A charge nurse notices that two staff nurses are not taking meal breaks during their shifts.Which of the following actions should the nurse take first?

Review facility policies for taking scheduled breaks.

Discuss time management strategies with the nurses.

Provide coverage for the nurses' breaks.

Determine the reasons the nurses are not taking scheduled breaks.

Answer and Explanation

The Correct Answer is D

A.   Reviewing facility policies is important but might not immediately address the reasons why the nurses are not taking breaks.
B.   Discussing time management strategies might be helpful, but it's crucial to first understand the reasons behind the nurses' behavior.
C.   Providing coverage for the nurses' breaks might be a short-term solution but doesn't address the underlying reasons for not taking breaks.
D.   Determining the reasons the nurses are not taking scheduled breaks is the initial step to understand if it's due to workload, personal choice, or other factors. This information can guide appropriate interventions or support for the nurses.

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Correct Answer is A

Explanation

A. Contacting the case manager is crucial to explore various discharge options and ensure the client's needs are met appropriately.
B. Recommending long-term care should be considered after exploring other options and assessing the client's specific needs.
C. Requesting assistance from another family member is a potential option but should be explored in conjunction with other solutions.
D. Delaying discharge might not address the partner's inability to provide care and doesn't explore alternative solutions.

A. Whether the client's refusal is based on religious belief B. Whether the partner is the client's durable power of attorney for health care C. Whether the client understands the risk of refusing the procedure D. Whether the facility ethics committee reaches a consensus on the case

Correct Answer is C

Explanation

A. While religious beliefs may influence a client's decision, they are not the deciding factor. Clients have the right to refuse treatment regardless of the reason, as long as they are competent and informed.

B. The partner’s role as the durable power of attorney for health care is only relevant if the client is unable to make decisions due to incompetence or incapacitation. If the client is competent, their decision takes precedence over the wishes of their partner or any legal proxy.

C. Ensuring the client understands the risks of refusing the procedure is the deciding factor. A competent client has the right to refuse any medical treatment, including surgery, after being informed of the potential consequences. The nurse and provider must ensure the client’s decision is informed and voluntary.

D. The facility ethics committee may provide guidance in complex cases, but they do not override a competent client’s autonomy. The client’s informed decision is the ultimate determinant in whether the surgery is performed.

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A charge nurse notices that two staff nurses are not taking meal breaks during their shifts.Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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