Management of Care – 1

Nursing care plans are ________.

Nursing care plans contain which of the following?

One major difference between long term care and respite centers is the fact that long term care facilities:

Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own. Soon, she will be getting some assistive devices for eating meals. Which healthcare worker will be getting Penny these assistive devices?

A patient will be discharged from the hospital today. Which person will most likely arrange the discharge of this patient to his or her own home, to a nursing home, or assisted living facility?

Who is the center of care?

A staff nurse working on a medical-surgical unit witnesses another nurse reviewing a patient’s EMR that she is not assigned. What should the staff nurse do next?

You are working as a valued member of the team in your nursing care unit. You are trying to figure out whether or not the team is doing well. Which of the following is a sign that your team is doing well?

The primary purpose of a patient care meeting or conference is to determine which of the following?

Who should be members of a patient care conference?

An 18 year old female is admitted to the emergency room complaining of abdominal pain, nausea, and vomiting. Lab results indicated an elevation in alkaline phosphatase, bilirubin and a positive HCG. The patient’s parents are at the bedside. Which of the following actions, if taken by a nurse, would signify that the nurse is acting as a patient advocate?

Who is legally able to make decisions for the patient or resident during a patient care conference when the patient is not mentally able to make decisions on their own?

Patients have a right to ___________.

You are working the 8 am to 4 pm shift. You begin to vomit at 3 pm and you do not think that you are able to continue working. You decide to immediately go home without notifying your RN supervisor. You have _____________.

A patient is being discharged from an acute care rehabilitation facility to home following a CVA with left sided hemi-paresis and dysphagia. Which of the following disciplines would the case manager include in the patient’s discharge planning meeting?

You are taking care of 5 patients today. One of your patients wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today. Which patient care problem must you deal with first?

You are taking care of 7 patients today. One of your residents wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today. Which patient care is the lowest in terms of priority?

The nurse is gathering necessary materials to change the patient’s abdominal dressing at the end of her shift. The nurse is concerned she will not have time to document the dressing change thoroughly and accurately. When should the nurse document the care?

You are caring for Mrs. Thomas. You see a notation on the nursing care plan that states “ambulate at least 10 yards qid”. This patient will be assisted with ambulation at which of the following times?

The supervising RN asks you to bring the unit’s collected lab specimens to the lab “stat”. You should ______________.

You are working the 4 pm to 12 midnight evening shift. You are taking care of a group of patients. The supervising RN identifies 5 patients who get medication at “HS”. When will you give this medication?

You are caring for Mr. Charles Y. You see a notation on the nursing care plan that states, “remind the patient to use the incentive spirometer tid”. This patient will be reminded at which of the following times?

A nursing care plan states, “Assist the patient to the bedside commode prn”. When will this patient get this assistance to the commode?

You see a sign over Mary Jones’ bed when you arrive at 7 am to begin your day shift. The sign says, “NPO”. Ms. Jones is on a regular diet. The patient asks for milk and some crackers. You ________.

A case manager is planning a discharge for a patient after being admitted to the hospital for an exacerbation of COPD. What information would be a priority in identifying the home care needs for the patient?

Match the abbreviation with the correct definition:

Which is NOT an acceptable abbreviation?

You are taking Mr. D’s blood pressure. The first sound that you hear is at 162 and the second sound that you hear is at 86. You should document and report that the blood pressure is ________________.

Your elderly patient has a temperature of 98.5 degrees. Is there anything else that a nurse should do, in addition to documenting this temperature?

The abbreviation ac is defined as ______________.

The abbreviation pc is defined as _______________.

At the beginning of the shift, a nurse receives a report for her daily assignment. Which of the following situations should the nurse give first priority?

Mr. W has orders for a physical therapy consultation. The nurse contacts the appropriate department but 12 hours later, no one has come to see the client. Which is the most appropriate action of the nurse?

The “B” in the SBAR acronym stands for:

A case manager is planning a discharge for a patient who will be placed on long-term antibiotics secondary to a left hip replacement that has become septic. To facilitate a safe discharge, prioritize the following four “at risk” problems for the discharge plan:

1. infection
2. self-care deficit
3. impaired skin integrity
4. fluid volume deficit

Decide which of the following tasks may be delegated to unlicensed assistive personnel.

According to HIPAA, which of the following is considered an individual right for privacy of a client’s protected health information?

Which of the following clients is most likely ready to be dismissed from an inpatient care setting to home?

The nurse is performing discharge teaching for Mrs. S after cardiac angioplasty. Her husband is present for the teaching. While explaining the prescription for antiplatelet medication to use at home, Mrs. S’s husband states, “I don’t think I can afford to refill that medication.” What is the most appropriate response of the nurse?

The discharge planning team is discussing plans for the dismissal of a 16-year old admitted for complications associated with asthma. The client’s mother has not participated in any of the discharge planning process, but has stated that she wants to be involved. Which of the following reasons might prohibit this mother from participating in discharge planning?