Get Answer: Leadership Case Problems Question Guide
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Original Question
Leadership Case: Problems in Prioritization: Preventing Poor Outcomes 1.After receiving report, which client should the nurse see first? a.A patient who is scheduled for surgery this afternoon and is requesting a shower. b.A patient who is to receive one unit of packed RBCs today and needs an IV restarted. c.A patient who was admitted with kidney stones and is crying with back pain. d.A patient admitted with chest pain who has been pain-free since admission and is now requesting breakfast. 2.The Institute of Medicine (IOM) would consider which behaviors as an indicator of quality care? (Select all that apply.) a.The use of nationally developed and approved patient education materials b.A hospital requiring annual retraining for all staff in CPR and AED use c.Nurses returning to school to obtain a baccalaureate degree in nursing d.Nurses taking population-specific classes to keep their professional knowledge updated e.The implementation of a shared governance nursing model 3.The nurse in the emergency department should see which of these four patients first? a.A patient requesting ice chips for a sore throat and an earache. b.A patient with an elevated temperature, sore throat, and upper respiratory symptoms. c.A patient reporting a headache, photosensitivity, and a stiff neck. d.A patient who cannot bear weight without pain who has a bruised, edematous ankle after playing basketball. 4.The nurse manager may use which quality assurance or performance improvement technique to identify underlying process flaws in the reporting of suspected child or elder abuse? a.Root cause analysis b.People at fault process c.Cause and effect d.Small group process 5.The nurse should plan to see which patient first when planning morning care? a.A 12-year-old who is 24 hours postoperative from an appendectomy awaiting orders for a full diet and discharge. b.An 11-month-old who is receiving oral rehydration therapy for an admission of dehydration with orders to progress to a regular diet. c.A 12-year-old who was admitted for chemotherapy via a central venous catheter. d.A 15-year-old who is scheduled for discharge this morning pending teaching regarding prednisone therapy for an allergic reaction. 6.When a new nurse executive identifies the goal of creating a “just culture” environment in their healthcare organization, the staff understands that such an environment is characterized by a culture where: a.Constant questioning of the status quo is encouraged to prevent errors. b.All team members share culpability for an error committed by one member of the team. c.The focus is on system processes that caused an error, not on individual blame. d.Each department reviews the work processes of another department. 7.A new graduate nurse plans to administer early morning medications after receiving change-of-shift report. Which medication should the nurse administer first? a.An antipyretic to a client who has a temperature of 37.9° C (100.7° F) b.An antidiarrheal for a client who had one watery stool in the last hour c.A scheduled IV antibiotic for a client who has resolving pneumonia d.A narcotic to a client who has a pain level of 6 on a 1 to 10 scale 8.The charge nurse is making assignments for the next shift. Which patient should be assigned to the new graduate nurse who has just successfully completed her unit orientation? a.A 38-year-old just admitted on airborne precautions for tuberculosis (TB) b.A 58-year-old with Guillain-Barre syndrome who is ventilator dependent c.A 38-year-old just returned from bronchoscopy with biopsy d.A 60-year-old who needs teaching about the use of incentive spirometry 9.The nurse working on a medical-surgical nursing floor should plan to assess which client first? a.A patient with diabetes and a MRSA-infected leg wound who is requesting to leave the hospital against medical advice. b.A patient admitted with renal failure with a previous day’s urinary output of 900 cc. c.A patient who is three days’ postoperative for a below-knee amputation (BKA) who is tearful and refusing to get out of bed. d.A patient with a chest tube treating a spontaneous pneumothorax with continuous bubbling in the suction control chamber. 10.A root cause analysis (RCA) is a process during which participants: a.Identify the individuals who are at fault in the incident. b.Include consideration of all relevant literature related to the incident c.Identify one primary factor that may have contributed to the event d.Identify risk points before, during, and after the event and the impact on the incident
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