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HESI Case Study- Management of a Skilled Care Unit

What action should Ms. Kosky take?
Explain to the LPN that intimacy is important throughout the lifespan.
What action should Ms. Kosky take first?
Ask the UAP if she told the male employee to stop.
What action should Ms. Kosky take first?
Ask the resident to determine if any jewelry is missing.
Which situation requires the most immediate attention?
A resident with incontinence has urinated on the floor while ambulating from his room toward the dining room.
Which situation requires her most immediate intervention?
A UAP is demonstrating verbally abusive behaviors toward a resident with dementia who is confused and disoriented.
In observing the verbally abusive behavior of the UAP, what action should the nurse manager implement first?
Instruc the UAP to leave the dining room area immediately.
How should Ms. Kosky respond?
Disrespect of others is never considered acceptable behavior.
What action should Ms. Kosky take in response to the conversation?
Request that the two LPNs refrain from talking about the situation while at work or in any public place.
What interdiciplinary team member is best to assign to assist the resident?
Unlicensed assistive personnel (UAP)
Who should Ms. Kosky contact to assist the resident with this skill?
The occupational therapist.
In responding to the situation, which task(s) can be delegated to the UAP? (Select all that apply)
-Place covers around the resident for warmth, if needed
-Obtain non-skid sicks from the supply room and apply them to the client
How should the nurse manager respond?
I understand your distress about this situation. I plan to investigate the circumstances thoroughly.
In discussing the situation with the LPN, how should Ms. Kosky begin?
Tell me exactly what events occurred that led up to the fall.
How should the nurse manager respond?
Are you afraid you will get hepatitis from the resident?
Which action should Ms. Kosky implement?
Schedule an in-service program on the care of a person with Hepatitis C.
Although UAPs generally provide this assistance, Ms. Kosky identifies which resident(s) as needing the assistance of an LPN rather than a UAP? (Select all that apply)
-A client with type 1 diabetes who reports feeling sweaty and tired
-An elderly woman who has experienced pneumonia and deep vein thrombosis and who has been on bed rest for 2 weeks.
Which action should the nurse manager take?
Assess the status of the dyspneic resident with the assistance of the UAP who is already in the room.
What action should the nurse manager take first?
Elevate the head of the bed to a semi-Fowler’s position.
How should Ms. Kosky respond?
Let me show you how to apply the oximeter on the resident’s finger.
Which action should be delegated to the LPN working with the RN?
Monitor the pulse oximeter for changes in oxygen saturation.
How should the care of this resident be managed while awaiting transfer to the acute care facility?
The RN can assess breath sounds and reorient the resident while the LPN obtains vital signs.
What action should Ms. Kosky take?
Review the prescription for wound care written by the healthcare provider.
To what resource should the nurse manager refer the LPN?
The policy and procedure manual.
Which action should Ms. Kosky take after receiving the message about the LPN’s phone call?
Begin the process of terminating the employment of the LPN.
Ms. Kosky’s action is based on what ethical principle?
Fidelity.

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