 cc's of urine in the past hour... This is an example of |
Objective data |
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To describe critical thinking in nursing to a peer, which characteristics would the nurse mention? (SATA) |
-Patient focused - logic and intuition |
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During a performance evaluation, the evaluator looks at several behaviors of the nurse, select the observations that indicate the nurse uses critical thinking. (SATA) |
-I have noted that you based care on patient needs. - your caregiving is guided by identified outcomes. - you use professional standards as guidelines. - you tailor interventions to the circumstances. |
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An instructor tells a nursing student, I have noticed that you sometimes engage in non focused thinking. Which behaviors are consistent with the instructors observations? (SATA) |
- the student makes up his mind quickly and ignores additional facts - the student focuses on the negative aspects of nearly every situation |
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To think critically, it is necessary to do which of the following? (SATA) |
-Access information, -comprehend information, -recall the comprehended information when needed, -know what to do when information is not in the long term memory |
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A nursing student determines that she needs to increase her reading effectiveness. Identify two effective strategies for accomplishing this goal that can be implemented immediately. (SATA) |
-Move her lips while reading -underline unfamiliar words |
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Which of the following are the cognitive levels used in the NCLEX PN exam? (SATA) |
-Analysis -application - knowledge |
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The LPN should be alert to possible barriers to data collection, such as which of the following? (SATA) |
-Inadequate assessment skills -presence of distractions -insufficient time -inability to speak the language |
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Which strategies which facilitate patient data collection? (SATA) |
- ensure that the patient knows who you are and what you're going to do - clarify what you do not understand with the patient |
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Which of the following are reasons the nursing process and critical thinking are included in the LPN curriculum? (SATA) |
- both are needed to identify patient problems, issues, and risk - they foster making evidence - based judgment - clear communication between RN and LPN can take place |
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Which statement accurately describes the role of the LPN in relation with nursing process? (SATA) |
- LPNs have interdependent relationships with other health team members - LPNs act in a more dependent role when participating in planning and evaluation - LPN act more independently when participating in data collection nursing process and implementation phases then any other phase in the nursing process |
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Which of the following are examples of subjective data? (SATA) |
- patient complains of feeling stressed - patient complains of feeling anxious - patient complains of substernal chest pain |
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Which of the following are examples of objective data? (SATA) |
- patient has offensive body odor - patient falls when ambulating to the bathroom |
Smell & huge risk |
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the function within the scope of the law the nurse must know that the legal duties and functions of the nurse in a given state are determined by the |
Nurse Practice Act of the state |
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An example of a criminal action committed by a nurse |
Discontinuing a ventilator without a physician's order |
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I knew lpn/lvn passes the NCLEX PN examination and obtains licensure in the state X. The LP and wishes to work in the state other than the state X but isn't sure of how to proceed. Which statement provides sound advice in the situation |
The nurse contact the State Board of Nursing of the state in which she wishes to work to determine whether they have a multi state licensure with state X |
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President asks and lpn/lvn, what is meant by the practical/vocational nursing standard of care in a long term agency? The lpn/lvn should respond the practical/vocational nurse who provides care for residents in a long term care agency must implement care that is consistent with |
Care that an ordinary, prudent LPN with the same education and experience would perform in the similar circumstance |
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civil law is concerned with |
Intentional and unintentional torts |
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A nurse is found liable for battery. What does this mean? |
The nurse without consent touch the patient in a way that caused harm |
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A a nurse angrily tell the patient if you don't go to sleep, I'm going to give you an injection. She could be accused of |
Assault |
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Patient, who has Alzheimer's disease, wonders and it's often noisy and intrusive. The patient has a PRN order for haloperidol (Haldol) IM for assault of behavior. At report, the lpn/lvn charge nurse explains that staffing is poor and she is unable to provide the supervision the patient needs. She directs the medication nurse to administer the patient's PRN haloperidol q4 hours during the shift. This action constitutes: |
False imprisonment |
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The student nurse caring for a patient with large decubitus ulcer photograph this without obtaining permission from the patient. The patient developed the ulcer while being cared for at home by her physician husband. The student plans to give the patient history and use the photograph in the picture she is riding. The institution explains to the students that this action is unacceptable and could result in the court action for |
