A charge nurse witnesses an assistive personnel failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?
Alert the infection control department
Discuss the issue with the AP
Reinforce facility protocols at the next staff meeting
Notify the unit manager about the incident
The Correct Answer is B
a. Alert the infection control department:
While the infection control department plays a role in ensuring proper infection prevention practices, directly alerting them may not be the most immediate action to take. The charge nurse should first address the issue internally before escalating it to other departments.
b. Discuss the issue with the AP:
This is the most appropriate initial action to take. Speaking directly with the assistive personnel allows the charge nurse to clarify the correct protocol, provide education or retraining if necessary, and address any misunderstandings or lapses in adherence to facility policies.
c. Reinforce facility protocols at the next staff meeting:
While reinforcing facility protocols is important, waiting until the next staff meeting may not address the immediate concern of the observed failure to follow protocol. Direct communication with the individual involved is more effective for addressing the specific incident in a timely manner.
d. Notify the unit manager about the incident:
Notifying the unit manager about the incident may be necessary if the issue persists or if further action is required beyond the initial discussion with the assistive personnel. However, it may not be the first step to take when addressing an isolated incident.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. A client who is 37 weeks gestation and has an L/S ratio of 2:1:
An L/S (Lecithin/Sphingomyelin) ratio of 2:1 indicates mature fetal lungs, which is a positive indicator. While this client may be nearing term, the presence of mature fetal lungs does not necessarily warrant an interdisciplinary care conference unless there are other complications or high-risk factors present.
b. A client who is 28 weeks gestation and has a negative Coombs's titer:
A negative Coombs's titer suggests that the client does not have antibodies against Rh-positive blood cells, which is a normal finding. At 28 weeks gestation, this client may not require an interdisciplinary care conference unless there are other significant complications or risk factors present.
c. A client who is at 39 weeks gestation and has a negative contraction stress test:
A negative contraction stress test indicates that the fetus is not experiencing distress during uterine contractions, which is a reassuring finding. At 39 weeks gestation, while this client may be nearing term, a negative contraction stress test alone may not warrant an interdisciplinary care conference unless there are other concerning factors present.
d. A client who is at 35 weeks gestation and has a biophysical profile of 6:
A biophysical profile (BPP) of 6 is on the lower end of the scale and may indicate potential fetal compromise or risk. This client may benefit from further evaluation and possibly closer monitoring, which could warrant an interdisciplinary care conference to discuss management and potential interventions.
Correct Answer is D
Explanation
a. Compromising:
Compromising involves finding a middle ground or mutually acceptable solution where both parties give up something to reach an agreement. It requires each party to make concessions to meet halfway and resolve the conflict. This approach aims to achieve a quick resolution by accommodating the needs and concerns of both sides to some extent.
b. Collaborating:
Collaborating involves working together cooperatively to find a solution that satisfies the interests and concerns of all parties involved. It requires open communication, active listening, and joint problem-solving to achieve a consensus and reach a win-win outcome. This approach values mutual respect, trust, and cooperation among team members, emphasizing shared decision-making and collective ownership of the resolution.
c. Cooperating:
Cooperating involves willingly assisting or supporting others to achieve a common goal or resolve a conflict. It emphasizes teamwork, mutual support, and shared efforts to address challenges or differences constructively. This approach promotes harmony, unity, and a supportive environment where individuals work together toward shared objectives.
d. Competing:
Competing, also known as forcing or dominating, involves pursuing one's own interests or preferences at the expense of others' concerns or viewpoints. It prioritizes assertiveness and control, with the goal of achieving one's desired outcome without considering the needs or perspectives of others. This approach can lead to conflict escalation, resentment, and strained relationships, as it disregards collaboration and mutual understanding in favor of imposing one's will.
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