The practical nurse (PN) hears an older resident of a long-term care facility shout profanities at an unlicensed assistive personnel (UAP) who shouts back at the resident. Which is the first action the PN should take?

Report the incident and the UAP for further action by the nurse manager.

Tell both of them to lower their voices in consideration of other residents.

Tell the resident and the UAP that shouting is not permitted.

Enter the room and tell the UAP to leave the room immediately.

Answer and Explanation

The Correct Answer is D

When the PN witnesses a situation where a resident is shouting profanities and a staff member (UAP) responds inappropriately, the immediate priority is to ensure the safety and well-being of the resident. It is essential to address the situation promptly and prevent further escalation.
Entering the room and instructing the UAP to leave immediately serves several purposes:

1.   Protecting the resident: Removing the UAP from the room ensures that the resident is not subjected to further conflict or distress.
2.   Maintaining a calm and therapeutic environment: By addressing the disruptive behavior and removing the staff member involved, the PN can help restore a peaceful environment for the resident and other individuals in the facility.
3.   Ensuring professional conduct: Shouting and engaging in unprofessional behavior is not acceptable in a healthcare setting. By immediately intervening and directing the UAP to leave the room, the PN reinforces the importance of maintaining a respectful and professional approach to caregiving.
After addressing the immediate concern, the PN should follow up by reporting the incident and providing a detailed account to the nurse manager or supervisor. This allows for appropriate action to be taken, such as further investigation or disciplinary measures if necessary.
The other options mentioned are not the first actions to be taken in this situation:

A. Reporting the incident and the UAP for further action by the nurse manager: While reporting the incident is important, it is not the immediate action required to address the situation in
real-time.

B. Telling both of them to lower their voices in consideration of other residents: While promoting a calm environment is important, addressing the issue of shouting and unprofessional behavior takes precedence over requesting a volume reduction.

C. Telling the resident and the UAP that shouting is not permitted: While it is essential to communicate the expectations of behavior, the immediate focus should be on removing the staff member from the situation and ensuring the resident's well-being.

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Correct Answer is D

Explanation

This is the action that the PN should implement for a male client who has just been told he has cancer and asks to be left alone. Leaving the room after oﬀering to return later respects the client's autonomy and privacy, while also showing empathy and availability. The client may need some time and space to process the diagnosis and cope with his emotions. The PN should not force the client to talk or stay with him if he does not want to, but should also not abandon him or ignore his needs.

Correct Answer is ["0.75"]

Explanation

To calculate the volume of medication to administer, we can use the following conversion: 1 mg = 1000 mcg

Given that the prescribed dose is 150 mcg/day, we need to convert it to milligrams: 150 mcg = 150/1000 mg = 0.15 mg

Since the medication is available in 0.2 mg/mL vials, we can calculate the volume to administer using the following equation:

Volume (mL) = Dose (mg) / Concentration (mg/mL) Volume (mL) = 0.15 mg / 0.2 mg/mL

Volume (mL) = 0.75 mL

Therefore, the practical nurse (PN) should administer 0.75 mL of the medication.

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The practical nurse (PN) hears an older resident of a long-term care facility shout profanities at an unlicensed assistive personnel (UAP) who shouts back at the resident. Which is the first action the PN should take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male client who has just been told he has cancer asks the practical nurse (PN) to leave his room so he can be alone. Which action should the PN implement?

Correct Answer is D

Explanation

The healthcare provider prescribed octreotide 150 mcg/day subcutaneously for a client with dumping syndrome. The medication is available in 0.2 mg/mL vials. How many mL should the practical nurse (PN) administer? (Enter numerical value only. If rounding is required, round to the nearest hundredth)

Correct Answer is ["0.75"]

Explanation

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