At 3 AM, an individual walks into your emergency department pacing back and forth in the waiting area before approaching staff to ask if a family member is a patient in the ED. The family member is a patient on another unit. The individual speaks rapidly, has a flushed face, and glances around often with hands kept in a jacket pocket. The best initial response would be to:
Assess your situation and your surroundings.
Tell the individual to leave immediately.
Ask what floor the family member is on and remind the individual that visiting hours are closed.
Ask two or three staff to assist in confronting the individual.
The Correct Answer is A
Choice A reason: This is the correct answer. It is important to first assess the situation and surroundings to ensure safety and understand the context before engaging with the individual.
Choice B reason: Telling the individual to leave immediately may escalate the situation, especially without understanding the full context or the individual's needs.
Choice C reason: While it is important to inform about visiting hours, the priority should be to assess the situation for any immediate risks or needs.
Choice D reason: Confronting the individual with multiple staff members could be intimidating and may not be necessary until the situation is fully assessed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B,E,A,C,D
Explanation
Choice A reason: Calling the provider is important but not the first step in response to a severe weather code. The immediate safety and assessment of the client take precedence.
Choice B reason: Checking vital signs is the first step in assessing the client’s current health status and determining the need for immediate interventions during severe weather conditions.
Choice C reason: Notifying risk management is a subsequent step after initial client assessment and ensuring safety, as they will coordinate the broader institutional response to the severe weather event.
Choice D reason: Completing an incident report is one of the final steps after managing the immediate risks and communicating with the necessary parties, to document the event and the response taken.
Choice E reason: Instructing the client to remain in bed until further notice is a critical early step to ensure the client’s safety, especially if there is a risk of injury from the severe weather conditions.
Correct Answer is D
Explanation
Choice A reason: Arranging a compromise is a good approach, but it may not be feasible or satisfactory for all parties involved.
Choice B reason: Using a position of power to unilaterally resolve the conflict can create resentment and is not a collaborative solution.
Choice C reason: Relying on contracted staffing avoids addressing the conflict and does not foster a resolution or understanding between the employees.
Choice D reason: Meeting with both employees and engaging them in the problem-solving process is the best method as it encourages communication, understanding, and allows for a mutually agreeable solution to be found.
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