An incapacitated older adult with dementia is brought to the emergency department by a rescue squad after falling and breaking an arm. When the patients children arrive, they are adamantly against the patient having any medical care and insist that prayer will heal the broken arm. What action by the nurse is most appropriate?

Check facility policies and contact the hospital social worker

Allow the family to pray with the patient then escort them to the waiting room

Call the police who can force the family to accept medical care

Call security to keep the family from interfering with medical care

Answer and Explanation

The Correct Answer is A

A.   When faced with a situation where a patient's family refuses medical care, it is important to follow the facility's policies and procedures. In many cases, the hospital social worker can be a valuable resource in helping to resolve such situations. The social worker can provide support to the family, help them understand the importance of medical care, and advocate for the patient's best interests.
B.   While it is important to respect the family's cultural and religious beliefs, it is also important to ensure that the patient receives the necessary medical care. Allowing the family to pray with the patient is appropriate, but the patient should still receive medical attention for their broken arm.
C.   This is not a appropriate course of action. While the patient has a right to receive medical care, it is important to approach the situation with respect and compassion, and to try to work with the family to find a solution that is in the best interests of the patient.
D.   This could escalate the situation and make it more difficult to resolve. It is important to approach the situation with empathy and understanding, and to try to work with the family to find a solution that is acceptable to all parties.

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Correct Answer is C

Explanation

A. Disregard is a general term that can refer to a lack of attention or concern. It does not specifically refer to the failure to exercise reasonable care.

B. Malpractice is a specific type of negligence that occurs when a professional person, such as a doctor or nurse, fails to provide services in a reasonably competent manner, resulting in harm to the patient. While negligence is a broader term, malpractice is a more specific term that applies to professionals.
C. Negligence is a legal term that refers to the failure to exercise the degree of care that a reasonable person would exercise in similar circumstances. In the context of nursing, negligence occurs when a nurse commits an act that a prudent nurse should not have done, or omits an act that a prudent nurse should have done, resulting in injury or harm to another person.
D. Neglect is a general term that can refer to the failure to provide for the needs of another person, such as a child or elderly adult. While negligence can involve neglect, it is a broader term that encompasses a wider range of behaviors.

A. Check facility policies and contact the hospital social worker B. Allow the family to pray with the patient then escort them to the waiting room C. Call the police who can force the family to accept medical care D. Call security to keep the family from interfering with medical care

Correct Answer is A

Explanation

A. When faced with a situation where a patient's family refuses medical care, it is important to follow the facility's policies and procedures. In many cases, the hospital social worker can be a valuable resource in helping to resolve such situations. The social worker can provide support to the family, help them understand the importance of medical care, and advocate for the patient's best interests.
B. While it is important to respect the family's cultural and religious beliefs, it is also important to ensure that the patient receives the necessary medical care. Allowing the family to pray with the patient is appropriate, but the patient should still receive medical attention for their broken arm.
C. This is not a appropriate course of action. While the patient has a right to receive medical care, it is important to approach the situation with respect and compassion, and to try to work with the family to find a solution that is in the best interests of the patient.
D. This could escalate the situation and make it more difficult to resolve. It is important to approach the situation with empathy and understanding, and to try to work with the family to find a solution that is acceptable to all parties.

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Naxlex Comprehensive Predictor Exams

What is the term for the commission of an act that a prudent nurse should not have done, or the omission of an act a prudent nurse should have done, that results in injury or harm to another person?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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