Role & Scope REAL Final (solutions) Latest 2020 100% PASS

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Role & Scope REAL Final Question 1 1. A nurse manager notices that a nurse in the unit is not delivering care in accordance with a recent policy change. What is the most effective approach for th... e nurse manager to take? Encourage the nurse to openly verbalize the reasons for resistance to the change. Explain to the nurse the importance of implementing the new policy. Ignore the resistance and allow peer pressure to facilitate change in the nurse's behavior. Threaten disciplinary consequences if the nurse does not implement the new policy. 1 points Question 2 1. A nurse's brother had a lab test performed at the facility where the nurse is employed. The brother has asked the nurse to look up the result in the computer. In replying, the nurse realizes that disclosing the result is Permissible. Because this is an immediate family member, the action is allowable. Not permissible. The primary physician is the only one allowed to disclose laboratory results or findings to a client. Permissible. Because the sibling has paid for the service, the test results are actually the sibling's property. Not permissible. Despite the request, there is no nurse-client relationship between the sibling and the nurse. 1 points Question 3 1. A nurse is caring for a client who is in a coma, and the client’s brother reports that the family does not want any heroic measures performed. How should the nurse respond? "Have you discussed this with the client?" "I will verify the status of advance directives." "Does the client have a living partner?" "The provider will write a DNR order." 1 points Question 4 1. A nurse is caring for a client. The nurse demonstrates adherence to the ethical principle of fidelity in practice by doing which of the following? Confirming that a client going for surgery has signed a consent form. Refusing to disclose information about a client to the media. Keeping an appointment with the client. Allowing a new mother to hold her stillborn infant. 1 points Question 5 1. A nurse receives a client care assignment that he believes is unfair. Which of the following is an appropriate action for him to take? Contact the nursing supervisor and ask her to intervene on his behalf. Ask another nurse to review the equity of the assignment. Speak with the charge nurse about the assignment and his concerns. Accept the assignment and talk with the nurse manager at a later time. 1 points Question 6 1. A nursing unit has recently implemented new actions designed to reduce medication errors. Which of the following methods of evaluation is appropriate to measure the results of these new actions? The number of medication errors avoided after the actions were implemented The number of medication errors before and after the actions were implemented. Results of a staff questionnaire that quantifies staff satisfaction with the changes Results of a study about the time and money costs of implementing the changes 1 points Question 7 1. The nurse is working with a group of clients assisted by an assistive personnel (AP). The nurse should make which of the following determinations before delegating a task to the AP? The AP's ability to prioritize. The AP's rapport with the clients. Whether the nurse can more efficiently complete the task without assistance. The task is within the AP's scope of practice. 1 points Question 8 1. The new Unit Manager on the Medical Unit is not satisfied with the patient satisfaction rate of 60% for two consecutive months and staff morale is at its lowest. The decision to plan and initiate change has been decided. Prior to implementing any change, which of the following actions is a priority? Call for a staff meeting and get input from all members of the team. Seek help from his manager. Develop a strategic action on how to deal with these concerns. Ignore the issues since these will be resolved naturally. 1 points Question 9 1. A new nurse wants to provide client centered care. Which of the following is the best guarantee that the patient’s priority needs are met? Checking with the relative of the patient Preparing a nursing care plan in collaboration with the patient Consulting with the physician Coordinating with other members of the team 1 points Question 10 1. A charge nurse observes that a staff nurse is not able to meet client needs in a reasonable time frame, does not problem-solve situations, and does not prioritize nursing care. The charge nurse has the responsibility to: supervise the staff nurse more closely so that tasks are completed ask other staff members to help the staff nurse get the work done provide support and identify the underlying cause of the staff nurse's problem report the staff nurse to the supervisor so that something is done to resolve the problem 1 points Question 11 1. Nursing often has challenges in gaining independence as a profession. What deciding factors must the nursing profession embrace? Health and happiness of nurses Recognition that the doctors know best Loss of control and negative feedback Responsibility and accountability 1 points Question 12 1. Recommendations made by the Robert Wood Johnson Foundation in The Future of Nursing include: The Bachelor's Degree in Nursing (BSN) must be the minimum entry point for registered nurse. Nurses are not aware that policy making requires better data collection and information infrastructure . Nurses with associate's degrees should not be practicing bedside nursing. Nurses should practice to the full extent of the education and training. [Show More]

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