VATI ATI leadership management Exam. Latest 2020

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1. A nurse manager witnesses an assistive personnel (AP) using incorrect procedure when transferring a client using a mechanical lift. After reinforcing proper procedure, which of the following metho... ds should the nurse manager use to evaluate the AP's understanding of the teaching? Require the AP's attendance at an in-service about the lift. This form of education gives a demonstration of the use of the equipment, but it does not allow for the nurse manager to observe and assess the AP's use of the equipment. Assign the AP to work with a senior staff member when using the lift. Working with another staff member can provide further education and reinforce proper use of the lift, but it does not allow for the nurse manager to observe and assess the AP's use of the equipment. Observe the AP's technique with the lift at random times throughout the day. Observing the AP is an effective way for the nurse manger to evaluate the AP's use of the equipment. This method of assessment also assists in determining the need for further education and staff development. Enforce the staff's completion of skills modules about medical equipment. MY ANSWER This form of education gives the AP a demonstration of the use of the equipment, but it does not allow for the nurse manager to observe and assess the AP's use of the equipment. Training should occur before task delegation. 2. A nurse is caring for a client who received pain medication 1 hr ago. The client tells the nurse the medication is not working because they are still experiencing pain. Which of the following actions by the nurse demonstrates client advocacy? Provide the client with a back massage to help ease their pain. Providing the client with a back massage can assist the client with pain management. However, this is not a demonstration of client advocacy, which involves intervening on the client's behalf. Recommend the client watch television as a distraction from the pain. Distraction, such as watching television, can assist a client with pain management. However, this is not a demonstration of client advocacy, which involves intervening on the client's behalf. Attempt to obtain a prescription for a different analgesic medication. MY ANSWER The role of the nurse as a client advocate involves directly intervening on behalf of the client. The nurse should attempt to obtain a prescription from the provider for a different analgesic medication to manage the client's pain. Inform the client that they can receive their next dose in 3 hr. The nurse should tell the client when they can receive their next dose of the medication to keep the client informed of the treatment plan. However, this is not a demonstration of client advocacy, which involves intervening on the client's behalf. 3. A charge nurse is teaching a newly licensed nurse about providing written discharge instructions for a client who is postoperative following an arthroplasty. The charge nurse should identify that which of the following discharge instructions written by the newly licensed nurse indicates understanding of the teaching? Take oxycodone 10 mg, q6h, PRN, for pain. The nurse should avoid using medical terminology when providing written instructions to the client because the client can have difficulty understanding the information. Report pus-like drainage from the wound. MY ANSWER The nurse should provide clear descriptions in terms the client can understand when providing written discharge instructions. The nurse should also ensure the client is aware of what complications to report to the provider. Resume Na-restricted diet. The nurse should avoid using abbreviations in written discharge instructions because the client can have difficulty understanding the information. Perform quadriceps setting exercises when supine. The nurse should provide step-by-step instructions on how to perform quadriceps setting exercises when lying supine and avoid using vocabulary that the client can have difficulty understanding in the written discharge instructions. [Show More]

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