15 terms

Nursing Leadership & Management

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What are the 5 rights of delegation?
-Right Task: within delegatee's scope of practice
-Right Circumstance: relatively stable client, noncomplex task
-Right Person: delegatee must have appropriate knlg/skills/abilities
-Right Direction: provide clear instructions and specific things to report back/record
-Right Communication: delegatee should verbalize understanding and have opportunity to ask questions
Which of the following tasks would most appropriately be delegated to an LPN or AP?
1) ADLs
2) tracheostomy care
3) suctioning
4) inserting urinary catheter
5) checking NG tube patency
6) medication administration
7) sterile specimen collection
8) vital signs (on stable pts)
9) reinforcing client teaching
1) AP
2) LPN
3) LPN
4) LPN
5) LPN
6) LPN
7) LPN
8) AP
9) LPN
When can an LPN administer IVPB medications? Can an LPN administer IV push medication?
If medication is premixed, does not require titration, and it is not the first dose of the medication. No IV push medications
What is the nurse's role in obtaining informed consent?
Witness client's signature and ensure provider has given necessary information. Verify that client understood information and is competent to sign
What is a living will?
Legal document that instructs health care providers and family members about what, if any, life-sustaining tx an individual wants if the individual is unable to make decisions
What does durable power of attorney designate?
Designates another person to make health care decisions fro the patient when the patient becomes unable to make decisions independently
True or False: incident reports are placed in the patient chart
False
When is a nurse a mandatory reporter when it comes to abuse? When it comes to matters of public health?
The nurse is mandated to report abuse of vulnerable populations (children, older adults). Suspicion of abuse must be reported based on facility policy.

The nurse is mandated to report incidences of certain communicable diseases determined by the CDC
What is the difference between malpractice and negligence?
Malpractice: failure of person with professional training to act in a reasonable/prudent manner within their scope of practice and within guidelines identified by state regulating agencies

Negligence: omission to do something that a reasonable person would do or doing something that a reasonable person would not do
Who may give informed consent? Name 6 different classes of people.
- competent adult
- legal guardian
- durable power of attorney (DPOA) designee or health care proxy
- an empancipated or married minor
- parent of a minor
- spouse or closest available relative
What should a nurse do about an impaired co-worker?
Report observations and concerns to the nursing supervisor. Do not intervene or try to handle the situation directly.
What are 8 circumstances requiring incident reports?
1. medication errors
2. procedure/treatment errors
3. equipment-related injuries/errors
4. needle-stick injuries
5. client falls/injuries
6. visitor/volunteer injuries
7. threat made to client or staff
8. loss of property (e.g., dentures, jewelry, personal assistive devices/wheelchairs)
What are the 3 classes of fire extinguishers?
Class A paper, wood, upholstery, rags & trash fires
Class B flammable liquids & gas fires
Class C electrical fires
What are quasi-intentional torts? Give 2 examples.
- acts where intent is lacking but volitional action and direct causation occur
- invasion of privacy, defamation of character (slander/libel)
What are the 3 types of intentional torts?
1. assault
2. battery
3. false imprisonment