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?
Determine the reasons the nurses are not taking scheduled breaks
Provide coverage for the nurses' breaks
Review facility policies for taking scheduled breaks
Discuss time management strategies with the nurses
The Correct Answer is A
a. Determining the reasons behind the nurses not taking scheduled breaks is essential to address any underlying issues or concerns that may be contributing to the behavior.
b. Providing coverage for the nurses' breaks may be necessary but should come after understanding why they are not taking breaks in the first place.
c. Reviewing facility policies for taking scheduled breaks is important, but understanding the reasons for non-compliance should be the first step in addressing the issue.
d. Discussing time management strategies with the nurses may be helpful, but it should come after identifying the root cause of their behavior.
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Related Questions
Correct Answer is C
Explanation
a. While it may be helpful for the family to understand how the client is being cared for, it is not directly related to the nurse's assessment before delegating care to assistive personnel.
b. The AP's ability to change the client's central IV-line dressing is important but not directly related to the nurse's assessment before delegating bathing and turning care.
c. Before delegating care, the nurse should ensure that data has been collected about the client's specific needs related to turning, such as any skin issues, pressure ulcer risk, comfort level, and mobility restrictions.
d.Checking the client's pain level is important, but it is a task that the AP can perform as part of the delegated care and does not necessarily need to be assessed by the nurse before delegating the task.
Correct Answer is D
Explanation
a. Asking the primary care provider to speak with the child may be appropriate, but it does not address the issue of consent.
b. Asking what the child would like to know does not address the issue of confidentiality and consent.
c. Telling the child to speak directly to the mother does not address the nurse's responsibility to maintain confidentiality.
d. The nurse must adhere to laws and regulations regarding patient confidentiality and can only share personal health information with the consent of the client.
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