An assistive personnel (AP) comes to work with a new set of artificial nails. The nurse takes the AP to a private location to discuss the issue. Which of the following statements by the nurse is appropriate?

"I want you to review the facility's policy on personal attire before you begin the shift."

"There is a higher risk of infection for our clients associated with artificial nails."

"Why would you wear artificial nails to work when you know it's against the rules?"

"You should know that artificial nails have a very unprofessional appearance."

Answer and Explanation

The Correct Answer is B

Rationale:

A. "I want you to review the facility's policy on personal attire before you begin the shift." does not address the specific concern regarding infection risk related to artificial nails.

B. "There is a higher risk of infection for our clients associated with artificial nails." provides a clear and factual explanation of why artificial nails are not appropriate, focusing on client safety rather than personal appearance or policy.

C. "Why would you wear artificial nails to work when you know it's against the rules?" is confrontational and does not address the issue in a constructive manner.

D. "You should know that artificial nails have a very unprofessional appearance." focuses on appearance rather than the potential risk to clients' health.

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Correct Answer is C

Explanation

Rationale:

A. Discussing the LPN's behavior with other nurses could potentially lead to gossip and does not address the core issue.

B. The charge nurse does not have authority to review personnel files; this is handled by management or HR.

C.The most appropriate first step is to investigate the client concerns directly. This provides objective information to determine if further action (coaching, reassignment, reporting to management) is necessary.

D. Reassigning client care to assistive personnel does not address the root cause of the problem and may not be an appropriate or effective solution without further investigation.

A. Demonstrate using the device and observe the staff returning the demonstration. B. Remind the staff to review the procedure manual prior to using the new pump. C. Identify the differences and new features of the device in a written brochure. D. Provide a written procedure for the use of the device for the staff to review.

Correct Answer is A

Explanation

Rationale:

A. Demonstrating and observing the staff using the device ensures that they can correctly operate the equipment and apply their learning practically.

B. Reviewing the procedure manual is helpful but does not ensure hands-on competency.

C. A written brochure provides information but does not involve practical application.

D. Providing a written procedure is useful but does not confirm that staff can use the device correctly in practice.

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An assistive personnel (AP) comes to work with a new set of artificial nails. The nurse takes the AP to a private location to discuss the issue. Which of the following statements by the nurse is appropriate?

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Naxlex Comprehensive Predictor Exams

A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?

Correct Answer is C

Explanation

A nurse manager is preparing an inservice program for the nurses on the unit about the use of a new infusion pump. Which of the following teaching strategies is the most effective way to ensure that the staff can use the device correctly?

Correct Answer is A

Explanation

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