#ostomy adult model | Explore Tumblr Posts and Blogs

gwssurgicals · 4 years

Text

Role Of Advanced Medical Supplies In Companies

A medical device is complicated to establish because there are many regulatory bodies worldwide overseeing the marketing of medical devices. A medical device is any system to be used for medical purposes. General medical devices are those considered to pose no significant risk and require conformance with a self-declaration system. Designated controlled medical devices are certified by third-party certification bodies, which are pre-authorized by the MHLW. Nowadays, advanced medical supplies are used in many medical fields. Medical distribution companies are supplying the best medical devices like AED Defibrillators, Comprehensive patient Care Monitors, blood bank equipment, pulse oximeters, etc. Those products are the best online medical supply.

Many medical institutions use our advanced and best medical supply of masks, drainage bags, caps, sheets, gloves, catheters, and other products. We have also provided kit products such as the Disinfection Kit designed to reduce the labour involved in online supply medical stores. We believe that relieving the workload for medical professionals will lead to an improved QOL for patients.

Role of Medical distribution company:

Medical Equipment Distributors and Their Role Medical equipment distributors bridge the gap between medical peoples and manufacturers and make a valuable addition to the healthcare chain. The providing best medical supply in the medical field and increasing demand for hospital equipment has opened up several avenues in this area. We also call them medical device distributors and extend their support in ensuring better services in the healthcare organization. They take buyers from the healthcare industry close to the manufacturers.

They can undertake projects supplying Ayurveda treatment equipment or medicines to leading medical stores or take distributorship of diagnostic equipment, orthopaedic equipment, physiotherapy equipment, medical instruments, gynaecological instruments, and many more. They provide the best medical supplies: hand gloves, face mask, cotton bandage, ventilator, patient monitor, OT equipment, dental chair, ventilator machine, medical gloves, portable oxygen cylinder, ostomy bags, and OT instruments, medical kits, and many more.

General medical devices:

General Medical Devices comprise an available range of products from simple as a medical waste disposable product bin to as complicated as a modern operation table. We have introduced this sort of product, keeping in mind all the regular and straightforward needs of the healthcare staff, like surgical masks and anaesthesia products. They are doing patients' needs by providing them with a comfortable stay in the healthcare facilities by serving exceptionally high-quality medical furniture. The patients who cannot go to the restroom on their own by offering catheters and a urine collecting system.

Helping sensitive infants' needs by providing baby care equipment like neonatal resuscitation system, open care warmer, infant incubator, and many more. For delivering the surgeons and dentists by providing a quality range of surgical blades and instruments, syringes and devices like a suction machine, syringe needle destroyer added to the content for performing some critical and complex tasks.

GWS is a medical equipment manufacturer that keeps in mind all the necessary and even smaller clients' needs. It is one of the largest trustable medical supplies companies in India, serving its clients' needs with so much hard work and determination. Clients and work have made us a trusted hospital equipment manufacturer all over the world. They provide you best and advance medical supplies.

Advance Medical devices available:

Anesthesia products :

An anesthesiologist who is familiar with Perioperative Medicine, specializes in the care of a patient before, during, and after surgery. This includes preparing and evaluating patients to undergo the rigours of surgery. Anesthesia is an essential part of the surgery. It enables a patient to undergo surgery safely, with no distress and pain.

Baby care equipment:

Baby Care Equipment is one of our specialities. We provide & export a comprehensive range of hospital baby care equipment. High-quality and safe child care equipment meet all the requirements of a Neonatal and Paediatric Setup. Different models of Baby Incubators, Foetal Doppler, Infant Resuscitation Equipment, Phototherapy Units, Foetal Heart Monitor, Weighing Scales, Baby bassinets are among the products included in our Hospital Baby Care Equipment.

Blood bank equipment:

Blood Medical Systems' Blood Bank Refrigerators are devices planned for the safe storage of blood and blood components at temperatures ranging from 2°celsius to 6°celsius. Specially designed for blood transfusion services, blood banks, blood processing centres, and hospitals, our Blood Bank Refrigerators meet the highest regulatory requirements. All models of blood bank deliver high performances in terms of temperature control and energy consumption, while also offering a remote monitoring solution.

Medical ventilator:

Medical Ventilators from best online medical supply store are electrically and pneumatically controlled systems for monitoring and displaying a patient's breathing parameters. They were used to saving the lives of pediatric and adult patients with respiratory failure or insufficient respiration. It is an intended product for hospital use only. These products are designed by medical ventilator manufacturers. They provide you with the best medical supply online as well.

Conclusion:

They are advanced medical suppliers and provide you with the best advance medical supplies, and it’s also available in the online supply store.

