Exam 39: Managing Care

The nurse delegates vital signs and daily weights of assigned clients to the unlicensed assistive personnel (UAP)on duty.Which is the reason for the nurse to assess each client throughout the shift?

An older adult client tells the nurse,"I am worried about how I will pay for my hospital bill." The client is being discharged,is being referred to home healthcare,and the new plan of care involves extremely expensive drugs.Which response by the nurse is appropriate?

The nurse manager is interested in initiating self-scheduling on the medical-surgical unit.Which are stages of the planning process for the initiative that the nurse manager will use? Select all that apply.

A client recovering from an emergency appendectomy is a citizen of a foreign country.The client asks the nurse to explain why the United States has chosen such a different healthcare reimbursement system from other Western countries.Which American value could the nurse mention to explain the system in this country?

A nurse is completing discharge teaching for a client who is hospitalized for total hip replacement.The client asks the nurse why there is a case manager involved and expresses confusion about who is in charge.The client states,"I thought my doctor manages my care." Which is the best response by the nurse?

The nurse is caring for an adult client from Canada who has come to the United States for a serious neurologic surgery.The client tells the nurse,"I came to this country so that I would receive the care I need." Which is the most likely rationale for the client's statement?

What nursing concept is essential to ensure continuity of client care when a nurse is managing the care of a client?

A nurse is applying for a job as a case manager for a managed care insurance organization.Which responsibility is associated with this role?

A nurse-supervisor is encouraging nurses to delegate responsibilities whenever possible.Which criteria are used to determine tasks that can be delegated? Select all that apply.

The nurse is helping with discharge planning for a client who needs extensive rehabilitation and is on a complicated medication schedule.The client and spouse currently live with their eldest son,and the family is very involved in the client's care.The nurse would want to coordinate the client's daily care by including which priority individuals? Select all that apply.

A nurse working in an outpatient OB-GYN clinic is asked to assume the case management for the clinic's adolescent clients.Which skills will the nurse need to perform this work?

The nurse is caring for a preschool-age client who suffered brain damage following a car accident.The client has a tracheostomy,is ventilator-dependent,and will be discharged from the hospital into the family's care.The family wants to care for the child at home but does not have the resources for 24-hour care.Which action by the care manager is appropriate?

The nurse is managing the care of an older adult client who is near the end of life but still has treatment options available.The treatment options could potentially be painful and expensive,and they would only extend the client's life approximately 2 months.What important topic should the nurse include during initial discussions with the client and family?

The nurse delegated to an unlicensed assistive personnel (UAP)the task of assisting a client with a simple dressing change.The client was formerly able to do the procedure,but because of painful arthritis is now unable to perform the redressing.The UAP has done this procedure before.Which must the nurse emphasize to the UAP?

The nurse is working on a unit with unlicensed assistive personnel (UAP).One nurse refuses to use the UAP and is consistently leaving nursing tasks for the next shift that have yet to be completed.Which is the most likely reason the nurse is not using the UAP to assist with client care?

The nurse is caring for several medical-surgical clients.The nurse has delegated skin care of an incontinent client to new unlicensed assistive personnel (UAP)on the unit.Which action by the nurse will improve effectiveness of the client care provided?

The movement from a retrospective payment system to a prospective payment system using a diagnosis-related group may have what unintentional consequence for hospitals trying to contain their costs?

A postoperative client is transferred to the medical-surgical unit from the intensive care unit (ICU).The client asks the assigned nurse why unlicensed assistive personnel (UAP)help with range-of-motion exercises.Which is the best response by the nurse?

The nursing supervisor is asked to help manage the switch from paper to electronic records.Which standard managerial steps will the nursing supervisor take to initiate this process? Select all that apply.

What action will allow facilities to better track the cost effectiveness of various nursing actions and allocate nursing resources most efficiently?