A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation?

Correct Answer: A

Rationale: Rationale: Option A is correct because medication reconciliation involves comparing the client's home medications with the provider's prescriptions to ensure accuracy and prevent medication errors. This step helps identify discrepancies and allows for proper management of the client's medication regimen. Summary: - Option B is incorrect as it does not address the process of medication reconciliation. - Option C is incorrect as calling the pharmacy does not directly relate to verifying medication information. - Option D is incorrect as verifying the client's name on their identification bracelet does not specifically pertain to medication reconciliation.

Correct Answer: A

Rationale: True shared governance requires staff and executives to partner in decision-making, not just consult. At Hospital A, involving staff in shaping the mission and goals post-funding changes must yield outcomes reflecting this collaboration e.g., a plan co-crafted by both groups demonstrating equity and ownership. Assuring input value or documenting solicitation without shared authority falls short, as does noting concerns without action. Shared governance demands tangible partnership in results, ensuring staff influence shapes the strategic direction, aligning with its core principles of mutual accountability.

Correct Answer: B

Rationale: The correct answer is B: Controlling. The nurse manager comparing actual results with projected results is part of the controlling function of budgeting. Controlling involves monitoring performance against the budget to identify any variations and taking corrective actions if necessary. Variable budgeting focuses on adjusting the budget based on different levels of activity, not comparing actual vs. projected results. Revenue sharing pertains to distributing revenues among different entities. Incremental budgeting involves making small adjustments to the previous budget without a thorough review like in controlling. Thus, the comparison of actual vs. projected results aligns with the controlling function of budgeting.

Correct Answer: C

Rationale: Transformational believes in teamwork not decisions, rewards, or command. Nurse leaders like shared vision use this, contrasting with transactions. In healthcare, it's uplifting, aligning leadership with unity.

Correct Answer: D

Rationale: Staff preferences rank lowest in care objectives patient needs, via plans, holistic views, and standards, take precedence. In Stephanie's hospital, a nurse's shift preference bows to a patient's urgent need, ensuring care aligns with evidence, not whim. Her leadership reinforces this patient-first ethos, critical in a tertiary setting where standards drive quality, guiding new nurses to prioritize clinical over personal considerations for optimal outcomes.

Correct Answer: C

Rationale: The correct answer is C: Hip replacement surgery. Nursing critical pathways are designed for standardized, evidence-based care plans for specific medical conditions or procedures. Hip replacement surgery is a well-defined process with clear guidelines for pre-op, intra-op, and post-op care, making it suitable for a critical pathway. Foreign object in the ear (A) requires immediate intervention but doesn't involve a complex care pathway. Fever of unknown origin (B) requires extensive diagnostic workup, making it less suitable for a standardized pathway. Bacterial infection acquired in a foreign country (D) may have variable presentations and treatment, not fitting a standardized pathway.

Correct Answer: C

Rationale: The HIMSS EMR Adoption Model outlines stages of technology integration. Stage 3 involves clinical decision support and picture archiving systems (PACS) for radiology images, accessible across settings like a rural-urban consortium. This stage supports electronic conferencing with specialists using intranet radiology images, as described, indicating advanced connectivity and data sharing beyond basic records. Stage 0 lacks automation, Stage 1 has minimal systems (e.g., lab results), and Stage 6 includes full physician documentation and bar-coding, exceeding the scenario's scope. Stage 3 fits, as it emphasizes imaging and decision support, key to this teleconsultation setup, enhancing rural care through specialist access.

Correct Answer: B

Rationale: Unity of direction aligns Joey's team toward one goal, unlike span (supervision scope), command (one boss), or responsibility (accountability). In his unit, this unites nurses on a patient satisfaction target, streamlining efforts. Leadership here fosters collective focus e.g., improving response times vital in a busy hospital where fragmented aims dilute impact, ensuring Joey's vision translates into cohesive action for better care outcomes.

Correct Answer: D

Rationale: Thinking alone doesn't manage stress, unlike lists, programs, or priorities. Nurse leaders like task plans act, contrasting with rumination. In healthcare, proactive steps reduce stress, aligning leadership with control.