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 C

Explanation

A. Critical pathways are designed to standardize care and ensure that key interventions and assessments are performed within specific timeframes to achieve optimal outcomes. However, flexibility might be necessary based on individual patient needs, and strict adherence to the exact order may not always be feasible or appropriate.
B. Critical pathways are primarily used to guide the management of specific clinical conditions or procedures rather than health promotion activities. They focus on improving the efficiency and effectiveness of patient care for specific diagnoses or treatments rather than general health promotion.

C. Critical pathways aim to standardize care and improve outcomes by following evidence-based practices, which can lead to more efficient use of resources and reduced costs. By streamlining care processes and minimizing variations, critical pathways can help achieve better patient outcomes and cost savings.
D. Critical pathways are typically developed by multidisciplinary teams, including clinical experts, to create standardized care plans based on best practices for specific conditions or procedures. They are not usually developed by individual providers for individual clients.

A. The staff member identifies key problems within an organization but does not offer solutions. B. The staff member recognizes their strengths and weaknesses. C. The staff member engages in open and honest communication. D. The staff member does not fear rejection or ridicule when exercising moral courage.

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.

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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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