A charge nurse on a long-term care unit is working with an assistive personnel who states, "I am tired of all the changes on this unit. If things don't improve soon, I'm requesting a transfer." Which of the following responses should the charge nurse make?
"There has been too much complaining about these changes."
"Please, try to wait a little longer. Things will get better soon."
"So, you are upset about all of the recent changes on the unit?"
"Why don't you just file a formal complaint with Human Resources?"
The Correct Answer is C
Rationale:
A. This response dismisses the concerns of the assistant personnel and is not supportive.
B. This response minimizes the assistant personnel's concerns and does not acknowledge their feelings.
C. This response acknowledges the assistant personnel's concerns and opens the door for further discussion.
D. This response does not address the assistant personnel's concerns and suggests a formal complaint as the only solution. It is not supportive or collaborative.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Cleansing the client's outer ear with isopropyl alcohol to remove wax is not recommended because it can cause irritation and dryness.
B. Pulling the client's pinna downward and back is an incorrect technique for instilling otic medication in an adult client. An adult ear should be pulled upwards and backwards.
C. Holding the ear dropper 1 cm (0.5 in) from the client's ear is accurate.
D. Requesting the client remain supine for 10 min following administration is not necessary and may not be practical, instead the client should lie on the contralateral side.

Correct Answer is B
Explanation
Rationale:
A. This response addresses the client's desire to have family visits but does not directly address the client's concerns about end-of-life care.
B. Asking the client to express their expectations about activities related to the end-of-life allows the nurse to understand the client's wishes and concerns and to provide appropriate support.
C. This response addresses the client's need for pain management but does not directly address the client's concerns about end-of-life care.
D. This response addresses the client's need for spiritual support but does not directly address the client's concerns about end-of-life care.
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