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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. This behavior demonstrates ineffective followership. While identifying problems is important, an effective follower should also contribute to finding solutions and taking action. Merely pointing out problems without offering solutions or participating in problem-solving can be seen as passive or unhelpful, as it does not contribute to resolving the issues or improving the organization.
B. Recognizing one’s strengths and weaknesses is a characteristic of effective followership. Self- awareness allows staff members to understand their role, improve their performance, and contribute

more effectively to the team. It indicates a proactive approach to personal and professional development, which is aligned with positive followership.
C. Engaging in open and honest communication is a sign of effective followership. It promotes transparency, trust, and collaboration within the team. Effective communication helps address issues, improve processes, and foster a positive work environment, which is essential for productive followership.
D. Demonstrating moral courage by not fearing rejection or ridicule when standing up for what is right is a sign of effective followership. It reflects commitment to ethical standards and a willingness to contribute positively to the organization, even in the face of potential personal risk.

A. To save resources, I should wait to empty my client's drainable colostomy bag until it is completely full." B. To reduce cost, I should encourage clients to receive an annual flu immunization." C. To save money, I will re-use PPE after patient care as long as it is not visibly soiled." D. To reduce time wasted, I should delegate my assistive personnel (AP) to perform my head-to- toe assessments."

Correct Answer is B

Explanation

A. Waiting to empty a colostomy bag until it is completely full can lead to complications such as leakage, skin irritation, or infection. This practice does not effectively save resources and could potentially increase overall costs due to additional care needs and complications.
B. Encouraging clients to receive an annual flu immunization is an appropriate and effective method to reduce costs. Vaccinations help prevent the spread of infectious diseases, which can reduce the incidence of illness and the associated costs of treatment and hospitalizations.
C. Re-using personal protective equipment (PPE) is not safe or recommended. PPE is designed for single- use to prevent the spread of infections and ensure the safety of both healthcare workers and patients. Re-using PPE, even if it is not visibly soiled, compromises infection control standards and can lead to increased costs and health risks if infections occur. This approach is neither cost-effective nor safe.
D. Head-to-toe assessments are critical for patient evaluation and require the expertise and judgment of a licensed nurse. Delegating this responsibility to assistive personnel (AP) is inappropriate and could jeopardize patient safety. While delegating tasks to APs can help manage workload, it is important to assign tasks within the scope of their training and responsibilities.

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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?

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