The plan of care for a patient is not completed within 24 hours of the patient’s admission due to the unit being short-staffed. Which action should the nurse prioritize?

Administer an as-needed dose of an antipsychotic drug

Complete the plan of care as soon as possible

Transfer the patient to another unit

Document the staffing issue in the patient’s chart

Answer and Explanation

The Correct Answer is B

Choice A reason: Administering an antipsychotic without a completed care plan risks inappropriate treatment, as the plan outlines specific needs and interventions. This could lead to adverse effects or mismanagement of the patient’s condition, violating evidence-based practice in psychiatric care, making this choice incorrect.

Choice B reason: Completing the care plan promptly ensures individualized, evidence-based interventions, critical for effective psychiatric treatment. It addresses the patient’s specific needs, guides therapy, and ensures safety, aligning with nursing standards and patient-centered care principles, making this the correct choice for prioritization.

Choice C reason: Transferring the patient to another unit does not address the immediate need for a care plan and may disrupt continuity of care. Staffing issues should be managed locally, and transfer is not a primary solution for incomplete planning, making this choice incorrect.

Choice D reason: Documenting staffing issues, while important for administrative purposes, does not directly address the patient’s immediate care needs. A completed care plan is critical for guiding treatment and ensuring safety, making this choice a lower priority compared to completing the plan.

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Correct Answer is B

Explanation

Choice A reason: A provider giving a telephone order is a standard practice in healthcare, not inherently requiring reporting unless the order is unsafe. It does not indicate negligence or ethical violations, unlike impaired practice or boundary issues, making it incorrect for mandatory intervention and reporting.

Choice B reason: A peer under the influence of alcohol compromises patient safety due to impaired judgment and coordination, a serious ethical and professional violation. Nurses are obligated to report such behavior to protect patients, aligning with nursing ethics and safety protocols, making this a correct choice.

Choice C reason: Violating relationship boundaries with a patient, such as inappropriate personal interactions, breaches ethical standards and risks patient harm. Nurses must report this to ensure patient safety and maintain professional integrity, aligning with mental health care ethics, making this a correct choice.

Choice D reason: A licensed provider prescribing medication is a routine clinical action, not requiring reporting unless the prescription is unsafe or inappropriate. This choice does not inherently indicate a need for intervention, unlike impaired practice or boundary violations, making it incorrect.

A. Describes the consequences of personal actions B. Sees self as always capable of achieving goals C. Seeks help from others when needed D. Meets own needs without considering the rights of others

Correct Answer is C

Explanation

Choice A reason: Describing consequences of actions indicates cognitive awareness and problem-solving skills, but it does not directly reflect a healthy self-concept. Self-concept involves self-perception, esteem, and a balanced view of strengths and limitations. This choice focuses on behavioral outcomes, not internal self-worth, making it an inadequate indicator of the goal.

Choice B reason: Perceiving oneself as always capable of achieving goals suggests overconfidence or grandiosity, which can indicate a maladaptive self-concept, potentially linked to narcissistic traits. A healthy self-concept involves realistic self-assessment, acknowledging both strengths and limitations. This choice reflects an unbalanced view, making it incorrect for the goal of a healthy self-concept.

Choice C reason: Seeking help when needed demonstrates a healthy self-concept, reflecting self-awareness, humility, and confidence in recognizing personal limitations. This aligns with psychological theories of self-esteem, emphasizing balanced self-perception and social interdependence. It indicates emotional maturity and adaptive coping, making this the correct choice for achieving the goal.

Choice D reason: Meeting own needs without regard for others’ rights suggests selfishness or lack of empathy, indicative of a maladaptive self-concept. A healthy self-concept includes respect for social boundaries and reciprocity, which this choice violates. It reflects a self-centered approach, not a balanced or healthy self-perception, making it incorrect.

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The plan of care for a patient is not completed within 24 hours of the patient’s admission due to the unit being short-staffed. Which action should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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The plan of care for a patient is not completed within 24 hours of the patient’s admission due to the unit being short-staffed. Which action should the nurse prioritize?