HESI PN LEADERSHIP MANAGEMENT PROCTORED EXAM

HESI PN LEADERSHIP MANAGEMENT PROCTORED EXAM

VERSION 6

Management of Care (47 items) Advance Directives/Self-Determination/Life Planning (2 items) Professional Responsibilities: Integrating Advance Directives Into Plan of Care (RM Leadership 7.0 Chp. 3, RN QSEN - Patient-centered Care, Active Learning Template - Basic Concept)  Document within the medical record that the client has an advance directive in place

Advocacy (4 items) Cultural and Spiritual Nursing Care: Using an Interpreter (RN QSEN - Teamwork and Collaboration, Active Learning Template - Basic Concept)  Observe the client’s nonverbal expression

Assignment, Delegation and Supervision (7 items)

Blood and Blood Product Transfusions: Evaluating a Newly Licensed Nurse

Administer Blood Products (RM AMS RN 10.0 Chp 40, Active Learning Template - Nursing Skill, RN QSEN - Safety)  Steps in order

• Initiate an IV site with an 18-gauge IV Catheter
• Infuse 0.9% sodium chloride solution
• Obtain the unit of packed RBCS for transfusion from the blood bank
• Verify the information on the blood bag with client’s medical record and

arm bracelet

• Finally insert the Y spike from the tubing into the blood bag

Managing Client Care: Time Management Strategies (RM Leadership 7.0 Chp. 1,

Active Learning Template - Basic Concept, RN QSEN - Teamwork and Collaboration)  Organize tasks around the priority needs of the clients  Create a list of all planned activities  Delegate tasks to assistive personnel

Case Management (4 items)

Pressure Ulcers, Wounds, and Wound Management: Planning Care for a Client Who

is at Risk for Pressure Ulcer (Active Learning Template - System Disorder, RM FUND 9.0 Ch 55) 1 / 2

 Apply moisturizing lotion to the client’s skin after bathing

Concepts of Management (6 items)

Coordinating Client Care: Overcoming Resistance to Change (RM Leadership 7.0

Chp. 2, RN QSEN - Teamwork and Collaboration, Active Learning Template - Basic Concept)  Formulate a sample staffing schedule covering 1 month

Confidentiality/Information Security (2 items)

Professional Responsibilities: Nursing Actions for a Breach of Confidentiality (Active Learning Template - Basic Concept, RN QSEN - Informatics, RM Leadership 7.0 Chp.3)  Plan an in-service program for the nurses about HIPAA privacy rules  Inform the nurse manger about the confidentiality breach  Ask the nurse to stop discussing the client’s protected health information

Professional Responsibilities: Protecting Client Confidentiality (Active Learning Template - Basic Concept, RN QSEN - Patient-centered Care, RM Leadership 7.0 Chp.3)  Nurse should obtain permission from the client’s partner to release health condition “Let the client know that he will be updated ASAP”

Ethical Practice (2 items)

Professional Responsibilities: Demonstrating Fidelity (RM Leadership 7.0 Chp. 3, RN QSEN - Teamwork and Collaboration, Active Learning Template - Basic Concept)  Decline nurses to work when ill; must stay at home

Informed Consent (2 items)

Professional Responsibilities: Informed Consent for a Minor (RN QSEN - Teamwork

and Collaboration, Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 3)  Inform the provider to ask the grandfather to provide consent

Information Technology (2 items)

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