Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation Flashcards
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Read the first 7 Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation flashcards as text
A nurse manager notices that a UAP frequently skips reporting changes in patient condition. Which is the MOST appropriate initial action?
Answer: Privately counsel the UAP on reporting expectations and document the conversation
The initial response should be direct, private counseling to clarify expectations and correct the behavior, with documentation for accountability.
Which situation represents a violation of the five rights of delegation?
Answer: Directing a UAP to perform a focused neurological assessment on a new stroke patient
A neurological assessment requires clinical judgment and is outside the UAP's scope of practice, violating the 'right task' component of delegation.
A nurse is preparing to discharge a patient. Which member of the healthcare team is MOST appropriate to involve for concerns about the patient's ability to afford medications?
Answer: Social worker or case manager
Social workers and case managers specialize in connecting patients with financial assistance programs and community resources for medication affordability.
A PN receives a verbal telephone order from a physician for a medication. What is the correct process for handling this order?
Answer: Write down the order, read it back to the physician for verification, and document it per facility policy
The read-back process for verbal orders is a Joint Commission-required safety practice to verify accuracy before implementation.
Which action by the PN BEST demonstrates effective coordination of care during a patient's hospitalization?
Answer: Communicating relevant patient updates to all members of the care team at each shift change
Consistent and thorough communication across all disciplines at each transition ensures continuity and prevents errors in coordinated care.
A nurse is preparing to delegate morning care tasks. The UAP states, 'I don't know how to do that.' What is the correct nursing action?
Answer: Assess the UAP's knowledge gap and provide education or choose not to delegate that task
The delegating nurse must verify competency; if the UAP lacks the skill, the nurse must either provide education or retain the task rather than risk patient safety.
A nurse discovers that a patient's advance directive specifies no resuscitation, but the physician has entered a full-code order. What is the nurse's BEST action?
Answer: Notify the physician of the discrepancy and escalate to the charge nurse or supervisor if unresolved
A conflict between an advance directive and a physician order requires immediate clarification through the chain of command to protect the patient's legal rights.