Lible |
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Legally student practical/vocational nurses are held to a level of performance |
Of the LPN/lvn |
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Then which of the following is an example of breach of duty? |
The lpn/lvn does not perform duties according to the standard of care |
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When documenting the patients behavior, lvn/LPN should |
Record all interventions performed and patient instruction given |
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How should an LPN/lvn explain the term accountability to a student |
Accountability is assuming personal responsibility for one's nursing actions |
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The instructor tells an sp/vn "you have functioned at a sub standard level of clinical performance recently now you have a chance to redeem yourself. I'm sending you a complex Nursing situation. I expect you to function without asking for assistance." The most appropriate response from the student nurse would be: |
I cannot accept the assignment, complex Nursing situations are beyond my abilities |
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A patient tells lpn/lvn " I want you to bring my medical records so that I can read it. I know HIPAA gives me the right to see it." The lpn/lvn should: |
Explain that the request will be made to the RN, who will follow agency policy |
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With regard to HIPAA implementation, the lpn/lvn who is newly employed at the health care agency should: |
Be aware that each agency may interpret HIPAA differently |
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The patient tells the nurse " I want to make sure that my daughter can make health care decisions for me in the event that I am unable to make decisions myself. What do I need to do?" The nurse's advice to patient that he or she needs to execute a (n): |
durable medical power of attorney |
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The term used to describe a competent patient's agreement to have a surgical procedure after the physician explain the procedure, the desired outcome, possible complications, and possible alternative treatment: |
Informed consent |
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The nurse discusses the patient's condition on the phone with the patients brother. On learning this, the patient is upset, saying that he has not spoken with his brother for years and does not want his brother to know anything about his condition. The nurse has: |
Breached confidentiality |
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What is the nurses responsibility regarding an improper medical orders that, is carried out, may harm a patient? |
The nurse must go directly to the physician and, if necessary, refused to carry out the order |
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Risk management strategy and nurse can use to prevent being named in malpractice lawsuits is: |
Maintaining good relationships with patients and family |
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Nurse Practice Act of state X expressively states that blood products may be administered only by physician, registered nurses, physician assistants. Under what conditions can an LPN/LVN administer a unit of red blood cells? |
Never; lpn/lvn cannot administer packed red blood cells |
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Nursing student is assigned to care for a patient who require several technical procedures. The student was busy and did not prepare in advance for the assignment. In pre conference, the student is unable to describe the care to be given. The Instructor would be justified in: |
Sending the student off duty and turning the patient care over to staff |
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which statement is true regarding durable medical power of attorney and living wills? |
they allow patience of voice about medical interventions after they are incapable of asking |
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An example of statutory law is : |
The Nurse Practice Act |
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An example of battery is: |
A patient who refuses to be suctioned and is suctioned anyway after refusal |
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A nurse damages a patient’s reputation by verbalizing private information about the patient to a third party. this is an example of: |
Slander |
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A nurse damages a physicians reputation through false written communication without the physicians permission. this is an example of: |
Lible |
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Which of the following is true regarding informed consent? |
A patient is informed that he or she has the right to revoke consent at anytime |
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A legal document that describes the kind of medical or life sustaining treatments the person would want when seriously or terminally ill is known as... |
Living will |
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Which statements are accurate with regard to a living will? (SATA) |
-a living will does not let the person let someone make decisions for them -Living wills are recognize this legal documents in 47 states in the United States, the District of Columbia, and Guam |
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Individual A has worked as an LPN for a year the agency where she works discovers the registration document she presented at the time of hire was altered to remove the name of the rightful registrants and shows her name instead. What are the possible outcomes of the situation? (SATA) |
-the state Board of Nursing, when notified, will charge the nurse with fraud the deceit -The agency will terminate the employment of the individual |
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In the following list, identify the instances of possible malpractice. (SATA) |
-the nurse accidentally administers in an excessively large dose of a prescribed medication, and the patient becomes comatose -The nurse notes lack of capillary return distal to a cath, becomes busy and does not record it, and the patient later loses his limb function |