#medical ventilator manufacturers #best online medical supply store

0 notes

affiliatetejas · 4 years

Text

Medical Specialty Bags Market Size Share Forecast 2026

To Gain More Insights into the Medical Specialty Bags Market, Browse Summary of the Research Report –

Medical specialty bags are specially designed bag for use in various medical areas such as in the collection and storage of blood samples, urine collection, enteral feeding and sterile packaging. This bags are most probably used in hospitals for the maintenance of sterilized condition of blood sample which helps in control of disease spreading and in leakage of medicines or blood samples. Blood bags are sterile bags and are nontoxic or reduce the toxicity and can store the blood for a relatively long period. Therefore, they are used in blood collection and storage of blood, especially in blood banks.

https://www.coherentmarketinsights.com/ongoing-insight/medical-specialty-bags-market-509

The anesthesia breathing bags are the breathing bags used with face mask that can be placed over the mouth and nose of the patients and provides oxygen for complete breathing. This bags are squeezed and pushes the oxygen flow in the patient’s lungs. This helps in reducing fatigue of hands and also provides firm grip to the hands and are comfortable in use for the patients. This bags are available in various size and are made up of thin durable designs. The ostomy collection bags are used in collection waste from surgically diverted biological system such as colon, ileum, and bladder as ostomy bags are airtight and watertight.

The rise in global aging population, rise in chronic disease cases, increase in health care expenditure and disposable income are the major factors leading to the growth of the medical specialty bags market. Moreover, rise in blood infusion emergencies and increased use of blood bags further augments market growth.

Geographically North America holds the largest market in the medical specialty bags market. Due to the high prevalence of diseases, increase in obesity population, acceptance in new and innovative products and better infrastructure investments support of health care facilities are the major factors driving the growth of medical specialty bags market in North America.

“We Do Offer Sample of Medical Specialty Bags Market Report. Kindly go through the follow information in order to access sample copy.”

https://www.coherentmarketinsights.com/insight/request-sample/509

Centers for Disease Control and Prevention (CDC), in 2017 around 30 million (15%) U.S. adults are estimated to have chronic kidney disease and around 48% of those with severely reduce kidney function, and 96% people are suffering with kidney damage. As there is a strong economic growth in this country, rapid growth of medical infrastructure, rise in disposable income and increase in awareness and demand for healthy life, which has led to increase the demand for medical specialty bags.

Table of Contents

https://www.coherentmarketinsights.com/ongoing-insight/toc/509

Top players in the market

Braun Melsungen AG,

Baxter International, Inc.

Coloplast A/S

ConvaTec, Inc.

Hollister Incorporated

Medline Industries Inc.

Nolato AB

R. Bard, Inc.

Macopharma SA

Terumo Corporation

Smiths Medical

Fresenius SE & Co. KGaA

Research methodology adopted by Coherent Market Insights

Coherent Market Insights followsa comprehensive research methodology focused on providing the most precise market analysis. The company leverages a data triangulation model which helps company to gauge the market dynamics and provide accurate estimates. Key components of the research methodologies followed for all our market reports include:

Primary Research (Trade Surveys and Experts Interviews)

Desk Research

Proprietor Data Analytics Model

In addition to this, Coherent Market Insights has access to a wide range of the regional and global reputed paid data bases, which helps the company to figure out the regional and global market trends and dynamics. The company analyses the industry from the 360 Degree Perspective i.e. from the Supply Side and Demand Side which enables us to provide granular details of the entire ecosystem for each study. Finally, a Top-Down approach and Bottom-Up approach is followed to arrive at ultimate research findings.

Request A Sample Copy Medical Specialty Bags Market Report Click here:

https://www.coherentmarketinsights.com/insight/request-sample/509

Get PDF Research Report Brochure @

https://www.coherentmarketinsights.com/insight/request-pdf/509

Buy Now this Premium Report to Grow your Business @

https://www.coherentmarketinsights.com/insight/buy-now/509

About Us:

Coherent Market Insights is a global market intelligence and consulting organization focused on assisting our plethora of clients achieve transformational growth by helping them make critical business decisions.

Name: Mr. Raj Shah

Email: [email protected]

Phone: US +12067016702

Country: United States

Visit our Blog: https://hospitalhealthcareblog.wordpress.com/

0 notes

anonymoustoddler · 4 years

Text

The night before I wrote this post, I thought my mom had had a stroke.

The night before I wrote this post, she couldn’t speak to me or do anything but smile and shrug no matter what I asked her.

