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 ["B","C","E"]

Explanation

Discussing clients at the table in the cafeteria [b], disposing of written report sheets into the facility trash receptacle [c], and sharing a personal password with a coworker [e] are all actions that jeopardize client confidentiality. Client information should be kept private and secure at all times. Discussing clients in public places or disposing of client information in an unsecured manner can result in unauthorized access to confidential information. Sharing personal passwords can also compromise the security of client information.

The other options do not jeopardize client confidentiality. Removing client information from fax machines immediately [a] helps to prevent unauthorized access to confidential information. Giving verbal reports at change of shift in a designated conference room [d] is a standard practice that allows for the secure transfer of client information between healthcare providers.

A. Discuss the incident with the AP. B. Complete an incident report. C. Take the specimen to the laboratory. D. Report the AP to the charge nurse.

Correct Answer is A

Explanation

If an assistive personnel (AP) refuses to take a specimen to the laboratory, the nurse should first discuss the incident with the AP. This allows the nurse to understand the reasons for the refusal and to address any concerns or issues that may have led to the refusal.

Option B may be necessary at some point, but it should not be the first response.
Option C may also be necessary to ensure that the specimen is delivered to the laboratory in a timely manner, but it does not address the underlying issue.
Option D may also be necessary at some point, but it should not be the first response.

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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 is caring for a group of clients on a medical-surgical unit. Which of the following actions jeopardize client confidentiality? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse asks an assistive personnel (AP) to take a specimen to the laboratory, and the AP refuses. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is assigning tasks for the upcoming shift. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

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Essential elements of eﬀective delegation by an LPN include: (SELECT ALL THAT APPLY)

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A nurse is working with two assistive personnel (AP). The nurse notes that one of the APs has been taking long breaks and making personal phone calls. Which of the following statements should the nurse make to resolve this conﬂict?

A nurse is planning an in-service that encourages active member participation and feedback about decreasing nosocomial infections on the unit. Which of the following leadership styles does the nurse plan to use?