A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of competency. Which areas should the manager assess to determine if the nursing staff demonstrate competency according to the Institute of Medicine (IOM)

report Health Professions Education: A Bridge to Quality? (Select all that apply.)
a.
Collaborating with an interdisciplinary team
b.
Implementing evidence-based care
c.
Providing family-focused care
d.
Routinely using informatics in practice
e.
Using quality improvement in client care


ANS: A, B, D, E
The IOM report lists five broad core competencies that all health care providers should practice. These include collaborating with the interdisciplinary team, implementing evidence-based practice, providing client-focused care, using informatics in client care, and using quality improvement in client care.

Nursing

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The nurse is providing care for a patient whose inflammatory bowel disease has necessitated hospital treatment. Which of the following would most likely be included in the patient's medication regimen?

A) Anticholinergic medications 30 minutes before a meal B) Antiemetics on a PRN basis C) Vitamin B12 injections to prevent pernicious anemia D) Beta adrenergic blockers to reduce bowel motility

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Prior to an MRI, the patient asks why there is so much concern about metal objects and the MRI machine. The nurse's best explanation is that the MRI machine will (select all that ap-ply):

1. cause metal objects to spark, like in a microwave. 2. deactivate the battery in a pacemaker. 3. cause metal to heat up and burn the patient. 4. not transmit clear data if metal is present. 5. attract any metal into the MRI chamber.

Nursing

A patient with 3+ peripheral edema, V/S = P–112, BP–162/100, R–32, T–98.9 and a low GFR is receiving hydrochlorothiazide (HydroDIURIL). The most effective nursing action would be to

a. administer hydrochlorothiazide as ordered. b. request furosemide (Lasix). c. request spironolactone (Aldactone). d. hydrate the patient to improve the GFR.

Nursing

Which of the following interventions would the nurse implement in the teaching plan to address the client with feelings of abandonment?

A) Assist the client to suppress feelings of abandonment. B) Assist the client to verbalize feelings of abandonment in an appropriate manner. C) Assist the client to express deep rage at the ending of a relationship. D) Encourage the client to never get involved in a relationship again.

Nursing