Safe and
Effective Care Environment
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Subcategories: |
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Management of Care
Safety and Infection Control |
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Management of Care
The concept of management of care accounts for 13-19 percent of
the questions on the NCLEX-RN® exam. The nursing actions included
in this subcategory are:
| Advanced directives |
Advocacy |
| Case management |
Client rights |
| Concepts of management |
Confidentiality |
| Consultation |
Continuity of care |
| Quality improvement |
Delegation |
| Establishing priorities |
Ethical practice |
| Incident reports |
Informed consent |
| Legal responsibilities |
Organ donation |
| Referrals |
Resource management |
| Supervision |
Typical Question
The following is an example of a typical management of care
question:
After receiving report from the night nurse, which of the
following patients should the nurse see first?
(1) A 31-year old woman refusing Carafate before
breakfast.
(2) A 40-year old man with left-side weakness asking for
assistance to the commode.
(3) A 52-year old woman complaining of chills who is scheduled
for a cholecystectomy.
(4) A 65-year old man with a nasogastric tube who had a bowel
resection yesterday.
The correct answer is (3). This is the least stable
patient.
Safety and Infection
Control
The concept of safety and infection control accounts for 8-14
percent of the questions on the exam. The nursing actions
included in this subcategory are:
| Accident prevention |
Disaster planning |
| Error prevention |
Hazardous materials |
| Medical and surgical asepsis |
Standard precautions |
| Use of restraints |
Typical Question
The following is an example of a typical safety and infection
control question:
The physician orders tobramycin sulfate (Nebcin) 3mg/kg IV
every 8 hours for a 3-year old boy. The nurse enters the
patient's room to administer the medication and discovers that
the boy does not have an identification bracelet. What should the
nurse do?
(1) Ask the parents at the child's bedside to state their
child's name.
(2) Ask the child to say his first and last name.
(3) Have a co-worker identify the child before giving the
medication.
(4) Hold the medication until an identification bracelet can be
obtained.
The correct answer is (1). This action will allow the nurse to
correctly identify the child and enable the nurse to give the
medication on time.
Other Client Needs:
