Chapter 12 Managing Patient Care

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Chapter 12  Managing Patient Care

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. Brenda is a new nurse who is applying for a job as a registered nurse. One of the hospitals where she is interested in working has a Nursing Practice Council, which comprises nurses who write the nursing policies and procedures for the organization. The Nursing Practice Council is an example of which of the following?
A.
Nursing autonomy
B.
Nursing theory
C.
Nursing code of ethics
D.
Nursing service

ANS: A
Autonomy means that a person is reasonably independent and self-governing in decision-making and practice. Autonomy is reached through experience, advanced education, and the support of an organization that values the independent role of the nurse.

PTS: 1 DIF: Cognitive Level: Application REF: 211
OBJ: Describe the elements of decentralized decision making
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

2. A registered nurse has been practicing as an operating room nurse for the past 6 years. She is a member of the Association of Perioperative Registered Nurses (AORN) and attends the national conference annually to keep abreast of the latest research in that field of nursing. This is an example of maintaining which of the following American Nurses Association Standards of Performance?
A.
Quality of practice
B.
Collegiality
C.
Practice evaluation
D.
Education

ANS: D
The definition of education by the ANA Code of Ethics is that the registered nurse attains knowledge and competency that reflects current nursing practice.

PTS: 1 DIF: Cognitive Level: Analysis REF: 212
OBJ: Describe the purpose of professional standards of nursing practice
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

3. A nurse manager in an outpatient oncology center is responsible for the management of 23 registered nurses, four clerical associates, and three nurse practitioners who work at the center. He requires all staff to review the performance of their peers on an annual basis. This is an example of which of the American Nurses Association Standards of Practice?
A.
Quality of practice
B.
Collegiality
C.
Practice evaluation
D.
Education

ANS: B
The definition of collegiality by the ANA Code of Ethics is that registered nurses interact with and contribute to the professional development of peers and colleagues.

PTS: 1 DIF: Cognitive Level: Analysis REF: 212
OBJ: Discuss the ways in which a nurse manager supports staff involvement in a decentralized decision-making model TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

4. Gwen is a registered nurse who works on a busy orthopedic unit. She is responsible for caring for six patients on her day shift with the help of Mike, a nursing assistive personnel (NAP). Gwen begins her shift by discussing patients with Mike and delegating appropriate tasks that are in Mike’s job description. This is an example of which of the following American Nurses Association Standards of Practice?
A.
Research
B.
Resource utilization
C.
Quality of Practice
D.
Education

ANS: B
The definition of resource utilization by the ANA Standards of Practice is that the registered nurse considers factors related to safety, effectiveness, cost, and impact on practice in the planning and delivery of nursing services.

PTS: 1 DIF: Cognitive Level: Analysis REF: 213
OBJ: Discuss principles to follow in the appropriate delegation of patient care activities
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

5. A registered nurse who works in postanesthesia care is caring for a 54-year-old patient who has just had an appendectomy. The patient has arrived in the postanesthesia care unit with a heart rate of 88, respiratory rate of 14, and blood pressure of 134/78. The nurse notes that the patient’s mucus membranes are dusky, and she retakes the vital signs. This is an example of which of the following American Nurses Association Standards of Practice?
A.
Assessment
B.
Nursing diagnosis
C.
Outcomes identification
D.
Implementation

ANS: A
The definition of assessment by the ANA Standards of Practice is that the registered nurse collects comprehensive data pertinent to the patient’s health or situation.

PTS: 1 DIF: Cognitive Level: Analysis REF: 214
OBJ: Describe the purpose of professional standards of nursing practice
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

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