The night before I wrote this post, she spent the entire day in bed, no food or drink or television or phone.. just laying there, doing nothing. Finally, I made her soup and made her get up to come out and eat it.

The night before I found out my mother’s ovarian cancer was now “ovarian cancer with brain metastasis” and the tumors in her brain were causing so much swelling and pressure that the epicenters of both speech and language, as well as motor skills, were being cut off completely unless she suffered through daily steroids and the insulin dependency that came with them, I watched my mother pick up er soup spoon, full of broth and noodles. I watched her hold the spoon while simultaneously completely unable to either know it was there or to stop herself from moving. She kept moving her hand, her arm, moving her whole body clunkily like a drying claymation model - slow and sort of jerky, confused and flailing. I said, “Hey stop, be careful, put the spoon down.” She looked at her hand holding the spoon. And then she turned to look at something and took the spoon with her and literally turned the spoon upside down onto the floor as I was speaking to her.

The night before I found out my mom was now considered “dying” instead of “fighting”, and before we stepped into two months of one long nightmare, I watched my mother pour soup onto the coffee table the floor the tv remote the table cloth all while I was telling her to put it down, and I didn’t know what was wrong with her and I had been running the household for a week while watching her deteriorate with no one to talk to about it, and I snapped.

The night before I took my mother to the ER and looked into her eyes when he said “the cancer has metastasized to the brain” and felt the first hint of everything bad coming down the pipeline, I screamed at her. I swore at her. I stomped around while I cleaned up the soup, yelling about how I was sick too and I didn’t know what was wrong or what to do and why would you DO this to ME when I’m already doing so much so suddenly and what the fuck is HAPPENING TO YOU TALK TO ME.

The day I wrote this post, I made her agree to begin oral steroid medication to keep down the swelling in her brain even though it made her bloat and caused her blood sugars to spike and crash over and over through each day, leaving her insulin dependent after an entire history of Type II diabetes managed with medication and diet. I made her agree even though she said, in a broken and stilted hodgepodge of words, no no no I’ll just go home I can’t I won’t they’re so awful. Take me home.

The day I wrote this post while sitting in an uncomfortable chair in a little ER cubby “room”, waiting for the ambulance to transfer her across town to UTKnox and admit her onto the 18th floor, Oncology - Adult, I told her I refused to drive her home, that if she continued ro refuse the treatment plan I would never forgive her, stop speaking to her, leave her there by herself because I refused to drive her home if she refused medicine.

She was fighting it so hard, I didn’t feel like I had any choice. If she had gone back home we would not have made it to June. I did the only thing I felt I could do. But I still threatened to abandon her if she didn’t take medication that made her sick and bloated and wrecked her sugar levels. I still told her if she made a choice for herself that was not mine I would never forgive her.

I made her go into the hospital that day, the day I wrote this post. And it was during this admission that everything went wrong and wrong and wrong, worse and worse. This few days of attempting to stabilize her brain swelling triggered something in her lungs; they said hospital aquired pneumonia in the same way I later heard “fluid pockets around the lungs [created by tumors growing there too] putting too much pressure on them, and taking so much space a deep breath was impossible. And that illness would be what sealed her fate. The extra ten days in and out of the ICU and Cardiac ICU, the sudden and severe loss of lung function she fought to reverse so she could get the brain surgery she was intent on having as soon as anyone would clear her, the horrific loss of muscle mass and motor functions, between laying in a bed and not allowed up on her own for over two weeks, to how little she ate and how often she was completely sedated. She would wind up spending all her energy trying to regain her strength enough to just get back to Michigan and find a surgeon who would put her under anesthesia and cut the tumors out of her brain on the 2% chance it would work, and give her more time. She would decide to spend thousands of dollars moving us both back to Michigan as quickly as possible, although our moving day got derailed when she started feeling dizzy and then coughing up blood, and that set back and last Tennessee hospitalization would directly set up the moving company refusing to deliver and refusing to deliver, a scenario that left my mother to spend her final days outside of the hospital she died in living in an apartment with no furniture for weak and aching body; forcing her to sleep on an air mattress that had popped a hole and kept deflating, leaving her asleep on the hard floor. It also led us to get delivery on July 11th, the last day my mom would spend alive and able to talk or laugh or even listen. The last day I had to spend with my mother, I spent instead overseeing the two man moving crew, and then sleeping after anxiety kept me up all through the night before.

