MAAUAR method of priority setting

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The 2nd priority needs according to the MAAUAR method of priority setting include which of the following?
  • Assessment
  • Movement
  • Understanding level
  • Risks
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Select the standardized “hand off” change of shift reporting system that is accurately paired with its elements.
  • SBAR: Symptoms, background, assessment and recommendations
  • ISBAR: Interventions, symptoms, background, assessment and recommendations
  • The Five Ps: The patient, plan, purpose, problems and precautions
  • BATON: Background, assessment, timing, ownership and next plans

The Joint Commission on the Accreditation of Healthcare Organizations

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The Joint Commission on the Accreditation of Healthcare Organizations mandates standardized “hand of” change of shift reporting. Which of the following is a standardized “hand off” change of shift reporting system that you may want to consider for implementation on your nursing care unit?
  • The Four P’s
  • UBAR
  • ISBAR
  • MAUMAR

multidisciplinary case conferences

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What is the primary goal of multidisciplinary case conferences?
  • To fulfill the nurse’s role in terms of collaboration
  • To plan and provide for optimal client outcomes
  • To solve complex multidisciplinary patient care problems
  • To provide educational experiences for experienced nurses

The Patient Self Determination Act

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Select the law that is accurately paired with its description in terms of client rights.

legal consent

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Which type of legal consent is indirectly given by the client by the very nature of their voluntary acute care hospitalization?
  • An opt out consent
  • An implicit consent
  • An explicit consent
  • No consent at all is given

nurse case management model

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Select the nurse case management model used for patient care delivery that is accurately paired with one of its descriptors:
  • The ProACT Model: Registered nurses perform the role of the primary nurse in addition to the related coding and billing functions
  • The Collaborative Practice Model: The registered nurse performs the role of the primary nurse in addition to the role of the clinical case manager with administrative, supervisory and fiscal responsibilities
  • The Case Manager Model: The management and coordination of care for clients throughout a facility who share the same DRG or medical diagnosis
  • The Triad Model of Case Management: The joint collaboration of the social worker, the nursing case manager, and the utilization review team

appropriate member of the nursing care team

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Which of the following patient care tasks is coupled with the appropriate member of the nursing care team in terms of their legal scope of practice?
  • An unlicensed staff member who has been “certified” by the employing agency to monitor telemetry: Monitoring cardiac telemetry
  • An unlicensed assistive staff member like a nursing assistant who has been “certified” by the employing agency to insert a urinary catheter: Inserting a urinary catheter
  • A licensed practical nurse: The circulating nurse in the perioperative area
  • A licensed practical nurse: The first assistant in the perioperative area

five Rights of Supervision

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Which of the following are the five Rights of Supervision?
  • The right task, the right circumstances, the right person, the right competency, and the right supervision or feedback
  • The right task, the right circumstances, the right person, the right direction or communication, and the right supervision or feedback
  • The right competency, the right education and training, the right scope of practice, the right environment and the right client condition
  • The right competency, the right person, the right scope of practice, the right environment and the right client condition

cardiopulmonary resuscitation

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Your client is in the special care area of your hospital with multiple trauma and severe bodily burns. This 45 year old male client has an advance directive that states that the client wants all life saving measures including cardiopulmonary resuscitation and advance cardiac life support, including mechanical ventilation. As you are caring for the client, the client has a complete cardiac and respiratory arrest. This client has little of no chance for survival and they are facing imminent death according to your professional judgement, knowledge of pathophysiology and your critical thinking. You believe that all life saving measures for this client would be futile. What is the first thing that you, as the nurse, should do?
  • Call the doctor and advise them that the client’s physical status has significantly changed and that they have just had a cardiopulmonary arrest.
  • Begin cardiopulmonary resuscitation other emergency life saving measures.
  • Notify the family of the client’s condition and ask them what they should be done for the client.
  • Insure that the client is without any distressing signs and symptoms at the end of life.