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Nurse A is assigned to care for a patient with diabetes that has been regulated on a new types of insulin. The patient performs most of her own care and rarely uses the call bell to summon the nurse. The nurse knows this and leaves the patient unobserved most the shift. Just before shift change report, the aide reports that she cannot rouse the patient. The patient enters a vegetative state as a result of brain damage related to severe hypoglycemia. Which, if any, of the four elements needed to prove malpractice are present?(SATA) |
-Duty -Breach of duty -Damages -Proximate cause |
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Instructor tells a nursing student to hurry with the assignment in order to help a classmate who is behind with work. The student has promised the patient should return in 15 minutes to polish the patient's nails. Which response would be considered assertive? |
A: "I've promised one of my patients that I'll come back to polish your nails. I'd like to be able to keep that promise. Can you possibly ask someone else?" |
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Nursing students mother states, " I need you to watch your younger siblings while I play bingo." The nursing student has plan to prepare for a unit examination. And assertive approach would be to say |
A: " I'm sorry, but I won't be able to babysit. I have an exam tomorrow. I need the time tonight to study." |
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A staff nurse enters the room in which you're going to give care to a patient in traction. She calls you aside and states, " I've watched you all morning. You don't seem to know how to do anything right. Look at you now! Your bathing the patient and it's almost time for lunch." An assertive approach would be to say |
A: "You're right. I'm still bathing the patient. She was in pain earlier. I waited until her narcotic made her more comfortable." |
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Student nurse had the goal to become a more assertive person. To achieve this, the student nurse must be willing to |
A: Take a positive stand |
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A newly graduated lpn/lvn who is orienting to the unit tells a peer, " you should have seen that new associate degree or in trying to take care of three patients! she was so disorganized that it made me glad that I am an LPN/LVN." The lpn/lpn is demonstrating |
A: projection |
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When a nurse tells a peer, "you how to watch out for the charge nurse. Sometimes she is ok. But sometimes she's just plain unreasonable. The best thing you to do is to tell her off the first clubs time she gets on your back about something. Keep me posted and I'll try to help you." An assertive reply would be too... |
A: " I think it would be best for me to work on my relationship independently." |
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Which statement shows a personal commitment to work on the goal of devoting more time to coursework for an LPN LVN program? |
D: " I will say 'No' when people ask me to do things that take time away from my studies." |
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Which nonverbal behavior is most congruent with the nurses assertive verbal statement? |
A: firm voice, erect posture, direct eye contact |
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Which behavior should be considered an early sign that a coworker may have the potential for violence? |
D: lack of cooperation with supervisors |
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A student nurse is assigned to care for a patient who is known to be angry.. The characters in process, the patient hits a student nurse. The action the student nurse should initially take is to... |
B: leave the patient in a safe situation immediately report the event to the instructor |
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The intervention that is most effective at reducing patient violence against nurses is: |
A: she nurses to communicate respect for patience and confidence in themselves |
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The nurses assign to park in a newly created parking lot that is far from the hospital building. Some old lights and the new parking lot have not been installed. As the nurses about to leave, she notices serval young men loitering near the walkway she must take. The nurse should: |
A: call for security guard to serve as an escort to the car |
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A male nurse has been assigned to mentor a newly hired female nurse. Several times during the day, the new nurse perceives her mentor as touching her inappropriately. In the afternoon the mentor tells the new nurse," I think we should meet after work for a drink. I could give you the lowdown on other staff, and we could get our relationship off to a good start. With my help, you'll be able to get raises and promotions regularly." The new nurse thinks, " I don't want this man's help." Understand correctly determined that these behaviors suggest: |
A: sexual harassment |
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When dealing with sexual harassment what should you first do? |
A: assertively tell the person that the behavior is unwanted |
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A nurse demonstrate assertive behavior by doing which of the following? |
A: when asked about something unfamiliar, admitting to not knowing but agreeing to find out |
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A nurse demonstrates assertive behavior by doing which of the following? |
Requesting to speak with the physician privately when she feels that the physician ordered an inappropriate treatment |
Inappropriate order |
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a nurse demonstrates assertive behavior by doing which of the following? |
when working with a patient who is critical of the nurse the nurse sits down with the patient and listens attentively to the patient's concerns |
Disgruntled patient |
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A nurse demonstrates assertive behavior by doing which of the following?