I’ve spent so many hours, days, weeks, months, replaying it all over and over, connecting dots, seeing the entire story of the final year of my mom’s life, and how each step caused the next, or triggered something else down the line that rained down on her like invisible stones until her kidneys shut down, her heart became irrevocably destabilized as she spent hours in and out of atrial fibrillation that left her feeling like she was drowning even though she never stopped breathing until she was gone. And I know too now, all the times I could have saved her if I’d just stepped in, if she hadn’t moved away, if her oncologist hadn’t withheld information from my mother, from me, and acted with negligence repeatedly while she was under his care. If I had been able to do something and step in at one of a hundred different points over that final year... Maybe I could have gotten even a little bit more time for her. Maybe I could have saved her some of the pain, could have kept our house, could have insisted on cancelling the trip to Europe that wound up keeping her from the oral meds her doctor prescribed when chemo was over because she was no longer responding, and by skipping treatment for four+ weeks in addition to misunderstanding the doctor’s intentions on clearing her for travel, she unknowingly created the perfect petri dish inside her skull, and had a mostly miserable and lonely time repeatedly hurting herself and making mistakes like packing pain medication in her checked bag ahead of a 9 hour flight with connection and layover, and forgetting to put ANY ostomy supplies in her carryon then proceeding to blow out her bag before the plane to Vienna even took off.

I could have interceded back in 2017 when she “felt sick and bloated and never hungry and backed up” but never told her doctor or nurses because she was too stoic to allow herself to be seen as a potential “whiner” or as weak. If I had spoken up for her when she would not after describing her symptoms, they would have caught the tumor in her intestine months earlier. She could well have had only a temporary colostomy or maybe even none at all. I wouldn’t have spent six weeks stranded in Knoxville unplanned while she struggled to survive surgery and the results of how much that tumor destroyed her health. I wouldn’t have had to sell the condo. There would have been NO time gap in her transition from intravenous chemo drugs to oral new to market specialty medication that, if it had been given a proper chance, could have bought her at least a few more months.

0 notes

newsintodays-blog · 6 years

Text

New guide helps kids, adolescents living with ostomies

New Post has been published on http://newsintoday.info/2018/04/06/new-guide-helps-kids-adolescents-living-with-ostomies/

New guide helps kids, adolescents living with ostomies

(Reuters Health) – Children and teens who undergo ostomy surgery now have a resource written by their peers to help them navigate the challenges of middle school, high school, college and beyond.

The toolkit, “A Guide to Gutsy Living,” is the first resource specifically for – and by – young people who have undergone temporary or permanent ostomy surgery, usually to treat inflammatory bowel disease (IBD), and now have a surgically created opening, or ostomy, that allows stool to empty into a bag adhered to the individual’s abdomen.

Living with an ostomy is a daunting prospect for adults, let alone children and adolescents. “You don’t know what it’s going to look like, what it’s going to mean to your life,” said Jennie G. David, a PhD student in clinical psychology at Drexel University in Philadelphia, who led the project.

David was diagnosed with IBD at age 12, and underwent ostomy surgery at 19. David and her colleagues’ report describing the guide and how it was created was published in the journal Pediatrics.

As is typical with pediatric ostomy patients, after undergoing surgery to remove her colon and before being discharged from the hospital, a stoma nurse instructed David on how to care for her ostomy, she told Reuters Health in a telephone interview.

“The stoma nurse was wonderful, but all of her education was geared toward, ‘how do you put on the bag, how do you take off the bag,’” Davis said. “Not really ‘how do I live with this, how do I go to school with this.’”

David served as co-chair of the Patient Advisory Council (PAC) of the ImproveCareNow (ICN) Network, a quality-improvement collaborative of more than 100 centers in the U.S., Europe and Middle East caring for children and adolescents with IBD.

Through the PAC, David and her colleague and friend Alexander Jofriet, who was diagnosed with IBD at age 9 and underwent the surgery at 15, “got good information,” David said. “And we had positive role models, but it could very easily have been no role models or negative role models.” Jofriet is now a clinical data coordinator at Children’s Healthcare of Atlanta.

At an ICN Network meeting, David was asked to choose a song that represented her journey with IBD and play it at the close of the meeting. She chose Taylor Swift’s “We are never ever getting back together,” dubbing it ��An Ode to my Colon.” Afterward, several clinicians asked her if she and other PAC members would be willing to talk to their patients who were facing ostomy surgery.

She and Jofriet began mentoring ostomy patients but quickly realized they couldn’t keep up with the demand on their own. They developed the tool kit to address this care need.

Information about ostomies on the web is largely focused on adults, and David and her team of patients and parents were unable to find educational materials that were “developmentally sensitive,” with images and topics relevant to young patients, such as those heading to college.

They developed a series of questions and topics to address concerns that patients might have before the surgery, immediately afterward and over the long-term, and targeted the guide for ages 10 to 17.

