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?

"You always get your choice of assignment and don't work your fair share."

"I have to let the human resources department know about this situation."

"I feel that you are being inconsiderate of the other nursing assistants."

"I need to talk to you about the unit policies regarding client assignments."

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is A

Explanation

The nurse should have the AP perform the task of feeding a school-age client who has burns on both upper extremities first. This task is a high priority because it addresses the client's immediate need for nutrition and hydration. The client's burns may make it difficult for them to feed themselves, so the assistance of the AP is necessary to ensure that the client receives adequate nourishment.

The other tasks are also important, but they are not the highest priority in this situation. Collecting a stool sample for ova and parasites from a toddler [b] and bathing an adolescent client who is disabled [c] are routine tasks that can be performed as time permits. Ambulating a preschooler who is postoperative to the playroom [d] is also important for promoting mobility and recovery, but it is not as urgent as addressing the immediate need for nutrition and hydration.

A. Provide client care as assigned. B. Request the charge nurse to modify the assignment. C. Make a formal complaint to the nursing manager. D. Ask another nurse to trade assignments.

Correct Answer is B

Explanation

If a ﬂoat nurse is given a client assignment that requires the use of unfamiliar skills and techniques, the appropriate action for the nurse to take is to request that the charge nurse modify the assignment. This will allow the nurse to provide safe and competent care to their clients.
Option A is incorrect because providing client care as assigned without the necessary skills and knowledge could compromise client safety.
Option C is incorrect because making a formal complaint to the nursing manager is not an immediate solution to the issue at hand.
Option D is incorrect because asking another nurse to trade assignments may not be feasible or appropriate.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a pediatric unit is working with an assistive personnel (AP). Which of the following tasks should the nurse have the AP perform first?

Correct Answer is A

Explanation

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?

Correct Answer is B

Explanation

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