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A: a patient complains of pain when ambulating and asked not to walk. The nurse respect the patient feeling and medicate the patient as order for pain while supporting the need to carry out the physician's order. |
pain and respect |
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A nurse demonstrates assertive behavior by doing which of the following? |
A: when unexpected visitors arrive to visit the patient during breakfast, the nurse asks whether the patient would prefer to eat now or visit |
Concerns food |
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What are the expected outcomes of using assertive communication in the workplace? (SATA) |
- promotes positive relationship - it is clear an unequivocal - respect the rights of oneself and others |
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Which statement about manipulation would be useful to the nurse who interacts with both patients and others? (SATA) |
- manipulation disregard the feelings / needs of others - manipulation exploit the weakness of others - a divide-and-conquer technique is often used by those who manipulate |
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Which statement about manipulation would be useful to the nurse who interacts with both patients and others? (SATA) |
- manipulation disregard the feelings / needs of others - manipulation exploit the weakness of others - a divide-and-conquer technique is often used by those who manipulate |
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Which of the following measures are most helpful to the nurse who makes a personal commitment to practice violence prevention in the workplace? (SATA ) |
- get to know coworkers and look out for them - treat patients and coworkers with courtesy and respect - become familiar with policies relating to violence and harassment |
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A nurse is appointed to a workplace committee to plan changes in the emergency department. The committee task is to make recommendations that will provide an environment that deters violence. Which recommendations are consistent with this goal? (SATA ) |
- bullet resistant glass - security alarm devices in exam room - develop minimum safe staffing policy - change security uniforms to a shirt, tie, and blazers |
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A nurse experiences potential danger from a patient who is highly suspicious and fear of being harmed. Which behaviors by the nurse will help alleviate the threat of violence? (SATA) |
- maintain open position with hands in view - speaking in a quiet controlled voice |
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A nurse demonstrates nonassertive behavior by doing which is a following? |
A: when the patient asks about the nurses personal life, the nurse responds to the patient's questions out of fear of not being liked by the patient |
Fear |
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Which groups are members of the nursing team? |
RN, lpn/lvn, Nursing Assistant |
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How should the nurse accurately describe a nurse practitioner to a student nurse? |
The nurse practitioner is a registered nurse with a Masters Degree in Nursing in a specialty certification |
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the relationship between the student nurse assigned to a hospital unit for clinical experience and the unit staff? |
The student applies classroom learning under the supervision of faculty members during clinical training |
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select the method of delivering nursing care that facilitates continuity of care, individualizes care, and fosters 24 - hour accountability. |
Primary care nursing |
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The member of a healthcare team responsible for assisting patients to arrange for community agencies to provide services after discharge is the: |
Social worker |
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the member of the healthcare team responsible for performing treatment to assist the patient to breathe more efficiently and effectively is the: |
Respiratory therapist |
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Which member of the health care team is responsible for initially teaching a patient about medication side effects? |
Registered nurse |
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the role of the lpn/lvn in the healthcare team is best described as: |
Interdependent |
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The goal of health care team is best described as: |
restoring optimal physical, emotional, and spiritual health to patients |
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The goal of health care team is best described as: |
restoring optimal physical, emotional, and spiritual health to patients |
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the most important reason for student nurse to prepare adequately before providing patient care is to: |
Initiate independent nursing action based on nursing diagnosis |
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a student nurse asks, " TNL VM role and responsibilities in the practice setting?" The best answer is: |
the nurse practice act of the state in which the lpn/lvn is employed |
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And nurse describes the method of care delivery on a unit as "using nursing staff in varying ratios to meet patient needs and coordinating care using care pathways." This best describes: |
Nursing case management |
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An lpn/lvn offers input to the RN about the effectiveness of the patient care plan. by doing this, the lpn/lvn is functioning in a... |
Interdependent role |
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The case method of care delivery is used on surgical unit. The lpn/lvn asks what this means regarding work assignments. The best answer would be: |
You'll be assigned to provide care for two or three relatively stable patients with predictable care outcomes |
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Which character livery method has the greatest potential for fragmenting patient care? |
Functional method |
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The lpn/lvn describes herself as " working in an expanded role in a long term care facility." What is the most correct interpretation of the statement? |