Topics in the final 19-page document include friends, school, travel, ostomy supplies, clothing, using emergency kits, playing sports and using humor to help in coping.

Essentially, David said, the goal of the resource is two-fold: firstly, to serve as models to pediatric patients living with ostomies that “I can go to work, and I can go to school, and I can be a normal person with a bag,” and secondly, to demonstrate how patients and parents are motivated and capable of contributing to clinical care.

The guide can be downloaded as a PDF file from the ICN Network’s website (bit.ly/2EnkIBX).

SOURCE: bit.ly/2uNuOwG Pediatrics, online Monday April 2, 2018.

Source link

0 notes

richard1lauritsen-blog · 7 years

Text

Test Bank Leading and Managing in Nursing 5th Edition

For Order This And Any Other Test

Banks And Solutions Manuals, Course,

Assignments, Discussions, Quizzes, Exams,

Yoder-Wise: Leading and Managing in Nursing, 5th Edition

Chapter 01: Leading, Managing, and Following

Test Bank

MULTIPLE CHOICE

1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take in making this change?

Leverage the hierarchical management position to get unit staff involved in assessment and planning.

Engage involved staff at all levels in the decision-making process.

Focus the assessment on the unit, and omit the hospital and community environment.

Hire a geriatric specialist to oversee and control the project.

ANS: B

Complexity theory suggests that systems interact and adapt and that decision making occurs throughout the systems, as opposed to being held in a hierarchy. In complexity theory, every voice counts, and therefore all levels of staff would be involved in decision making.

REF: Page 13

TOP: AONE competency: Communication and Relationship-Building

2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has called in sick five times in the past month. He tells the manager that he very much wants to come to work when scheduled but must often care for his wife, who is undergoing treatment for breast cancer. According to Maslow’s need hierarchy theory, what would be the best approach to satisfying the needs of this nurse, other staff, and patients?

Line up agency nurses who can be called in to work on short notice.

Place the nurse on unpaid leave for the remainder of his wife’s treatment.

Sympathize with the nurse’s dilemma and let the charge nurse know that this nurse may be calling in frequently in the future.

Work with the nurse, staffing office, and other nurses to arrange his scheduled days off around his wife’s treatments.

ANS: D

Placing the nurse on unpaid leave may threaten physiologic needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect patient care and threaten the needs of staff to feel competent. Arranging the schedule around the wife’s needs meets the needs of the staff and of patients while satisfying the nurse’s need for affiliation.

REF: Page 10

TOP: AONE competency: Communication and Relationship-Building

3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first mediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and the unit manager continues to reiterate the reasons for her actions. What would be the best course of action at this time?

Send the two disputants away to reach their own resolution.

Involve another staff nurse in the discussion so as to clarify issues.

Ask each party to examine her own motives and issues in the conflict.

Continue to listen as the parties repeat their thoughts and feelings about the conflict.

ANS: C

Ury, Brett, and Goldberg outline steps to restoring unity, the first of which is to address the interests and involvement of participants in the conflict by examining the real issues of all parties.

REF: Page 17

TOP: AONE competency: Communication and Relationship-Building

4. At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution. It would now be best to:

Arrange another meeting in a week’s time so as to allow a cooling-off period.

Turn the dispute over to the director of nursing.

Insist that participants continue to talk until a resolution has been reached.

Back the unit manager’s actions and end the dispute.

ANS: B

According to the principles outlined by Ury, Brett, and Goldberg, a “cooling-off” period is recommended if resolution fails.

REF: Page 17 TOP: AONE competency: Leadership

5. The manager of a surgical area has a vision for the future that requires the addition of RN assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the staff have always practiced in a primary nursing-delivery system and are very resistant to this idea. The best initial strategy in this situation would include:

Exploring the values of the RN group in relationship to this change.

Leaving the RNs alone for a time so they can think about the change before they are approached again.

Dropping the idea and trying for the change in another year or so.

Hiring the assistants and allowing the RNs to see what good additions they are.

ANS: A

Leadership involves engaged decision making around a vision that is based on evidence and tacit knowledge. Influencing others requires emotional intelligence in domains such as empathy and handling relationships.

REF: Pages 6, 7 TOP: AONE competency: Knowledge of Healthcare Environment

6. As the RN charge nurse on the night shift in a small long-term care facility, you’ve found that there is little turnover among your LPN and nursing assistant (NA) staff members, but they are not very motivated to go beyond their job descriptions in their work. Which of the following strategies might motivate the staff and lead to greater job satisfaction?

Ask the director of nursing to offer higher wages and bonuses for extra work for the night LPNs and NAs.

