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 scenario best exemplifies compromising because both parties involved give up something to reach an agreement. The RN gets her desired shift, while the head nurse gets assistance with staff training on the new system.
B. This scenario describes collaboration, where everyone works together to find a solution that meets everyone's needs.
C. This scenario describes an example of accommodation, where one person gives in to the other's wishes.
D. This scenario describes avoidance, where the conflict is ignored rather than addressed.

A. vacation time, holiday time, and sick time. B. paid hours minus meeting time. C. work time, educational time, and holiday time. D. paid hours minus worked hours.

Correct Answer is A

Explanation

Paid nonproductive time typically includes any time for which employees are paid but are not working directly. This includes vacation time, holiday time, and sick time, as these are periods when employees receive their regular pay without performing their job duties.

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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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