Does the LPN/lvn is the first line manager responsible to the RN |
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The role of the LPN can best be described as which of the following |
Assist with all phases of the nursing process |
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Select the person or persons who may be included on the physical therapy team. (SATA) |
-physical therapist -physical therapy assistant |
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Nursing management and executive jobs include which of the following? (SATA) |
-supervisor - Nursing manager - director - chief nursing officer |
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When is it acceptable to be an autocratic leader? |
Crisis situations, code situations, and emergencies |
255 |
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Define laissez-faire leadership style. |
Focuses on people's feelings but ignores the task at hand and gives away responsibility and authority. The task of accomplishing goals will be compromised |
255 |
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Define Democratic leadership style? |
It focus on both the task at hand and the employees, it displays concern for the work that needs to be done as well as the team performing the work, and shares the responsibility and authority |
255 |
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When does a Democratic leadership style need to be used? |
In daily nursing care situations, meetings, committees, review of care plans |
255 |
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When does laissez faire leadership style can be used? |
When agency goals / policies are not a consideration. |
255 |
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Which leadership styles leaves the workers feeling positive and accomplishes all the goals/tasks? |
Democratic |
255 |
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What leader tries to please everyone? |
Laissez-faire |
255 |
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What leader barks orders without seeking input from employees? |
Autocratic |
255 |
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What is a popular system of leadership for the 21st century? |
Situational leadership |
255 |
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Define situational leadership |
This involves varying your leadership style to meet the demands of the situation in the work environment |
255 |
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What helps lay the foundation for leadership? |
Core knowledge and skills |
256 |
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What are the five core areas of knowledge and skills that are necessary for the practical/ vocational charge nurse to be an effective leader? |
1. Motivate members 2. Communicate effectively 3. Problem solve effectively 4. Build a team of cooperative workers 5. Manage stress effectively |
256 |
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Where does motivation drive come from? |
Within the individual and it is intrinsic |
256 |
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Name some examples of intrinsic factors that could help motivate a person. |
Recognition for accomplishing something, a sense of achievement, praise, and an opportunity for growth and development |
256 |
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True or false. Rewarding desired behavior of employees is instrumental and having the behavior repeated |
True |
256 |
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Define motivation |
It is a drive that causes individuals to set personal goals and behave in a way that will allow them to reach those goals |
256 |
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As an LPN can you influence what nursing assistants might be motivated to do. |
Yes |
256 |
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What law legally defines the exact role and boundaries for a practical vocational nurse |
The nurse practice act of the state |
252 |
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Who does the practical vocational nurse report to? |
The nurse manager who is a registered nurse |
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What is an example of an expanded role of the practical vocational nurse? |
A first-line manager position also called charge nurse most likely in a nursing home or long term care facility |
253 |
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To function successfully as a nurse manager what 11 skills are needed. |
1. Basic nursing skills 2. Time management techniques 3. How to learn new information 4. Be positive in thinking and talking 5. Be assertive 6. Communicate effectively 7. Be ethical 8. Know the legal aspects of healthcare 9. Problem solve and think critically 10. Stress management 11. Participate in clinical evaluation |
253 |
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Does leadership evolve and is it a process that includes many skills. |
Yes |
253 |
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Name the most productive tools that an LPN LV and leader has. |
Effective use of verbal and nonverbal communication |
257 |
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To problem solve what is the most basic thing needed? |
Identify the real issue and solve it |
258 |
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Where is a written reprimand stored? (SATA) |
In the personal file of the one written up, in the nurses file, and given to the supervisor |
259 |
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What is included on a written reprimand? (SATA) |
Objective information such as: days and times late for shift, date of oral warning, seriousness of situation, consequences |
259 |
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What is the mission statement of The Home? |
The Home is a private, non-profit, long term care facility. The Home provides 24-hour nursing care in the manner and setting that maintain or improve each resident's quality of life, health, and safety. |
259 |
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What is a mission statement? |
It defines the purpose and goals of the organization. |
259 |
