Walden NUR6521 Midterm Exam Part 1/Walden NUR6521 Midterm Exam Part 1 2025

Question 1 A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients . Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? A) Narcotics are banned in private settings and cannot be used. B) Narcotics can be used in the hospital after obtaining written approval from the Joint Commission for Accreditation of Hospitals and Healthcare Organizations (JCAHO). C) Narcotics to be used in the hospital are dispensed only with a written prescription. D) Narcotics can be used in the hospital according to patient preferences. Question 2 A patient has been receiving regular doses of an agonist for 2 weeks . Which of the following should the nurse anticipate? A) The drug will decrease in effectiveness B) The drug will increase in effectiveness C) There will be a steady state with no anticipated changes D) The drug will cause excessive therapeutic effects even when administered in small doses. Question 3 A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin . Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient’s care? A) Incontinence, Functional, related to adverse effects of drug therapy B) Risk for Fluid Volume Deficit related to adverse effects of drug therapy C) Confusion, Acute, related to adverse effects of drug therapy D) Acute Pain, Headache, related to adverse effects of drug therapy Question 4 A nurse is caring for a patient who abuses marijuana . The treatment for marijuana abuse consists mainly of A) nonpharmacologic interventions combined with an exercise program. B) drug therapy with bromocriptine (Parlodel). C) aggressive respiratory assistance D) no nursing action unless the patient experiences a “bad trip.” Question 5 A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic . Which of the following would be the nurse’s priority assessments? A) Respiratory rate, seizure activity, and electrolytes B) Pain intensity, respiratory rate, and level of consciousness C) Liver function studies, pain intensity, and blood glucose level D) Respiratory rate, pain intensity, and mental status

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Leadership 2025

Leadership and Management Attributes Competency Evaluate leadership and management attributes that support critical decisions for nursing practice. Scenario You have recently started a position as a department director with five managers reporting to you. Earlier today, one of your managers reports that a client expired on her unit. She suspects that a factor that may have contributed to the client’s demise may be related to the actions of a nurse on her unit. This nurse has several notes in her personnel file that reflect potential client abuse. You and the nurse manager both have concerns that this sentinel event must be investigated. Later in the day, the Chief Nursing Officer asks you to speak to new nurse managers to share attributes of leadership with the plan of enhancing their leadership skills. You see an opportunity to combine the situation of the client with a bad outcome, due to the alleged influence of one of the nurses, while building information to share this real-life situation with new nurse leaders. Instructions As a follow up to the investigation of the client’s unexpected death, generate an internal memo to your managers to reflect leadership and management attributes and include steps taken to investigate this unfortunate situation. As you create this memo, keep in mind that you should include: At least five leadership and/or management attributes for nurse leaders, as well as how they can improve client outcomes. Steps you would take to ensure the collection of data regarding this incident. Describe how transformational leadership style may influence the process of investigating this professional nurse colleague that reports to one of your unit managers. Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar. Resources Rasmussen College Writing Guide How to Write a Memo

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