A float nurse is given a client assignment that requires the use of unfamiliar skills and techniques. Which of the following actions should the nurse take?
Provide client care as assigned.
Make a formal complaint to the nursing manager.
Request the charge nurse to modify the assignment.
Ask another nurse to trade assignments.
The Correct Answer is D
A. Provide client care as assigned:
While it is essential to be flexible and adaptable, patient safety is a priority. If the nurse is not familiar with certain skills or techniques and believes it could compromise patient safety, blindly providing care may not be the best option.
B. Make a formal complaint to the nursing manager:
Making a formal complaint should not be the initial step. It is better to explore other options before escalating the situation to a higher level.
C. Request the charge nurse to modify the assignment:
This is a reasonable option. The nurse can communicate concerns to the charge nurse and request modifications to the assignment based on their skills and competency.
D. Ask another nurse to trade assignments:
This is the most immediate and practical solution. If there's another nurse available who is more familiar with the required skills, trading assignments can ensure that the patient receives appropriate care from a nurse with the necessary expertise.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Asking family members to leave the room might be necessary for privacy, but it depends on the situation and the client's preferences. However, it might not be the only action needed to maintain privacy during the bed bath.
B. Closing the curtains around the client's bed is an essential step to shield the client from the view of others in the room. It helps create a private space for the bed bath procedure.
C. Using a blanket to cover the client might provide some modesty, but it might not offer enough privacy during the bed bath, especially if the client requires a complete bath that involves exposure of different body parts.
D. Closing the door of the client's room can help maintain privacy if there are no other visitors or staff who might inadvertently enter. However, closing the curtains around the bed is more specific to creating a private area during the bed bath itself.
Correct Answer is D
Explanation
A. It is not permissible because the provider should disclose laboratory results or findings to a client:
While it is true that the provider should disclose laboratory results or findings to the client, the nurse, in this case, should not be accessing the information on behalf of the sibling without proper authorization.
B. It is permissible because the client's sibling made the request:
Even if the sibling made the request, accessing a client's health information without proper authorization is a violation of privacy and confidentiality.
C. It is permissible because the sibling has paid for the service:
Payment for services does not automatically grant access to health information. Protected health information (PHI) is subject to privacy laws, and access should be granted only to those authorized to receive it.
D. It is not permissible because there is no nurse-client relationship between the sibling and nurse:
This is the correct explanation. The nurse should not access a client's health information, even if it is a family member, without proper authorization. The absence of a nurse-client relationship with the sibling does not justify accessing the client's health information.
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