Management of Care Flashcards
6 cards from real NACE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Management of Care flashcards as text
A registered nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate to delegate?
Answer: Measuring and recording vital signs on a stable patient
Measuring vital signs on a stable patient is within the UAP's scope of practice. Assessment, teaching, and evaluation are nursing responsibilities that cannot be delegated.
During a disaster, which triage category receives treatment first?
Answer: Red tag: immediate, life-threatening conditions
Red-tagged patients have life-threatening but treatable conditions and receive the highest priority for treatment in disaster triage.
A nurse receives shift report on four patients. Which patient should the nurse assess first?
Answer: A patient with COPD whose oxygen saturation dropped from 92% to 84%
The COPD patient with rapidly declining oxygen saturation represents the most acute change in condition requiring immediate assessment using the ABCs of prioritization.
Which communication technique is recommended for nurse-to-nurse handoff reports?
Answer: SBAR format
SBAR (Situation, Background, Assessment, Recommendation) is the standardized communication framework recommended by The Joint Commission for handoff reports.
A nurse discovers that a patient's advance directive conflicts with the family's wishes regarding end-of-life care. What is the nurse's primary role?
Answer: Advocate for the patient's documented wishes in the advance directive
The nurse's primary role as patient advocate is to ensure the patient's documented wishes in a valid advance directive are honored, even when family disagrees.
What is the purpose of a root cause analysis (RCA) following a sentinel event?
Answer: To identify system-level factors that contributed to the event and prevent recurrence
Root cause analysis is a systematic process to identify underlying system factors that contributed to an adverse event, aiming to implement changes that prevent recurrence.