A client on a general surgical unit tells a nurse that staff members are not answering the call light promptly. The client requests to be transferred to another unit. Which of the following actions should the nurse take first?

Notify the charge nurse of the client's request for transfer.

Assure the client that their concern has been shared with the staff. Tell the client that future calls will be answered in a timely manner.

Ask the client to verbalize their expectations.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Notify the charge nurse of the client's request for transfer. This action might be taken eventually, but it is not the first step. The nurse should directly address the client's concerns before escalating the situation to the charge nurse.

Choice B rationale:

Assure the client that their concern has been shared with the staff. Tell the client that future calls will be answered in a timely manner. While it's important to reassure the client, promising timely responses to calls before understanding their expectations might not effectively address the underlying issue. It's better to communicate openly with the client first.

Choice C rationale:

Ask the client to verbalize their expectations. This is the correct choice. By asking the client to express their expectations, the nurse can gather crucial information about the client's concerns and needs. This allows the nurse to address the specific issues that led to the client's dissatisfaction and work toward a resolution that aligns with the client's preferences.

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Correct Answer is C

Explanation

Choice A rationale:

The nurse should not promise that a social worker will address the client's concerns, as this might not be accurate. While a social worker could be involved in the client's care, it's not their sole responsibility to address all concerns. The primary role of a social worker might be to provide emotional support and assistance with psychosocial issues.

Choice B rationale:

Suggesting that the client should plan to go to a skilled nursing facility after discharge might not be appropriate unless it's medically necessary. Terminal illness often requires a focus on palliative and hospice care rather than transferring to another care facility.

Choice C rationale:

This is the correct choice. The case manager plays a key role in coordinating the various resources and services the client will need after discharge. They ensure a smooth transition from the hospital to home, including arranging for home health care, medical equipment, and any other necessary services.

Choice D rationale:

Telling the client that they will need hospice care until they feel stronger is not appropriate. Hospice care is specifically for individuals with terminal illnesses who have a limited life expectancy. It is not about getting stronger but about providing comfort and support during the end-of-life period.

A. Write a memorandum emphasizing the importance of attending staff meetings. B. Appoint a task force to promote attendance at the meetings. C. Explore the reasons that staff are not attending the meetings. D. Reduce the number of meetings the staff are required to attend.

Correct Answer is C

Explanation

Choice A rationale:

Writing a memorandum emphasizing the importance of attending staff meetings might help remind the staff about the significance of these meetings. However, it does not address the root causes of the poor attendance issue. Exploring the reasons behind the lack of attendance should come before issuing reminders.

Choice B rationale:

Appointing a task force to promote attendance at the meetings is a proactive step. However, it might be premature without understanding the reasons for the poor attendance. The task force's efforts could be more effective if informed by a thorough analysis of the underlying issues.

Choice C rationale:

Exploring the reasons that staff are not attending the meetings is the crucial first step. Understanding the factors contributing to the poor attendance allows the charge nurse to tailor interventions appropriately. Reasons could include scheduling conflicts, lack of engagement, or dissatisfaction with meeting content.

Choice D rationale:

Reducing the number of meetings staff are required to attend might address the attendance issue, but it doesn't address the root causes. It's important to identify the reasons behind poor attendance before making decisions about changing meeting frequency.

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A client on a general surgical unit tells a nurse that staff members are not answering the call light promptly. The client requests to be transferred to another unit. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a terminal illness and voices concern about performing self-care after discharge. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue, which of the following actions should the charge nurse take first?

Correct Answer is C

Explanation

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