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 nurse is caring for a patient who speaks limited English. The patient's bilingual child offers to interpret. What is the most appropriate response?
Answer: Decline and arrange for a certified medical interpreter
Using family members, especially children, as interpreters can compromise accuracy and violate the patient's privacy. A certified medical interpreter is required.
Which situation requires the nurse to initiate the chain of command?
Answer: A physician orders a medication that the nurse knows is contraindicated for the patient
When a nurse believes a physician's order is unsafe or contraindicated and the physician does not agree to change it, the nurse must escalate through the chain of command.
A nurse observes that a fellow nurse consistently fails to perform hand hygiene between patients. What is the most appropriate initial action?
Answer: Discuss the observation privately with the colleague
Addressing the concern directly and privately with the colleague is the appropriate first step in peer accountability.
In the event of a fire on a nursing unit, what is the correct sequence of actions?
Answer: Rescue, Alarm, Contain, Extinguish (RACE)
The RACE acronym guides fire response: Rescue anyone in immediate danger, Activate the alarm, Contain the fire by closing doors, and Extinguish if safe to do so.
A charge nurse is making patient assignments. A new graduate nurse is on the unit. Which patient assignment is most appropriate for the new graduate?
Answer: A stable post-operative patient on day 2 who is preparing for discharge
A stable post-operative patient preparing for discharge has predictable care needs appropriate for a new graduate nurse's developing clinical skills.
Which quality improvement model uses the cycle of Plan, Do, Study, Act?
Answer: PDSA cycle
The PDSA (Plan-Do-Study-Act) cycle is a quality improvement model that tests changes on a small scale before implementing them broadly.