You Selected: Discuss the situation with the nurse, including the safety implications of sleeping. Correct response: Discuss the situation with the nurse, including the safety implications of sleeping. Explanation: The nurse has a responsibility to discuss this behavior and its safety implications immediately with the nurse who fell asleep. The other options do not demonstrate behavior that is representative of safe, competent care. Question 37 A family member of a resident in a long-term care facility reports to the nurse that her mother’s diamond ring is missing. Another resident reported a day earlier that a twenty-dollar bill was missing from his/her night table. What should the nurse do in this situation? You Selected: Remind the residents and family members not to leave valuables unattended. Correct response: Notify the supervisor and call the police. Explanation: The supervisor should be made aware of the situation and the police should be called to investigate the potential theft. The other answers do not advocate for the clients and their families. It is the responsibility of the nurse to take action because the nurse was the person to receive the information. This is known as due diligence. Question 38 A nurse manager overhears a nurse caring for a client with an IV make the following statement: “If you don’t stop playing with your IV, I will tie your hand to the side rail.” What is the most appropriate response by the nurse manager to address this situation?
You Selected: “I need to inform you that your behavior is within the definition of assault.” Correct response: “I need to inform you that your behavior is within the definition of assault.” Explanation: The nurse’s response is threatening and could be legally interpreted as assault. The manager must intervene in the best interest of the client and take the opportunity to educate the nurse regarding his or her comments and potential actions. The other options do not represent appropriate interventions for the scenario described. Question 39 A nurse working in the emergency department receives an order from an orthopedic surgeon to obtain written consent from a client for the surgical repair of a fractured forearm. The surgeon has not seen the client but has reviewed the radiographs in the operating room between cases. Which of the following would be the most appropriate response by the nurse to the surgeon? You Selected: “It is your responsibility to obtain informed consent from the client.” Correct response: “It is your responsibility to obtain informed consent from the client.” Explanation: It is the surgeon’s responsibility to obtain the informed consent after explaining the procedure to the client, including the risks, benefits, and alternatives. The other options are incorrect because they place the responsibility for obtaining informed consent on another person.
- Spring '17
- mrs. Vargovich
- Nursing, Correct Response