Allow the LPNs and NAs greater decision-making power within the scope of their positions in the institution.

Help the LPNs and NAs with their work, whenever possible.

Ask the director of nursing to increase job security for night staff by having them sign contracts that guarantee work.

ANS: B

A nurse leader should provide an environment conducive to opinion sharing that involves staff in decision making at all levels. This approach is shown to increase job satisfaction.

REF: Pages 12, 13

TOP: AONE competency: Communication and Relationship-Building

7. As the nurse manager who wants to increase motivation by providing motivating factors, which action would you select?

Collaborate with the human resource/personnel department to develop on-site daycare services.

Provide a hierarchical organizational structure.

Implement a model of shared governance.

Promote the development of a flexible benefits package.

ANS: C

Complexity theory suggests that systems interact and adapt and that decision making occurs throughout systems, as opposed to being held in a hierarchy. In complexity theory, every voice counts, and therefore all levels of staff would be involved in decision making. This principle governs shared governance.

REF: Pages 12, 13

TOP: AONE competency: Communication and Relationship-Building

8. A charge nurse on a busy 40-bed medical/surgical unit is approached by a family member who begins to complain loudly about the quality of care his mother is receiving. His behavior is so disruptive that it is overheard by staff, physicians, and other visitors. The family member rejects any attempt to intervene therapeutically to resolve the issue. He leaves the unit abruptly, and the nurse is left feeling frustrated. Which behavior by the charge nurse best illustrates refined leadership skills in an emotionally intelligent practitioner?

Reflect to gain insight into how the situation could be handled differently in the future.

Try to catch up with the angry family member to resolve the concern.

Discuss the concern with the patient after the family member has left.

Notify nursing administration of the situation.

ANS: A

Goleman suggests that emotional intelligence involves insight and being able to step outside of the situation to envision the context of what is happening.

REF: Pages 6, 7 TOP: AONE competency: Leadership

9. The chief nursing officer has asked the staff development coordinator to facilitate the development of a clinical competency program for the facility. While making rounds on the units, the staff development coordinator overhears RN staff complaining that they feel it is insulting to be required to participate in a competency program. Which behavior by the staff development coordinator is most appropriate in this situation?

Disregard staff concerns and continue with development of the program.

Inform the nurses that this program is a requirement for JCAHO accreditation.

Schedule a meeting with the chief nurse executive to apprise her of the situation.

Facilitate a meeting so nurses can articulate their values and concerns about a competency program.

ANS: D

The manager role involves guiding others through a set of derived practices that are evidence-based and known to satisfy preestablished outcomes such as participation in a competency program. This involves engagement of staff through sharing of concerns and ideas.

REF: Pages 14, 16

TOP: AONE competency: Communication and Relationship-Building

10. As a nurse, you are responsible for teaching ostomy patients self-management skills postoperatively. Mr. Jones is 2 days postoperative after an abdominal perineal resection. In spite of patient-controlled analgesia, Mr. Jones acknowledges inadequate pain relief and rates his pain as an 8, utilizing a 0-to-10 pain scale. When you approach him for teaching, he turns away and closes his eyes. Which approach incorporating Maslow’s hierarchy of needs motivational theory is most appropriate in this situation?

Tell him you will let him rest today and see if he is feeling better tomorrow.

Intervene to improve his pain management control and return later in the day to reassess his readiness to learn.

Talk to the social worker about arranging home healthcare services at discharge to assist with teaching.

Gently approach Mr. Jones and inform him of the importance of participating in postoperative teaching today because he may be discharged within several days.

ANS: B

Unless Mr. Jones’ basic need for comfort is met, he will not be motivated toward higher-order needs related to self-esteem and competence.

REF: Page 10 TOP: AONE competency: Professionalism

11. You overhear a newly graduated RN telling one of your colleagues that leadership and management belong to the unit manager and not to her. As a nursing colleague, your response demonstrates understanding that the perception of the new graduate:

Is correct. Leadership is not the role of the staff nurse.

Would benefit from further understanding of her role as a professional, whose influence may affect the decision making of patients, colleagues, and other professionals.

Has been influenced by nurse leaders and managers who leave for other positions.

Is related to the general perception that nurse leaders and managers are not satisfied in their jobs.

ANS: B

Collaborative decision making is the norm because the complexity and acuity of patient care disallow pre-determined decisions. Nurses are expected by patients, families, peers, and other professionals to lead at the bedside and to manage resources and avoid risks.

