ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 6 : Leadership Roles and Management Functions Questions
Question 1 of 5
Staff is assembling for shift assignments. Which of the following nursing action(s) identifies the manager's responsibility on the clinical unit? Select all that apply.
Correct Answer: B,D
Rationale: The key feature of the manager's position is the individual responsibility and accountability for the accomplishment of tasks on the clinical unit. Part of this responsibility includes assuring that adequate care is given by the staff and assessing the flow of activities on the clinical unit. A manager attending faculty meeting and setting objectives also reflects manager and leadership duties. The other options are task oriented, and, although the manager may assist staff, it is not the focus of the manager's responsibility.
Question 2 of 5
A nurse is caring for clients on a surgical unit. Which nursing action(s) positively impacts the goal of healthcare cost containment? Select all that apply.
Correct Answer: A,B,C,E,F
Rationale: Cost-consciousness measures include prudent use of expensive supplies, careful monitoring of clients to reduce potential complications and lengths of stay, and reduction of waste of limited resources. Completing client wound dressing change prior to physician rounds is not an example of cost containment.
Question 3 of 5
A nurse in the health care provider's office must provide care to the following clients. From first to last, in what order should the nurse provide needed care to the clients?
Correct Answer: B,A,C,D,E
Rationale: All nurses must manage multiple client needs in a timely manner. Nurses must prioritize to determine the proper order of response. Nurses should address issues critical to maintaining life first (airway, breathing, circulation). A client with chest heaviness potentially could be having a life-threatening condition requiring immediate attention. Next, the client in the exam room needs vital signs and a history of present illness before the health care provider enters.
To maintain the flow of the office, this client is a priority. Next, the nurse would answer the question of the client on the phone who may otherwise incorrectly ingest a double dose of medication. Next, a client needs to be called with a medication dosage change. Last, the client in the office who has come to obtain sample medication needs medication instruction on dosage and side effects.
Question 4 of 5
When delegating tasks to unlicensed assistive personnel (UAP), a licensed practical nurse (LPN) should assess the situation. Which of the following is the first step involved in assessing the situation?
Correct Answer: C
Rationale:
To delegate tasks successfully, an LPN should first assess the situation. The steps taken to assess the situation involve understanding the client's needs, the skills of the UAP, and the priorities. The LPN should ensure that the UAP's skills map with the tasks to be completed. When planning the actions, the LPN should identify the UAP who will best handle the delegated tasks. When implementing the plan, the LPN should communicate expectations clearly to UAP, including what must be done, what to watch for, and potential problems. The LPN should trust the UAP to complete the task.
Question 5 of 5
A licensed practical nurse (LPN) has delegated a task to unlicensed assistive personnel (UAP). Who is accountable for evaluating the results of the tasks?
Correct Answer: D
Rationale: An LPN or licensed vocational nurse (LVN) who delegates tasks to a UAP is accountable for evaluating the results of the tasks. The UAP is responsible for performing the actual task. The physician or shift supervisor is not accountable for evaluating the results of the tasks.