After arguing with a nurse, a disgruntled patient removes their peripheral venous catheter, gathers their belongings, and storms out of the room. Which of the following actions made by the nurse is most appropriate?
The nurse waits for the patient to leave, then files an incident report.
The nurse contacts the patient's next-of-kin on the telephone.
The nurse walks with the patient, attempting to explain the risks of leaving against medical advice.
The nurse calls security personnel to apprehend the patient.
The Correct Answer is C
A. Waiting for the patient to leave before filing an incident report is not the most appropriate response. The immediate priority should be addressing the situation to ensure the patient's safety and attempting to resolve any issues before the patient leaves.
B. Contacting the patient’s next-of-kin can be appropriate if the nurse is concerned about the patient’s safety and if it’s necessary to inform the family about the patient’s condition or situation. However, this should be done only after attempting to address the situation directly with the patient, if feasible. It’s important to first try to resolve the issue directly with the patient before involving family members.
C. Walking with the patient and explaining the risks of leaving against medical advice (AMA) shows a proactive approach to addressing the patient's concerns and ensuring they understand the potential consequences of their actions. This approach aims to de-escalate the situation, provide important information, and potentially encourage the patient to stay for necessary care.
D. Calling security personnel should be a last resort and is generally used in situations where there is a safety threat or risk of harm. In this case, the patient is leaving in a disgruntled state but not exhibiting violent or threatening behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. “Read the room” is not one of the four agreements presented by Don Miguel Ruiz. This phrase is often used in everyday language to describe the act of understanding the mood or dynamics of a situation, but it is not one of the agreements outlined in the book. The four agreements focus more on personal conduct and attitudes rather than interpreting social situations.
B. This is one of the four agreements. It encourages individuals to avoid assuming things about others or situations without clear evidence. Making assumptions can lead to misunderstandings and conflicts. The agreement advocates for clear communication and asking questions rather than making unfounded assumptions.
C. This is also one of the four agreements. It advises people not to take the actions or opinions of others personally, as these are often reflections of the other person's own issues and not a direct reflection of oneself. This agreement helps in reducing unnecessary emotional suffering and maintaining inner peace.
D. This is another of the four agreements. It emphasizes the importance of speaking with integrity, saying only what you mean, and avoiding using words to harm others or yourself. Being impeccable with your word fosters trust and respect in communication.
Correct Answer is A
Explanation
A. Primary care institutions, such as ambulatory care centers, are typically the first point of contact for patients within the healthcare system. They provide initial evaluations, treatment for common conditions, and ongoing care management. Primary care focuses on comprehensive and preventive services and is the entry point for patients seeking healthcare services.
B. Rehabilitative or long-term care is not the primary focus of a primary care institution. Rehabilitative care involves services designed to help patients recover functional abilities after illness or injury, while long-term care supports individuals with chronic conditions or disabilities over an extended period.
C. Disease-restorative care is more specific to settings that focus on managing and treating particular diseases or conditions, often in a more intensive or specialized manner. While primary care does address disease management, its primary role is broader, encompassing overall health maintenance, preventive care, and managing general health issues rather than solely focusing on restorative care for specific diseases.
D. While ambulatory care centers and primary care institutions primarily provide outpatient services, the term “only” is limiting and may not fully capture the scope of services provided. Primary care settings do indeed offer outpatient services, but they also play a broader role in coordinating care, preventive health, and sometimes providing minor procedures.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.