An order written by the physician is reviewed by the nursing staff, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act.
What is the nurses’ best course of action?
Call the physician to ask for clarification.
Check the states nurse practice act.
Refer to the facility’s policy and procedures to determine the course of action.
Contact the nursing supervisor for approval to carry out treatment.
The Correct Answer is C
When faced with an unfamiliar treatment instruction, it is important for the nurse to consult the facility’s policies and procedures to determine the appropriate course of action. These policies and procedures provide guidance on how to carry out treatments safely and effectively and can help ensure that the patient receives the best possible care.
While it may also be appropriate for the nurse to call the physician for clarification (a), check the state’s nurse practice act (b), or contact the nursing supervisor for approval (d), consulting the facility’s policies and procedures should be the first step in determining the appropriate course of action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
These techniques can help a nurse communicate effectively with a patient. Clarifying terms can help ensure that both the nurse and the patient understand each other and are on the same page.
Remaining silent can give the patient space to express themselves and can show that the nurse is actively listening.
Asking open-minded questions can encourage the patient to share their thoughts and feelings and can help the nurse beter understand the patient’s perspective.
Offering false reassurance and discouraging the person from expressing feelings that are unacceptable (e) are not effective communication techniques. False reassurance can undermine trust and discourage honest communication, while discouraging expression of feelings can prevent the patient from fully engaging in the therapeutic process.

Correct Answer is C
Explanation
The nurse’s ability to listen and observe the client’s verbal and non-verbal messages. Effective communication in the mental health setting requires the nurse to actively listen to the client and to pay close attention to their verbal and non-verbal cues. By doing so, the nurse can better understand the client’s needs and concerns and can provide appropriate support and guidance.
While the nurse’s understanding of mental health disorders (b) and their relationship with the client (d) can also play a role in effective communication, the ability to listen and observe is a fundamental skill that is essential for effective therapeutic communication. The client’s ability to communicate (a) is also important, but it is ultimately the nurse’s responsibility to use effective communication techniques to facilitate the therapeutic process.
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