정답이 있는 우선순위 설정과 위임 학습지

In US patient-safety terms (The Joint Commission), what is a sentinel event?

1. AAn unexpected event that causes death or serious harm
2. BA planned admission to intensive care
3. CA routine handover between shifts
4. DA minor error that was noticed but caused no harm at all

Which patient usually fits ESI level 5?

1. AAn adult in cardiac arrest
2. BA stable adult who only needs a repeat prescription
3. CAn adult with chest pain suggesting a heart attack
4. DA stable adult who needs blood tests and an X-ray of the chest

In nursing management, what is an “assignment”?

1. AHanding legal accountability for a patient over to a nursing colleague
2. BGiving staff care activities that are within their own role and scope
3. CAsking a colleague to do a task outside their usual scope
4. DA written order from a prescriber for a treatment

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Weigh him at any time today, on whichever scale is free.”
2. B“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
3. C“Weigh him after lunch, fully dressed, with his shoes on.”
4. D“Weigh him each morning before breakfast, on the same scale, and tell me the result.”

위임에서 책임(accountability)을 올바르게 이해한 진술은 무엇인가요?

1. A“업무를 위임하면 더 이상 내 일이 아니다.”
2. B“나는 위임하기로 한 결정과 결과의 후속 확인에 대해 계속 책임이 있다.”
3. C“간호조무사가 그 업무를 위임하는 것이 옳았는지에 대해 책임이 있다.”
4. D“업무가 잘못되면 조무사만 책임이 있다.”

간호사가 동시에 호출벨 네 개를 받았습니다. 간호사는 어느 환자에게 가장 먼저 가나요?

1. A의사가 몇 시에 오는지 묻는 환자
2. B“숨을 쉴 수가 없어요”라고 말하는 환자
3. C통증이 4/10이라며 진통제를 요청하는 환자
4. D유지 수액 백이 끝나 정맥 주입 펌프가 울리는 환자

Which assignment by the charge nurse should be changed?

1. AAn RN is assigned to a patient receiving a blood transfusion
2. BAn LPN/LVN is assigned to give oral medications to stable patients
3. CAn LPN/LVN is assigned to admit a new patient from the emergency department
4. DA nursing assistant is assigned to help several stable patients with their meals

Which nursing approach may raise intracranial pressure in a patient with a head injury?

1. ASpacing out care with rest periods in between activities
2. BKeeping the room calm and quiet
3. CDoing suctioning, turning and bathing all at the same time
4. DKeeping the head in line with the body