Capstone Leadership Post assessment Questions And Answers

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Capstone Leadership Post assessment What behaviors would indicate to the charge nurse that one of the nurses could be experiencing countertransference? (Found in the Mental Health Review Mod... ule) • Countertransference occurs when a health care team member displaces characters of people in her past onto a client. Behaviors: o Nurse overly identifies with client o Nurse competes with client o Nurse argues with client List the six (6) Quality and Safety Education for Nurses (QSEN) competencies and explain their importance. 1. Safety: Minimizes the risks factors that could cause injury/harm while promoting care and maintaining a secure environment 2. Patient-centered care: Provision of caring, compassionate, & culturally sensitive care 3. Evidence based practice: Use of current knowledge from research from other reputable sources 4. Informatics: use of information technology as a communications/information- gathering tool 5. Quality improvement: Care related and organizational process that involves development/ implementation to improve healthcare services & better meet client’s needs 6. Teamwork & collaboration: Delivery of client care in partnership with multidisciplinary members of healthcare team, to achieve continuity of care & positive client outcomes A nurse is serving as a representative on a quality improvement committee. What are some reliable resources for information when developing policies and procedures? • Begins with identification of standards and outcome indicators based on evidence -standard is developed and approved -standards are made available (policies and procedures) -quality issues identified (staff,management) -team developed to review the issues -structure and process related to issue is analyzed -data collection methods determined (quantitative method, audits) -data is collected, analyzed, and compared with established benchmark A client's wife calls the charge nurse to the room and states she is very angry with the nursing staff because her husband is "not receiving adequate nursing care". What problem solving strategies should the charge nurse use in this situation? • Analyze identified solution – the potential pros and cons of each possible solution should be discussed and attempt to narrow down the number of viable solutions. Select-based on this analysis select a solutions for implementation. A nurse manager will carry out new performance improvement measures. List the steps of the performance improvement process. • Standard is developed and approved by facility committee • Standards are made available to employees by way of policies and procedures • Quality issues are identified by staff, management, or risk management department. What teaching strategies should a nurse include in the discharge plan for a client with Multiple Sclerosis? (Review the Adult Med Surg Review Module) • Try to stay as active as you can • Pick a regular time for bowel movement such as after a meal or a warm bath, to try to have a bowel movement. • Avoid constipation by drink more fluids , stay active or become more active and eat foods with lots of fiber. Upon admission to a healthcare facility, what are the nurse’s responsibilities regarding a living will? • Living will is a legal document that expresses the client’s wishes regarding certain & specific medical treatment to occur in the event the client becomes incapacitated and is facing end-of-life issues A nurse is caring for a client with human immunodeficiency virus (HIV) and is concerned about maintaining client confidentiality. What are the components of the HIPPA privacy rule that this nurse should uphold? • Rights of clients to obtain copies of medical records & ability to submit requests to amend erroneous/incomplete information • Requirement for healthcare providers & insurance providers to provide written information regarding how medical information is used and how its shared with other entities • Rights of clients to privacy & confidentiality Following a motor vehicle accident of a 21-year-old male, the client is pronounced brain dead. The family states, “We would like to donate his organs and help someone who needs them.” How will the nurse respond knowing their responsibility regarding organ donation? • The nurse should contact the transplant team The charge nurse takes a telephone order for morphine 50 mg IVP every 3 hours. After hanging up the phone, the nurse feels this order is not safe. List three (3) strategies to prevent errors of miscommunication when receiving telephone orders. • Ensure that the order is complete before ending the conversation with the provider, spell out unfamiliar drug names, read back the order in its entirely, write the order directly onto the provider’s order sheet, indicate that the order was received verbally by writing the initials V.O. next to the provider’s name • Telephone orders should be indicated by the initials T.O An ethical dilemma regarding sustaining life is being examined. What would be some appropriate resources for the nurse to use to help review and address ethical dilemmas? • List and analyze all possible options for resolving the dilemma and review implications of each option. A nurse is caring for a client with acute cystitis that has been prescribed nitrofurantoin (Macrobid). What client education should be provided to the client regarding this medication? (Review the Pharmacology Review Module) • Administer medication with milk or meals to decrease GI discomfort • Stop medication & notify provider if hypersensitivity reactions occurs • Advise to monitor for bruising or nose bleeding • Notify provider if headache, drowsiness, or dizziness occurs The nurse knows the following detail is true regarding a client's care when exposed to botulism: 1. Vaccination administration markedly improves symptoms 2. Airborne isolation is instituted 4. Antiviral therapy is administered (Found in the Community Health Review Module) A nurse is working on a maternal newborn unit. What security measures should the nurse ensure are in place to prevent abduction? (Found in the Maternal Newborn Review Module) • Key code access into & out of areas • Wrist bands that electronically link parents and their infants • Alarms integrated with close-circuit television cameras The community health nurse is working with a client population in a rural area. What are three (3) barriers to health care for this population? (Review the Community Health Review Module) 1. Inadequate healthcare insurance 2. Language barriers 3. Cultural barriers 4. Inability to pay for healthcare services 5. Lack of healthcare providers in a community 6. Lack of personal/public transportation to healthcare facilities the nurse is collaborating with the health care team to create a plan of care for a client following a stroke. explain the nurse's role in community care. The nurse role in continuity care is a coordinator, documentation, communication, consultations, referrals, transfer and discharge planning. The home health nurse is visiting the home of a client that has been diagnosed with a brain tumor. The family states that the client has been having more frequent seizures. What nursing care should be provided? (Found in Adult Med Surg Review Module) •Maintain airway (monitor oxygen levels, administer oxygen as needed, monitor lung sounds). •Monitor neurological status — in particular, assessing for changes in level of consciousness, neurological deficits, and occurrence of seizures. •Maintain client safety. (Assist with transfers and ambulation, provide assistive devices as needed.) •Implement seizure precautions. •Administer medications as prescribed. An elderly client is being discharged from the hospital to home following a long hospitalization. What are some community resources that the nurse should initiate referrals for this client? •Specialized equipment (cane, walker, wheelchair, grab bars in bathroom)•Specialized therapists (physical, occupational, speech) •Care providers (home health nurse, hospice nurse, home health aide What behaviors would indicate to the charge nurse that one of the nurses could be experiencing countertransference? (Found in the Mental Health Review Module)•Nurse overly identifies with client •Nurse competes with client•Nurse argues with clien The community health nurse is speaking to a men's civic group about health promotion for men. The question is posed regarding how and when to properly perform testicular self-examination (TSE). What would be the priority information to provide to the group? (Review the Community Health Review Module)The priority information to provide to this group would be, do a self- exam in the shower once a month with warm water (relaxed scrotal sac) List the six (6) Quality and Safety Education for Nurses (QSEN) competencies and explain their importance. 1. PATIENT-CENTERED CARE: The provision of caring and compassionate, culturally sensitive care that addresses clients’ physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values. 2. TEAMWORK AND COLLABORATION: The delivery of client care in partnership withmultidisciplinary members of the health care team to achieve continuity of care and positive client outcomes. 3. EVIDENCE-BASED PRACTICE: The use of current knowledge from research and othercredible sources on which to base clinical judgment and client care. 4. QUALITY IMPROVEMENT: Care-related and organizational processes that involve the development and implementation of a plan to improve health care services and better meet clients’ needs. 5. SAFETY: The minimization of risk factors that could cause injury or harm while promoting quality care and maintaining a secure environment for clients, self, and others. 6. INFORMATICS: The use of information technology as a communication and information- gathering tool that supports clinical decision-making and scientifically-basednursing practice a nurse is serving as a representative on a quality improvement committee. what are some reliable resources for information when developing polices ans procedures? What behaviors would indicate to the charge nurse that one of the nurses could be experiencing countertransference? (Found in the Mental Health Review Module)•Countertransference occurs when a health care team member displaces characters of people in her past onto a client.Behaviors: oNurse overly identifies with clientoNurse competes with clientoNurse argues with client List three (3) expected laboratory results the correlate with the diagnosis of Peptic Ulcer Disease.Positive H. pylori antigen, occult blood, and positive urea breath test After signing an informed consent, the client states, “I can’t go through with this, I will not have the surgery!” What is the nurse’s responsibility in this situation?Notify the Dr that the patient has changed their mind about the surgery.Following a motor vehicle accident of a 21-year-old male, the client is pronounced brain dead. The family states, “We would like to donate his organs and help someone who needs them.” How will the nurse respond knowing their responsibility regarding organ donation? a registered nurse is preparing to delegate client care to a licensed practical nurse. Identify client care activities that are in the LPNs scope of practice. A licensed nurse is responsible for providing clear directions when a task is initially delegated and for periodic reassessment and evaluation of the outcome of the task. RNs may delegate to other RNs,PNs, and APs. RNs must be knowledgeable about the applicable state nurse practice act and regulations regarding the use of PNs and APs. RNs must delegate tasks so that they can completehigher level tasks that only RNs can perform. PNs can monitor vitals and can report necessary findings to the RN, they can reinforce client teaching from a standard care plan by the RN, perform tracheostomy care, suctioning, ng tube patency, administering enteral feedings, insertinga urinary catheter, and administering medication A nurse is caring for a client with hepatitis A. The client asks, "how did I get this disease?" What information should the nurse provide? (Review the Adult Med Surg Review Module) .o"You may have eaten contaminated restaurant food." The home health nurse is conducting a home safety assessment for an older adult client following a hospital admission for frequent falls. List five (5) assessment findings that require intervention. oRugs in homes oInadequate lighting oIrregular and unstable walking surfaces oNarrow pathways oNo handles in the shower/bathroom Risk for violent behavior can be identified using the epidemiological triangle’s 3 components: Host, Agent and Environment. Provide an example of each factor that can influence violent behavior.(Found in the Community Health Review Module) -Host Factors: (Work, abuse, neglect) -Agent factors: biological agents, chemical agents, mechanical agents, physical agents, psych agents -Environmental factors: Unemployment, social isolation, media influence, rigid religious beliefs, and population density Anurseiscaringforaclientwithaminorheadinjury.Whataremanifestationsof increasingintracranialpressurethatshouldbereportedtotheprovider? SymptomsofincreasedICPincludesevereheadache,deterioratinglevelof consciousness, restlessness,irritability,dilatedorpinpointpupils,slownesstoreact,alterationin breathing patern(CheyneStokesrespirations,centralneurologichyperventilation,apnea), deterioration inmotorfunction,andabnormalposturing(decerebrate,decorticate,flacidity [Show More]

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