REF: Pages 4, 5 TOP: AONE competency: Leadership

12. You walk into Mr. Smith’s room and find him yelling at the LPN, Miss Jones. He is obviously very upset and after you speak with him regarding his behavior, you determine that he has not slept for three nights because of unrelieved pain levels. The LPN is very upset with Mr. Smith and calls him an “ugly, old man.” You acknowledge her feelings and concerns and then suggest that Mr. Smith’s behavior was aggressive, but is related to lack of sleep and to pain. “Can you both, together with Mr. Smith, determine triggers for the pain and effective approaches to controlling his pain?” This approach demonstrates:

Lack of empathy and understanding for Miss Jones.

Concern with placating Mr. Smith.

Leadership behavior.

Management behavior.

ANS: C

The situation between Mr. Smith and Miss Jones is a complex situation involving unrelieved patient symptoms and aggressiveness toward a staff member. Providing engaged, collaborative guidance and decision making in a complex situation where there is no standardized solution reflects leadership.

REF: Page 12 TOP: AONE competency: Leadership

13. After assessing an older adult patient in long-term care who has been slowly deteriorating for weeks, the nurse manager calls the family and asks them to come in, as the patient is dying. The nurse manager’s decision and actions are based on:

An established clinical pathway.

Confirmatory scientific evidence.

Unit protocol.

Tacit knowledge.

ANS: D

The nurse manager is employing tacit knowledge in determining that the patient is dying, because the course of dying is not standardized and cannot be determined by clinical pathways.

REF: Page 5 TOP: AONE competency: Knowledge of Healthcare Environment

14. Chart audits have revealed significant omissions of data that could have legal and funding guidelines. As the unit manager, you meet with the staff to discuss audit findings and to find approaches that will address the gaps in charting and achieve desired goals. This is an example of:

Leadership.

Management.

Decision making.

Vision.

ANS: B

The process of guiding others to meet established goals, outcomes, and procedures is management. This can require collaborative decision making to determine how best to reach pre-determined goals and follow established practices.

REF: Pages 5, 6 TOP: AONE competency: Knowledge of Healthcare Environment

15. A family is keeping vigil at a critically ill patient’s bedside. Other, distant family members, not yet able to come, call the unit continuously, asking for updates and wanting to express concern. You speak with the distant family members and suggest that you are going to refer them to the hospital social worker, whose role is to work with such situations. What role are you assuming through this action?

Manager

Leader

Follower

Laissez faire

ANS: A

As a manager, you are concerned with managing and coordinating resources to achieve outcomes in accordance with established processes. Referral to a social worker alleviates demand on staff time and is consistent with hospital procedures.

REF: Pages 5, 6

TOP: AONE competency: Communication and Relationship-Building

16. In response to the situation in Question 15, you approach the unit manager to apprise her of your concerns that the family dynamics of the patient involved may lead to staff-family and patient-family conflicts. You suggest that the physician may need to discuss the treatment plan with the family. The unit manager advises that he will arrange this discussion. If, after the meeting with family members, this is identified as a desired approach, you support the manager’s decision. Your actions indicate that you are acting in what role?

Leadership

Management

Follower

Evidence-based

ANS: C

As a follower, you bring to the manager your concerns about potential litigation and maximization of outcomes and accept the direction given by the manager in response to your concerns.

REF: Page 19 TOP: AONE competency: Knowledge of Healthcare Environment

17. You pull staff together to assess a situation in which the family of a seriously ill patient is anxious and is absorbing a great deal of staff time in consultation, discussion, and questioning of treatment decisions. Staff members are becoming distanced from the family. After inviting the concerns of staff, you explain that the organization values patient-centered care and suggest that evidence supports that acting as an advocate and a listener is helpful to families. You ask the staff for ideas as to strategies that are effectively patient-centered in these situations. In this situation, you are taking on which role?

Leadership

Management

Follower

Visionary

ANS: A

As a leader, you provide and communicate vision and direction based on evidence and tacit knowledge, and you engage others in decision making that moves them toward the vision with a reasonable level of risk taking.

REF: Page 17 TOP: AONE competency: Leadership

18. Joan, the nursing unit manager, finds it difficult to work with Thomas, a new graduate. Thomas has many ideas, and his manner of presenting them irks Joan. After reflection and discussion with others, Joan recognizes that she also feels threatened by his behavior. She comes to understand that Thomas is trying to establish his own role on the unit, is not trying to challenge her, and needs guidance, coaching, and affirmation. Joan is demonstrating:

A positive self-concept.

Deepening self-awareness.

Leadership.

Acquiescence.

ANS: B

According to Goleman (1995), stepping outside oneself to envision the situation while assuming ownership is a component of emotional intelligence.

