A nurse manager received a client request not to have a specific staff nurse care for her while at the acute care facility. Which of the following is the appropriate action by the nurse manager?

Ask other staff nurses about the level of care the specific staff nurse provides.

Address the concern with the specific staff nurse.

Recommend the specific staff nurse be transferred to another unit.

Notify the human resources department about the request.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Asking other staff nurses does not address the immediate concern of the client and could lead to gossip or unnecessary complications.

B. Addressing the concern with the specific staff nurse directly is appropriate to understand any issues and to see if there is a valid reason for the client’s request.

C. Recommending transfer without understanding the issue could be premature and might not address the root of the problem.

D. Notifying human resources is a step that may be needed later but should not be the first action; the manager should first address the issue with the staff nurse.

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Correct Answer is A

Explanation

Rationale:

A. "The client must provide permission to share the records with you." is the correct procedure as medical records are confidential and require patient consent for release to family members.

B. I will ask the nursing supervisor to obtain the medical records for you is not correct unless the client has given permission.

C. The health care provider will share this information with you does not address the need for patient consent.

D. The ethics committee will need to approve this request for you is not applicable; consent from the client is required.

A. A middle adult male who is diaphoretic and reports epigastric pain B. A toddler who has a laceration on his forehead and is screaming C. An adolescent female client who is belligerent and has slurred speech D. A young adult with a painful sunburn of his face and arms

Correct Answer is A

Explanation

Rationale:

A. Diaphoretic with epigastric pain could be indicative of a myocardial infarction or other severe condition and requires immediate attention.

B. A toddler with a laceration and distress needs care but is not as urgent as potential cardiac issues.

C. An adolescent with slurred speech and belligerence could indicate a neurological issue, but is less immediate than a potential cardiac event.

D. A young adult with a sunburn is painful but not life-threatening compared to other scenarios.

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A nurse manager received a client request not to have a specific staff nurse care for her while at the acute care facility. Which of the following is the appropriate action by the nurse manager?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is A

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