A nurse enters a client's room and finds the client on the ﬂoor. Which of the following actions should the nurse take first?

Collect data on the client.

Place the client back into bed.

Notify the client's provider.

Fill out an incident report.

Answer and Explanation

The Correct Answer is A

The first action the nurse should take is to collect data on the client. This includes assessing the client's condition and vital signs to determine if they require immediate medical attention.
Option b may not be appropriate without first assessing the client's condition.
Option c may be necessary after collecting data on the client, but it should not be the first action taken.
Option d may also be necessary, but it should not be the first action taken.

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Correct Answer is D

Explanation

When resolving a conﬂict with an assistive personnel (AP) who refuses a client assignment, it would be appropriate for the nurse to say "I need to talk to you about the unit policies regarding client assignments." This comment addresses the issue directly and professionally and provides an opportunity for the nurse to clarify the unit policies and expectations.
Option A is accusatory and unprofessional.
Option B may be necessary at some point, but it should not be the first response.
Option C is also accusatory and unprofessional.

A. Document the issue on an incident report. B. Address the concern with the assigned nurse. C. Explain to the client the AP was having a bad day. D. Notify the human resources department.

Correct Answer is B

Explanation

If a charge nurse in an acute care facility receives a client request not to have particular assistive personnel (AP) care for her, the appropriate action for the charge nurse to take is to address the concern with the assigned nurse. This will allow the charge nurse and the assigned nurse to work together to address the client's concerns and ensure that the client receives appropriate care.
Option A is incorrect because documenting the issue on an incident report may be necessary, but it should not be the first action taken.
Option C is incorrect because explaining to the client that the AP was having a bad day does not address the client's concerns or wishes.
Option D is incorrect because notifying the human resources department may be necessary, but it should not be the first action taken.

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A nurse enters a client's room and finds the client on the ﬂoor. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with an assistive personnel (AP) who refuses a client assignment. When resolving this conﬂict, which of the following comments is appropriate for the nurse to make?

Correct Answer is D

Explanation

A charge nurse in an acute care facility receives a client's request not to have particular assistive personnel (AP) care for her. Which of the following actions should the charge nurse take?

Correct Answer is B

Explanation

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