A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)

Ensure goals of the facility are being met.

Make decisions on the unit.

Delegate tasks to assistive personnel.

Reward and discipline staff as necessary.

Monitor overall functions of the unit.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A Reason:
Ensuring goals of the facility are being met is correct. Nurse managers are responsible for ensuring that the unit's activities align with the overall goals and objectives of the healthcare facility.
Choice B Reason:
Making decisions on the unit is not necessarily exclusive to the nurse manager role. While nurse managers do have authority to make decisions on the unit, decision-making may also involve collaboration with other members of the healthcare team and may not be solely the responsibility of the nurse manager. Therefore, it's not a specific responsibility that should be included in this context.
Choice C Reason:
Delegating tasks to assistive personnel is correct. Nurse managers delegate tasks to assistive personnel based on their scope of practice and the needs of the unit, ensuring efficient and effective care delivery.
Choice D Reason:
Rewarding and discipline staff as necessary is correct. Nurse managers are responsible for recognizing and rewarding staff for their contributions, as well as addressing performance issues through appropriate disciplinary measures when necessary to maintain a productive work environment.
Choice E Reason:
Monitoring overall functions of the unit is correct. Nurse managers oversee the day-to-day operations of the unit, including staffing, patient care delivery, adherence to policies and procedures, and quality improvement initiatives. They are responsible for ensuring that the unit functions smoothly and efficiently to provide safe and high-quality care to patients.

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Correct Answer is A

Explanation

Choice A Reason:
Clients on airborne precautions (e.g., for tuberculosis, varicella, or measles) should wear a mask if they need to leave their room to prevent the spread of airborne pathogens to others. This helps to contain infectious particles and protect others from exposure.

Choice B Reason:
A client with compromised immunity should be placed in a positive-pressure airflow room, not a negative-pressure room. Positive-pressure rooms help prevent outside contaminants from entering the room, thereby protecting the immunocompromised client. Negative-pressure rooms are used for clients with airborne infectious diseases to prevent the spread of pathogens to other areas.

Choice C Reason:
Contact precautions typically involve wearing gloves and a gown to prevent the spread of infectious agents through direct contact. Masks are not generally required for visitors unless the client is also on droplet or airborne precautions. Therefore, this statement reflects a misunderstanding of the specific requirements for contact precautions.

Choice D Reason:
An N95 respirator mask is required for airborne precautions, not droplet precautions. For droplet precautions (e.g., for influenza, pertussis), a standard surgical mask is sufficient to protect against respiratory droplets.

A. Whether the facility ethics committee reaches a consensus on the case B. Whether the client's refusal is based on religious belief C. Whether the client understands the risk of refusing the procedure D. Whether the partner is the client's durable power of attorney for health care

Correct Answer is D

Explanation

Choice A Reason:
Whether the facility ethics committee reaches a consensus on the case is incorrect. While an ethics committee may provide guidance and recommendations, its decision alone typically does not determine whether a surgery will be performed. Ethics committees are advisory bodies and their decisions may not necessarily override the wishes of the patient or their legal representative.
Choice B Reason:
Whether the client's refusal is based on religious belief is incorrect. Religious beliefs may influence a patient's decision-making process, but they do not automatically determine whether a surgery will be performed. Healthcare decisions are generally based on medical factors, patient autonomy, and legal considerations rather than solely on religious beliefs.
Choice C Reason:
Whether the client understands the risk of refusing the procedure is incorrect. Patient autonomy and informed consent are essential principles in medical ethics. Understanding the risks and benefits of a medical procedure is important for informed decision-making. However, even if the client understands the risks of refusing the procedure, they still have the right to refuse treatment based on their personal preferences and values.
Choice D Reason:
Whether the partner is the client's durable power of attorney for health care is correct. A durable power of attorney for healthcare, also known as a healthcare proxy or surrogate decision-maker, is legally authorized to make medical decisions on behalf of the patient if the patient is unable to do so themselves. If the partner is designated as the client's durable power of attorney for healthcare, they have the legal authority to make decisions regarding the surgery, even if the client refuses. This is because the surrogate decision-maker is tasked with acting in the best interests of the patient when the patient cannot make decisions for themselves.

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A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

Correct Answer is A

Explanation

A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?

Correct Answer is D

Explanation

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A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?

A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation?

A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?

A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (Select all that apply.)

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