Which component of the multidisciplinary health care team has been shown, in multiple studies, to decrease clients’ length of stay in health care facilities, decrease the cost of health care to the client, and improve continuity of care?

The nurse establishes a nurse–client relationship and a duty to the client upon accepting the client care assignment. What is the correct definition of “breach of duty?”

When a nurse accepts a client assignment, the nurse also accepts a legal duty to provide care to the client that is consistent with the standard of care. A nurse who abandons a client assignment without first procuring comparable and appropriate care for the client during the period of the nurse’s absence is guilty of (choose the best answer):

What is the definition of informed consent? Choose the best answer.

The ethical principles most commonly associated with health care and client care decisions are autonomy, beneficence, nonmaleficence, veracity, fidelity, and justice. Informed consent for invasive procedures involves which of these ethical principles?

In the health care setting, the ethical principle of “justice” refers to which aspect of client care?

A nurse is charting at the nurses’ station when a client uses the call light to ask for assistance to the bathroom. As the nurse answers the call light, a second client uses the call system to say, “I think I need some help! My IV site is bleeding a lot!” What criteria should the nurse use to prioritize these two client calls for assistance?

A nurse colleague that you work with always appears to be busy and overwhelmed. The nurse leaves late after almost every shift. When you offer assistance, the nurse’s reply is invariably, “No, I’m all right. I prefer to do it myself but thank you for asking.” This nurse is demonstrating difficulty with what important aspect of multidisciplinary client care?

Delegation of responsibility for selected client care tasks is performed by nurses and members of the multidisciplinary health care team to manage time effectively and promote quality client care. What is the correct definition of delegation, as defined by the American Nurses Association (ANA)?

A nurse calls the hospital’s lift team to assist with transferring an overweight client from the bed to a chair for the first time after hip surgery. Prior to the transfer, the nurse reports the client’s recent surgical procedure, surgical site, and any difficulties that the lift team might expect to encounter while assisting the client out of bed to the chair. The nurse then stays in the client’s room and supervises the procedure until the client transfer is complete and the client has the nurse call system within reach. What steps of the nursing process did the nurse use to appropriately delegate the client care in this example?

The nurse asks a nursing assistant to administer a preoperative bath to a client using special soap designed to decrease the bacteria count on the client’s skin. The nursing assistant has no experience with this type of preoperative bath and asks the nurse for instructions. The nurse replies, “Just read the directions on the soap bottle. You will figure it out.” Which “right” of delegation did the nurse fail to perform while delegating the preoperative bath to the nursing assistant?

The nurse must use critical thinking skills and good judgment to appropriately delegate responsibility for portions of client care to other members of the health care team. What are the “five rights” of client care delegation?

Delegation of responsibility between members of the multidisciplinary health care team is essential to provide quality and timely client care. Which statement best describes delegation?

Resource management is the concept of:

A nurse notices soiled linen in the trash receptacle instead of in the soiled linen receptacle in a client’s room. The nurse first puts on gloves and then carefully separates the soiled linen from the trash and places it in the soiled linen receptacle to be cleaned by the facility’s laundry. This action by the nurse is an example of which principle of client care management?

A nurse is performing the admission assessment and documenting the health history information on a newly admitted client. The client reports an allergy to penicillin, but the nurse fails to record this allergy information in the medical record. What is the correct definition of this error of omission by the nurse?

The night shift nurse gives an informative endof-shift report to the day shift nurse assuming care of the assigned client group. The shift report is an example of which element of a safe client care environment?

Effective communication between members of the multidisciplinary health care team ensures which important aspect of a safe client care environment?

The nurse discovers a new stage II pressure ulcer on a client’s coccyx area during the bath. What is the most appropriate action for the nurse to take in order to initiate appropriate care for the client?

A new graduate nurse identifies an abnormal heart sound while performing a client assessment. The graduate nurse asks the charge nurse to listen to the client’s heart sounds. The charge nurse confirms that the client has a systolic heart murmur. This action by the graduate nurse is an example of:

During an initial morning assessment, a client appears to be hallucinating; complaining about “bugs on the wall” and “the dog that ran under the bed.” The nurse reorients the client to person, place, and time and the client demonstrates good recall of the information. After the client receives the morning medications, the hallucinations begin again. The nurse notifies the physician that the client’s hallucinations returned shortly after the medications were administered. The physician requests the nurse to call the clinical pharmacist to evaluate the client’s medication list for a possible medication source of the hallucinations. The actions of the nurse resulted in:

A thin, cachectic-appearing client with dry, tenting skin is admitted from a privately operated board-and-care facility with a diagnosis of urosepsis and altered level of consciousness. The client has skin breakdown and the diaper the client is wearing is soiled and soaked with urine. After photographing the client’s condition, bathing the client, and providing the appropriate care, the nurse calls to report the client’s condition at the time of admission. To which agencies should the nurse report the client’s condition? Select all that apply.

The neighbor of a nurse working in an urgent care clinic comes in for treatment. That evening after work, the nurse is out working in the yard when another neighbor walks by and says, “I heard that our neighbor went to the urgent care clinic today. Isn’t that where you work? Was everything alright?” What response by the nurse demonstrates compliance with the confidentiality of health information?

The violation of client confidentiality, as defined by HIPAA regulations, for the privacy and confidentiality of health information is a violation of:

A client is being discharged to a rehabilitation facility. The primary nurse caring for the client on the day of discharge carefully inventories the client’s belongings and checks the list against the admission list of belongings for accuracy. The nurse then makes a client report for the nurse assuming client care at the receiving rehabilitation facility and answers the receiving nurse’s questions before concluding the report. The nurse has demonstrated which element of a safe client care environment?

What must be obtained from the client or the client’s designated surrogate for heath care decisions prior to an invasive procedure?

A client is admitted with complaints of general fatigue and episodes of syncope. The client’s spouse states that the client snores loudly at night and often stops breathing for prolonged periods. The nurse assesses the sleeping client and documents heavy snoring with periods of apnea lasting up to 30 seconds. The nurse reports these assessment findings in multidisciplinary client care rounds and the physician requests a consultation with a specialist for evaluation of possible severe sleep apnea. The collaborative client care effort by the multidisciplinary team resulted in:

A client with a history of supraventricular tachycardia is admitted to the telemetry unit with complaints of dizziness and fainting spells. The client’s heart rate suddenly registers 220 beats/ minute on the telemetry monitor screen and the rhythm shows atrial tachycardia. The client is alert but complaining of shortness of breath and dizziness. The nurse asks the nursing assistant to repeat a set of vital signs while the nurse notifies the primary care physician. The primary care physician states that the client needs synchronized cardioversion and asks the nurse to contact the on-call cardiologist stat. This collaborative care by the nurse and primary care physician resulted in the client receiving the appropriate cardioversion from the on-call cardiologist in a timely manner. The actions by the nurse to procure appropriate care for the client were an example of:

A hemodialysis client presents to the dialysis clinic for a regularly scheduled dialysis session. The nurse assesses the client’s dialysis access graft before beginning the treatment. The graft site appears reddened and feels abnormally warm to the touch. The client reports a fever and aching joints for the past two days and a headache starting that morning. The client’s temperature is 101.5F. What is the most appropriate immediate action by the nurse to provide the correct treatment for the client?

HIPAA is federal legislation enacted in 1996 to protect the privacy of health information and assure broader access to health insurance. HIPAA is an acronym for: