A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?

A client is refusing care from assistive personnel of the opposite gender

No transport assistance is available to take a client to physical therapy

Two nurses had a heated disagreement about a scheduling issue

Three staff members have called to say they will be absent

Answer and Explanation

The Correct Answer is D

A. A client refusing care from assistive personnel of the opposite gender is important and must be handled to respect the client's preferences, but it does not immediately impact the overall functioning of the unit or client safety. This situation can be addressed after the staffing issue.

B. No transport assistance being available for a client to go to physical therapy is a logistical issue that can be resolved with alternative arrangements, such as rescheduling the therapy or finding different personnel for transport. It is not a critical priority compared to staffing shortages.

C. A heated disagreement between two nurses over a scheduling issue is a team dynamic problem that requires attention, but it is not urgent enough to affect patient safety or unit operations in the immediate term. Resolving staffing shortages takes precedence.

D. Addressing the absence of three staff members is critical as it directly affects patient care and safety. A shortage in staff can lead to unsafe working conditions, delays in client care, and an increased risk of errors. Ensuring adequate staffing is the highest priority in this situation

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Correct Answer is B

Explanation

a. Administering a sedative should not be the first response, as it may not address the underlying cause of the behavior and may increase the risk of adverse effects.
b. Contacting a family member to provide support and comfort to the client can help alleviate agitation and may help redirect the client's behavior.
c. Placing the client in a wheelchair with a lap tray does not address the underlying cause of the behavior and may not be effective in managing agitation.
d. Keeping the client in her room with the door closed may isolate the client but does not address the underlying cause of the behavior or provide appropriate support.

A. Educate the client about the risks of refusing the procedure B. Complete an incident report C. Inform the provider that the client requires clarification about the procedure D. Answer the client’s questions concerning the procedure

Correct Answer is C

Explanation

a. While educating the client about the risks of refusing the procedure is important, it should not be the first action taken when the client does not understand the procedure itself.
b. Completing an incident report is not necessary in this situation, as there is no indication of an adverse event or error.
c. When a client does not understand a procedure, it is essential to inform the provider so that they can provide clarification and address any questions or concerns the client may have.
d. While answering the client's questions is important, the nurse may not have the expertise or authority to provide the level of clarification required. It is best to involve the provider in this situation.

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A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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