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A nurse is assisting with a staff in-service about legal issues. Which of the following scenarios should the nurse include as an example of slander?

A nurse tells a client's health care surrogate that the client might require restraints if diversion activities are ineffective.

A nurse documents that a client was shouting and directly quotes the client's words.

A client overhears assistive personnel make a false statement about the assigned nurse and requests a different nurse.

A staff member reports to the unit supervisor during a private meeting that a coworker is possibly impaired.

Answer and Explanation

The Correct Answer is C

A) A nurse tells a client's health care surrogate that the client might require restraints if diversion activities are ineffective:

This scenario does not represent slander. While discussing the possibility of using restraints with a client's health care surrogate involves sensitive communication, it does not constitute slander. The nurse is providing information about potential interventions based on the client's needs and safety concerns, which is a part of the nursing role.

B) A nurse documents that a client was shouting and directly quotes the client's words:

This scenario involves accurate documentation of a client's behavior and does not constitute slander. Documenting a client's actions, such as shouting, with direct quotes from the client's words is essential for providing an accurate record of events and communication during the client's care.

C) A client overhears assistive personnel make a false statement about the assigned nurse and requests a different nurse:

This scenario represents slander. Slander involves making false statements that harm someone's reputation, and in this case, the assistive personnel's false statement about the assigned nurse could damage the nurse's professional reputation. The client's request for a different nurse indicates the potential negative impact of the false statement on the nurse's relationship with the client.

D) A staff member reports to the unit supervisor during a private meeting that a coworker is possibly impaired:

This scenario involves reporting a concern about a coworker's potential impairment, which is not an example of slander. Reporting concerns about impairment is a critical aspect of ensuring patient safety and maintaining professional standards in healthcare settings. However, such reports should be handled confidentially and with appropriate discretion.

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Correct Answer is A

Explanation

A) Place the client close to the nurses' station:

While placing the client closer to the nurses' station may enhance supervision and monitoring, it does not address the immediate safety concern of preventing the client from removing the IV catheter again. This action may be considered after implementing measures to prevent further self-harm.

B) Cover the site with a stockinette dressing:

Covering the site with a dressing is important for maintaining a sterile environment around the IV site. However, if the client is disoriented and has already removed the IV catheter, simply covering the site may not prevent further attempts to remove it. Addressing the underlying issue of the client's behavior is necessary.

C) Administer a sedative:

Administering a sedative may be appropriate in certain situations to calm an agitated or disoriented client. However, it should not be the first action taken after observing the reinsertion of the IV catheter. Sedation should be used judiciously and only after other interventions to ensure the client's safety have been attempted.

D) Apply a soft mitten restraint:

This is the most appropriate action to prevent the client from removing the IV catheter again. A soft mitten restraint limits the client's ability to access the IV site while allowing some movement and comfort. It is a temporary measure to ensure the safety of the client and the integrity of the IV line until further assessment and interventions can be implemented.

A. Notify the nurse manager. B. Check the family member's vital signs. C. Obtain the family member's health history. D. Complete an incident report.

Correct Answer is B

Explanation

A) Notify the nurse manager:

While it's essential to involve the nurse manager in situations involving unexpected events or emergencies, the immediate priority is to assess the well-being of the fainting family member. Notifying the nurse manager can be done after ensuring the family member's immediate needs are addressed.

B) Check the family member's vital signs:

The first action the nurse should take is to assess the fainting family member's vital signs to determine their current physiological status. Checking vital signs can provide crucial information about the person's condition and guide further actions. This assessment helps ensure the family member's safety and well-being.

C) Obtain the family member's health history:

Obtaining the family member's health history is important for understanding any underlying medical conditions that may have contributed to the fainting episode. However, assessing vital signs takes precedence to address any immediate medical concerns related to the fainting episode.

D) Complete an incident report:

Completing an incident report is necessary to document the fainting episode for organizational records and quality improvement purposes. However, this task can be completed after addressing the immediate needs of the fainting family member and ensuring their safety.

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A nurse is assisting with a staff in-service about legal issues. Which of the following scenarios should the nurse include as an example of slander?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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