A nurse is reviewing room assignments for a group of clients. Which of the following clients should the nurse assign to a room that is near the nurses' station?

(Select all that apply.)

A client who is easily distracted during art therapy

A client who has frequent anger outbursts

A client who was admitted for threatening to kill themselves

A client who has engaged in cutting behaviors

A client who cannot sit still at breakfast

Answer and Explanation

Correct Answer : B,C,D

A.   A client who is easily distracted during art therapy may benefit from being near the nurses' station if their distraction could lead to issues with concentration or focus that might impact their therapy.
However, this is less of a priority compared to clients with higher risks related to safety or behavioral issues. This client’s needs are more about support and engagement in therapy rather than immediate safety monitoring.
B.   Clients with frequent anger outbursts can pose a risk to themselves and others. Having them in a room near the nurses' station allows for closer monitoring and quick intervention if their behavior escalates. This placement helps ensure safety and provides immediate access to staff if the client becomes agitated or poses a threat.
C.   A client who has threatened to kill themselves requires close observation to ensure their safety and prevent self-harm. Placing this client in a room near the nurses' station allows for constant monitoring and immediate intervention if the client’s condition worsens or if they attempt self-harm. This is a high priority for safety and supervision.
D.   A client who has engaged in cutting behaviors is at risk for self-harm. Placing this client near the nurses' station is important for ensuring close observation and timely intervention to prevent further self-injury. This helps in providing a safer environment and immediate support if the client shows signs of distress or attempts self-harm.
E.   A client who cannot sit still at breakfast might need supervision to ensure they eat properly and safely. However, this need is less critical compared to clients with high risks of self-harm or aggressive behaviors. While this client may benefit from being in a more monitored area, it is not as urgent as the needs of clients with significant safety concerns.

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Correct Answer is D

Explanation

A. While it might seem like a hands-off approach, allowing the conflict to escalate without intervention can lead to further problems, affecting patient care and team morale.
B. This approach is likely to escalate the situation and is not constructive for conflict resolution. It's important to address the issue professionally and respectfully.
C. While reporting the issue might be necessary if the conflict escalates or impacts patient care, it's not the initial step. Addressing the issue directly can often resolve the conflict without involving higher management.
D. This is the most appropriate action. By addressing the issue directly, the nurse can help the APs understand each other's perspectives, find a solution, and prevent similar conflicts in the future.

A. A client who reports a severe migraine headache B. A client who has a suspected diagnosis of tuberculosis (TB) C. A client who sustained a head injury and is having periods of confusion D. A client who has a history of atrial fibrillation and is on continuous ECG monitoring.

Correct Answer is C

Explanation

A. While a severe migraine headache is certainly uncomfortable and may require medication and observation, it does not typically necessitate constant monitoring. The client might benefit from a quieter room and can often be managed effectively with scheduled visits by nursing staff. Therefore, this client does not necessarily need to be closest to the nurses' station.
B. A client with a suspected diagnosis of TB should be placed in a negative-pressure isolation room to prevent the spread of airborne pathogens. The proximity to the nurses' station is less critical for infection control purposes. Proper isolation procedures and equipment are more important for managing TB.
C. A client with a head injury and periods of confusion is at risk for complications such as falls, disorientation, or worsening of their condition. This client requires close monitoring to ensure their safety and to promptly address any changes in their condition. Assigning this client to a room closest to the nurses' station ensures that the staff can frequently observe and quickly respond to any potential issues.

D. A client on continuous ECG monitoring requires regular assessment of their heart rhythm and immediate intervention if there are any abnormalities. While close monitoring is needed, this client’s condition is managed with electronic equipment that can alert staff to significant changes, so proximity to the nurses' station is less critical compared to more acute or unpredictable conditions.

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A nurse is reviewing room assignments for a group of clients. Which of the following clients should the nurse assign to a room that is near the nurses' station? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse overhears two assistive personnel (APS) disagreeing about client care assignments. Which of the following actions by the nurse demonstrates conflict resolution?

Correct Answer is D

Explanation

A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of the following clients should the nurse assign to the room closest to the nurses' station?

Correct Answer is C

Explanation

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A nurse is reviewing room assignments for a group of clients. Which of the following clients should the nurse assign to a room that is near the nurses' station?

(Select all that apply.)