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You are a role model for attitudes and behaviors. Your team will model the attitudes and behavior you expect of them. Suggested practical/vocational charge nurse attitudes to convey while attempting team building include the following beliefs: (SATA) |
1. Most employees want to do a good job at work. 2. Most employees want to reach their full potential. |
259 |
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As a charge nurse you are in charge of creating the _______ of the work environment that will motivate staff to meet the goals? |
Climate |
259 |
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What causes dysfunctional behavior on the job? |
Stress and anxiety |
260 |
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What are some common dysfunctional behaviours on the job? |
1. Decreased performance 2. Negative interactions 3. Ineffective communication 4. Inappropriate body cues (sharp tone of voice) 5. High staff turnover 6. Unhappiness |
260 |
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has a practical vocational charge nurse you have the responsibility to be a stress manager and role model for the team. Your goals will be to do the following: |
1. Display the ability to cope with stress as it affects you 2. Create a work environment with decreased stress levels 3. Guide and support nursing assistants when they experience stress |
260 |
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In order to detect stress in the clinical environment, what must you first be aware of? |
Your own stress level |
260 |
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What is stress? |
The body's reaction to a mind's analysis of a situation. |
260 |
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Where is your stress management tool kept? |
In your head |
260 |
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Self-talk, quick judgements, & negative emotions, and stress results from... |
Irrational thinking |
261 |
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Building on the five aforementioned core areas of knowledge as a base what skills do you need to develop in three specific areas? |
1. Occupational skills ( the knowledge and skills of nursing) 2. Organizational skills ( skills necessary to function in the organization that delivers health care) 3. Human relationship skills ( the ability to get along with and relate to people) |
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This is the basis for payment of resident fees or denial of payment by Medicare, insurance, and/or the state |
Effective nursing documentation |
261 |
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What demonstrates whether or not the standard of care has been met? |
Specific, objective documentation |
261 |
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What could result in a citation for the facility? |
Incomplete or questionable documentation |
261 |
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What should you avoid when documenting? |
Subjective comment and personal judgements |
262 |
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What must you stay current in informed on? |
The Nurse Practice Act, it's the standards and codes to evaluate safe practice in the clinical setting. |
262 |
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True or false. You have the ability to ensure resident and family satisfaction with care. |
True |
262 |
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What is the best way to resolve disputes. |
Prevention... keep your resident and family satisfied with your care. |
262 |
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What does the Omnibus Budget Reconciliation Act of 1987 contain? |
The nursing home Reform Act |
262 |
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What is the Nursing Home Reform Act for? |
The basic objective of the Nursing Home Reform Act ensures that residents of nursing homes receive quality care that will result in their achieving or maintaining their "highest practicable" (resonable) physical, mental, and psychosocial well-being. |
262 |
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What act established the Residents Bill of Rights? |
The Nursing Home Reform Act |
262 |
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What are two strong federal regulations? |
1. Omnibus Budget Reconciliation Act of 1987 (OBRA) 2. The Centers for Medicare and Medicaid Services (CMS) |
262 |
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How many hours must Nursing Assistant have of instruction before taking the state approved written and skills test? |
75 hours of instruction |
262 |
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What is a official list of individuals who have successfully completed nursing assistant training that each state has? |
Nursing Assistant registry |
262 |
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what are three things that keep a nursing assistant from getting a job? |
Incidences of abuse, black, or dishonest use of property |
262 |
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How many hours must Nursing Assistant have for inservice training per year? |
12 hours |
262 |
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When does training and competency evaluation have to be repeated by a nursing assistant? |
Two consecutive years have passed without the person being employed as a nursing assistant |
262 |
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When does the nursing assistant's work have to be evaluated? |
Regularly |
262 |
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What was the Centers for Medicare and Medicaid Services previously called? |
Healthcare financial administration |
262 |
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Name an important independent, not-for-profit organization. |
The Joint Commission |
262 |
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What is the purpose of continuous quality improvement? |
Improve quality of care by creating a safe environment for patients through the accreditation process |
262 |
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What is continuous quality improvement? |
Headed to program found in all health care facilities and the focus is quality of care |
264 |
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How can you measure quality in continuous quality improvement? |
It is indicated by patient outcomes |
264 |
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What are patient outcomes? |
