NUR 212 2022 Collaboration QI and Accountability

NUR 212 2022 Collaboration QI and Accountability

By Ginny Little

Multiple Select

A nurse manager of a physician’s office uses the laissez-faire style of leadership with the staff. Which nursing actions reflect this management style?

• The nurse manager inspires and motivates staff to provide excellent client care.

• The manager does not request input from staff

• Manager and staff work independently, making task accomplishment difficult.

• The nurse manager allows dominant staff members to direct the group activities

• The nurse manager is the authority on all issues.

Multiple Choice

You are the nurse employed in an acute care hospital. The head nurse states that you will be caring for 12 clients with the help of two nurse assistants. This is considered to be what type of nursing care delivery?

• Modular nursing

• Team nursing

• Primary care

• Total Patient Care

Multiple Choice

Two new nurses are requesting the same preceptor for unit orientation and say they will be unhappy if they do not receive their choice of preceptor. Which illustrates the nurses using an accommodating approach to conflict resolution?

• The nurses ignore each other's request for the preceptor.

• The nurses discuss the situation with the preceptor to come to an agreement mutually beneficial for both parties.

• Both nurses obtain a different preceptor.

• The nurses allow the preceptor to decide which nurse to precept.

Multiple Choice

The nurse manager is planning to introduce to the staff a new procedure for documenting supplies used for clients on a medical-surgical unit. Several of the staff members say to the nurse manager, "Why do we have to change the procedure? The one we're using is working just fine." Which action would be important for the nurse manager to take first?

• Explain the change using simple, concise language.

• Involve all affected by the change in planning process.

• Emphasize the advantages of the change.

• Inform staff that the change will be implemented in steps.

Multiple Choice

A client was given the incorrect medication. Upon review, it was found that the medication had been incorrectly loaded in the medication dispensing system. What type of error would this be classified as?

• Sentinel

• Active

• Latent

• Adverse

Multiple Choice

A nurse administers the incorrect medication to a client. It is found that the nurse overrode the scanning feature on the medication administration system. What type of error has occured?

• Active

• Latent

• Adverse

• Legal

Multiple Choice

You are the assistant nurse manager on the telemetry unit. two nurses do not get along, they ignore each other and gossip about each other behind each other's back. They frequently do not communicate client information to one another. One day Marlene accuses Darlene of not changing a dressing that was due for a client. Darlene accuses Marlene of spying on her just to cause her trouble. Marlene says she is concerned about the patient care. Darlene says Marlene is just being a trouble maker.

What method do you think is best to resolve this conflict?

• Collaboration

• Compromise

• Avoidance

• Compromise

• Accommodation

Brandi just graduated from Mitchell with her ADN! She landed her dream job with a local hospital in the Operating Room

​

Meet Brandi New....

Poll

What is Brandi's next degree if she wanted to go back to school?

• DNP

• BSN

• MSN

Open Ended

Brandi wants to obtain CEUs for meeting her continued competency requirements, but wants to focus on Operating Room nursing since she only had two clinical days in the area. Where might she look for CEU classes? (It's ok GOOGLE it!)

Multiple Choice

You are the charge nurse on a triage unit, the patients are stable waiting on rooms within the hospital. You have 1 RN, 1 LPN, and a UAP on the unit to care for these patients. There are 20 patients on the unit. You decide the best way to care for these patients are to divide the tasks among the staff based on their skills and knowledge. You delegate the admissions and treatments to the RN, you utilize the LPN for the medication passes, and have the UAP obtain vital signs, glucose checks, and meal passes. You as the charge nurse float and assist on the unit, and handle the transfers when beds are available.  

• Functional

• Case Management

• Team

• Total Patient care

Multiple Choice

You work as a nurse in a local hospital, you work on a 30-bed unit. The staff include 5 RN, 5 LPN, and 5 UAPs. The 30 patients are divided up into groups of 6, each group of patients has a RN, LPN, and UAP assigned. That evening you have a meeting at shift change and receive report with the LPN and UAP on your 6 patients. Following the report your group rounds on the patients and you delegate the care tasks amongst the LPN, UAP, and yourself. The LPN provides dressing changes, assist with the medication passes, and assesses patients who are stable. The UAP provides hygiene care, assist with meals, and obtains vital signs. You assess the acute patients, address any changes in condition, and assist with medication pass and other tasks. You have open communication throughout the shift within your team to ensure the patients' needs are met and quality care is being provided. At the end of shift there is a conference to discuss the patients and any changes that have occurred over the shift.  

• Functional

• Primary

• Team

• Modular

Multiple Choice

You are a nurse in the ICU, you have two patients assigned to you on that unit. Both patients have COVID, one is on continuous BIPAP the other is on the vent. You receive report from the off going nurse. One your unit there are no UAPs, each nurse has two patients, and the charge nurse is available to assist. You start by assessing your patients, obtaining vital signs, and glucose levels. You then start tracing lines verifying medications and prepare to bathe your patients.  

• Primary

• Team

• Functional

• Total Patient Care