REF: Pages 6, 7 TOP: AONE competency: Professionalism

19. As the head of a nursing program, you consistently invite the ideas of your team about innovations in teaching, community partnerships, and curriculum design and invite participation in decisions. Many of these ideas have been implemented successfully, and your staff members are keen to try on other ideas. You are employing _____ leadership.

Situational

Trait-based

Contingency-based

Transformational

ANS: D

Transformational leadership involves attending to the needs and motives of followers, which results in creativity, improvement, and employee development.

REF: Pages 7, 8 TOP: AONE competency: Professionalism

20. As a leader on a rehab unit, you encourage all staff members to see themselves as having a role in decision making and quality care. You see your role as involving particular responsibilities in decision making but not as a hierarchal role. This view of decision making and leadership is consistent with:

Trait theories.

Complexity theory.

Situated theory.

Emotional intelligence.

ANS: B

Complexity theory involves envisioning each member of the team involved in decision making, management, and leadership, with the leader not seen in a hierarchal relationship to other team members.

REF: Page 12 TOP: AONE competency: Leadership

21. You recently acquired a position as a unit manager. During your time on the unit, you have formed a strong social network among your staff, have promoted the development of relationships between your staff and workers in other areas of the organization, and have formed relationships that generate ideas from patient organizations and the local nursing education program. According to complexity theory, you are engaging which principle?

Empowerment

Systematic thinking

Development of networks

Bottom-up interactions

ANS: C

According to complexity theory, networks evolve around areas of common interest and are able to respond to problems in creative and novel ways.

REF: Pages 12, 13 TOP: AONE competency: Knowledge of Healthcare Environment

22. According to the complexity theory, which of the following should be the focus of measurement?

Cost per hospital day

Bed utilization

Infection rates

Staff morale and budgets

ANS: D

According to complexity theory and the principle “Think systematically,” you cannot ignore objective data or nonmeasurable data, as both inform decisions.

REF: Pages 13, 14 TOP: AONE competency: Business Skills

23. During a staff meeting held to discuss developing a mission statement for the unit, the idea of placing patient needs first is:

Empowering.

A leadership tag.

A symbol.

A management task.

ANS: B

According to complexity theory, leadership tags, which are similar to values, reflect the patient-centered philosophies and values-driven characteristics that define an organization and give it personality.

REF: Page 13 TOP: AONE competency: Knowledge of Healthcare Environment

24. A dispute arises between an RN staff member and an LPN over a patient issue. The tension between the two begins to affect other staff members, who are drawn into the conflict; eventually, the team becomes polarized toward either the RN or the LPN. This situation might have been prevented through:

Expediency in responding to the initial dispute, once it became apparent that it could not be resolved by the two parties themselves.

Asking other staff members what the real issues were in the dispute between the RN and the LPN.

Reassigning one of the parties to another unit when it became apparent that the two individuals could not resolve the dispute themselves.

Calling a staff meeting at the onset of the dispute to allow the team and the RN and LPN to discuss the initial dispute.

ANS: A

The initial step in conflict resolution should have involved an expedient response to the issues and putting a focus on the issues involved in the dispute between the LPN and RN through negotiation involving the two parties, before the dispute involved others.

REF: Page 17

TOP: AONE competency: Communication and Relationship-Building

25. The unit is shifting from primary nursing to a team model in an effort to contain costs. Staff members are angry and ask for a meeting to discuss the change. After hearing their concerns related to reduction in professional autonomy and care quality, you:

Acknowledge the loss.

Explain the reasons for change, emphasizing the need to reduce costs.

Repeat the information several times, giving detailed budget overviews.

Adjourn the meeting and provide explanation through e-mail.

ANS: A

In providing an explanation for the change, it is important to acknowledge the loss and to provide enough detail to inform but not to paralyze, keeping in mind the background of the listeners. In this situation, reasons can still be addressed for the change and should be explained in the context of how values are related to quality.

REF: Pages 17, 18

TOP: AONE competency: Communication and Relationship-Building

MULTIPLE RESPONSE

1. Sarah wonders about the direction that you have given regarding management of incontinent, confused patients. She brings you evidence that she has found regarding incontinence interventions and asks you if she and you could talk about the guidance that you have given after you have had an opportunity to read the articles she has given you. This is an example of (select all that apply):

Assertiveness.

Followership.

Management.

Insubordination.

ANS: A, B

This is an example of followership in which a staff nurse is demonstrating assertive behavior and presenting evidence that may influence the decision making of her nurse leader and manager.

REF: Page 6 TOP: AONE competency: Knowledge of Healthcare Environment

#Test Bank Leading and Managing in Nursing 5th Edition

0 notes