Observable, measurable results of nursing activities |
264 |
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Who participates in continuous quality improvement? |
All departments of healthcare facilities, including long-term care |
264 |
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What is conflict resolution? |
It is it is people settling their differences, it is an exercise in problem solving. |
264 |
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True or False. Conflict is always a bad thing. |
False, it is an opportunity for growth and learning, & it can point out the need for change in an organization |
264 |
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What are some tools that help reduce conflicts? |
clear communication and the ability to work as a team |
264 |
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What is the most important skill for an LPN leader to have? |
Human relationship skills |
265 |
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What are two examples that anger is justified in the workplace. |
Harassment and discrimination |
265 |
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Anger is a clue that... |
Something is wrong. |
265 |
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What can justified anger do for you? |
Stimulate you to action to change whatever may be wrong |
265 |
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What are some techniques you can do when your angry. |
pay attention to what you're thinking and feeling, change irrational thoughts to rational thoughts Take deep breaths speak slowly and in a low tone of voice, acknowledge how you feel, and take a timeout; the problem solving process to arrive at a solution |
266 |
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What is the main purpose of performance evaluations? |
To encourage personal and career growth |
266 |
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What does constructive evaluation give you and your team? |
A profile of strong behaviors and behaviors for improvement, along with a plan to improve. It encourages the development of employees and meets the facilities objectives and fulfills the mission statement |
266 |
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Name some responsibilities in evaluating nursing assistants that as a charge nurse you should include. |
1. Observing skill performance and attitudes of nursing assistance 2. Providing daily oral/written feedback, including suggestions for improvement 3. Documenting observations 4. Presenting a final evaluation form |
266-267 |
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When evaluating a nursing assistant it is important to |
Stay objective |
267 |
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Evaluation needs to be a _______ process. |
Joint |
267 |
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What are the standards of quality care of the lpn charge nurse |
Ensure that residents receive nursing care, treatments, and medications that have been ordered by their physicians. |
272 |
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There are three bullet points under standards of care, what are they? |
1. Help coordinate resident care services 2. Assist the Director of Nursing in the orientation of new employees 3. Evaluate work performance of nursing assistant |
272 |
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There are 12 bullets describing the responsibilities of an LPN charge nurse, what are the first four? |
1. Have knowledge of the residents conditions at all times 2. Assign actual nursing care tasks to nursing assistants 3. Provide nursing care as ordered by the doctor and staying within the scope of practice 4. Recognize symptoms and report changes |
272 |
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There are 12 bullets describing the responsibilities of an LPN charge nurse, what are the middle four? |
5. Assist the physician and diagnostic and therapeutic measures 6. Administer medications and treatments as prescribed 7. Maintain accurate and complete records of nursing data collection and interventions 8. Be efficient, be neat and orderly |
272 |
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There are 12 bullets describing the responsibilities of an LPN charge nurse, what are the last four? |
9. Delegate duties 10. Maintain a safe and hazard free environment 11. Ensure the residents right to privacy 12. Maintain the dignity of residents |
272 |
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There 15 bullets describing the duties of an LPN charge nurse, what are the first five? |
1. observe the residents and report changes 2. Administer medications 3. Take and record vital signs 4. Maintain charts 5. Notify physician when necessary |
272 |
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There 15 bullets describing the duties of an LPN charge nurse, what are the middle five? |
6. contact pharmacist for prescription drugs as needed 7. Assist in maintaining a physical, social, and psychological environment for residents that is conducive to their best interests and welfare 8. Receive reports from personnel and assign tasks to nursing assistants under your supervision 9. Supervise, assist with, and evaluate delegated duties to nursing assistants 10. Evaluate the completion of nursing assistant assignments in a safe and timely manner
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273 |
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There 15 bullets describing the duties of an LPN charge nurse, what are the last five? |
11. Provide report for oncoming shift 12. Evaluate nursing assistants on their performance and report to DON 13. Attend staff meetings 14. Interpret state and federal guidelines to employees 15. Participate in orientation of all new employees |
273 |
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What is dependent on you becoming a charge nurse? |
Your motivation to learn the manager role, your ability to be a risk taker, and how you use your nursing experience. |
273 |
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what is sure to send shivers up your spine? |
To either be evaluated or to evaluate someone else |
266 |
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The most fundamental requirement for assuming the practice role of the LPN charge nurse is? |
A license in the state of practice. |
Test ? From class... you have to be legal. |
