Solutions - Chapter 28 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. The nurse asks an unlicensed assistant (UAP) to weigh a client. The UAP carefully assists the client out of bed to stand on the scale, weighs the client, and safely returns the client to bed. Later, when the UAP reports the weight to the nurse, it is discovered that the client had been placed on bed rest and should not have been allowed out of bed. This situation violates which of the following five rights of delegation?
1.  Right task
2.  Right person
3.  Right direction and communication
4.  Right supervision and evaluation
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1CTC. You have just interviewed for two nursing positions and are trying to decide which job to pursue. During your first interview for a team member position, the nurse manager, Mr. Caruso, was cheerful, spoke highly of his current staff and complimented them for their ability to set goals and participate in decision making, listened to your ideas, and explored ways in which you could contribute to this team’s effectiveness. The second nurse manager, Mrs. Turner, was also cheerful and talkative. She provided you with a job description as a primary nurse caregiver, explained her expectations of you as a new employee, and spoke of new programs she was attempting to implement. Both nurse managers talked about changes taking place in their facilities and the need for employees to remain flexible.
Based on the brief data provided, speculate about the leadership style of each of these nurse managers.
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1TYK. The nurse leader informs the staff of a local emergency and instructs them to stay at the hospital to prepare for major casualties. The staff displays high levels of anxiety and disorganization. Which is the most appropriate leadership style at this time?
1.  Autocratic
2.  Democratic
3.  Laissez-faire
4.  Bureaucratic
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2TYK. During client rounds, a client tells the nurse manager that he has not received his medications all shift. In using the skills and competencies of a manager, what will be the nurse’s first action?
1.  Communicate: Discuss the client’s statement with the assigned nurse.
2.  Manage resources: Assign another nurse to administer the client's medications.
3.  Enhance employee performance: Provide the client’s nurse with a mentor to review proper medication procedures.
4.  Manage conflict: Call the nurse into the client’s room and mediate a discussion between them.
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3TYK. Which example reflects a nurse manager with accountability but not authority?
1. To reduce costs, administrators instruct the manager to inform the staff to reduce overtime.
2.  The manager evaluates the unit staff but cannot promote or terminate staff.
3.  The manager is to recommend a new staffing procedure to the institution’s nurse manager group.
4.  The manager prepares a monthly budget variance report that includes plans to correct overspending.
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4CTC. You have just interviewed for two nursing positions and are trying to decide which job to pursue. During your first interview for a team member position, the nurse manager, Mr. Caruso, was cheerful, spoke highly of his current staff and complimented them for their ability to set goals and participate in decision making, listened to your ideas, and explored ways in which you could contribute to this team’s effectiveness. The second nurse manager, Mrs. Turner, was also cheerful and talkative. She provided you with a job description as a primary nurse caregiver, explained her expectations of you as a new employee, and spoke of new programs she was attempting to implement. Both nurse managers talked about changes taking place in their facilities and the need for employees to remain flexible.
How might the delegation of tasks to other nurses or UAPs be different in the two settings?
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4TYK. An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?
The unit had a new wheelchair.
2.  This was an older client.
3.  It was the client’s first time out of bed after surgery.
4.  The UAP has just returned from an extended leave of absence.
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6TYK. An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?
The unit had a new wheelchair.
2.  This was an older client.
3.  It was the client’s first time out of bed after surgery.
4.  The UAP has just returned from an extended leave of absence.
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8TYK. An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?
The unit had a new wheelchair.
2.  This was an older client.
3.  It was the client’s first time out of bed after surgery.
4.  The UAP has just returned from an extended leave of absence.
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9TYK. A management function of bedside direct-care nurses includes determining whether the client has reached the intended outcomes designated in the care plan. This is an example of which of the four management functions?
1.  Planning
2.  Organizing
3.  Directing
4.  Coordinating
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Solutions - Chapter U10 - Kozier Erb's Fundamentals Nursing - 10 Ed

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