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Define delegating |
Transferring the authority to perform nursing duties that are in the job description of the LPN charge nurse |
280 |
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Define assigning |
Allotting tasks that are in the job description of the health care worker, the way the work is distributed among team members for the shift |
280 |
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Can a nursing assistant refuse tasks? |
No, tasks are in their job description, unless they haven't been trained to do it. However, a nursing assistant can refuse any duties that the LPN delegates. |
280 |
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What can occur at any time during the shift but always occurs at the beginning of the shift. |
assigning tasks |
280 |
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Based on your scope of practice the most important duty of LPNs LVNs is the |
Assisting role in the nursing process. |
280 |
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Are tasks or duties in Nursing Assistant job description? |
Tasks are in the Nursing Assistant job description however duties are not. Duties are delegated by the lpn/lvn they are part of the LPN or LVNs job description. |
281 |
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Who has accountability for nursing task? |
The Nursing Assistant |
281 |
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Who has accountability for a nursing duty? |
LPN |
281 |
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Is delegating a voluntary function? |
Yes, you do not have to delegate |
281 |
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What are some reasons delegating are important? (SATA) |
- increase the effectiveness and efficiency of the LPN - the instrumental and realizing patient goals in a cost-effective manner - may help nursing assistants increase and improve their job skills |
281 |
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Who is ultimately responsible for the supervision of nursing assistance? |
Registered nurse |
281 |
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Is the RN the only person accountable for the supervision of healthcare worker? |
No, the lpn charge nurse shares accountability |
281 |
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What is the LPN charge nurse responsible for in a long term care facility? |
Managing and directing the activities of the nursing assistants along with her/his duties. |
281 |
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Can nursing judgement be delegated to or expected of Nursing assistants? |
No they haven't been trained to make judgement about or interpret data |
282 |
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If a nursing assistant is delegated a task and does it incorrectly. what is at stake? |
The Nursing license that you worked hard for. |
282 |
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If you delegated improperly and the resident was harmed who is liable? |
You |
282 |
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If you delegated properly including monitoring and the patient is injured who is liable? |
The nursing assistant |
282 |
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When delegating what should the instructions be like? |
Specific, objective, clear cut directions |
282 |
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What is a benefit of report? |
They provide continuity in resident care. |
282 |
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What is legally necessary so you can safely distribute the work of the shift Nursing Assistants? |
Oncoming shift report |
282 |
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Can reports be taped? |
Yes |
282 |
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Criteria for assigning / delegating to nursing assistants? |
1. Right task/duty 2. Right circumstance 3. Right person 4. Right directions and communication 5. Right supervision/monitor and evaluation |
284 |
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There are 8 specific tasks listed in the book on page 284 that a nursing assistant can be assigned, what are they? |
1. Personal care ( hygiene, dressing, grooming, and skin care). 2. Feeding and hydration 3. Basic restorative skills ( transfer, positions, ambulate, and maintain range of motion) 4. Measure and record vital signs, height and weight, and intake and output 5. Assist with elimination ( catheter care and enemas) 6. Maintain safety factors ( fall prevention) 7. collect any specimens needed 8. Good nursing assistant may have specialized training |
284 |
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Actual tasks / duties allocated depend on what criteria? |
- laws in your state - policies of the long-term care facility - needs and condition of the residents on your unit - training of the nursing assistants |
284 |
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What is the criteria for delegating duties? |
1. The delegated duty must apply to an unchanging situations. 2. The results the delegated duty must be predictable 3. The potential for risk must be minimal 4. Delegated duty should be necessary and routine in daily care 5. It should not require Nursing judgment 6. The delegated duty should not require frequent repeated collection of data during performance of the duty |
285 |
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When is the circumstance wrong in delegation? |
If the patient is unstable - if the unit does not have the equipment or supplies needed to safely carry out the procedure - if there's limited staffing - if the LPN could not be available for assistance |
286 |
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According to NCSBN incompetent nursing assistant should be capable of doing what in addition to basic care? |
*Communicate effectively, *basic subjective and objective data, *perform non-complex Nursing activities safely, accurately, and according to standard procedures, *seek guidance and direction when appropriate |
287 |
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Should you have to know the job descriptions of Nursing Assistants to whom you assign tasks? |
Yes, legally you would need to. |
287 |
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What is the most common reason delegated duties and not completed as required? |
Inadequate communication |
288 |
