The RN overbears the nurses' aide speaking in a harsh tone to a client with early Alzheimer's memory loss. Which statement should the EN make to begin addressing this issue?
“Do you think it would be a good idea to have an in-service on dealing with Alzheimer's patients?”
“You must remember to watch your tone of voice with clients. Someone might overhear."
“I have decided to reassign that client to another aide."
“I am concerned about your conversation with the client. It sounded short and impatient”
The Correct Answer is D
A. While suggesting an in-service could be beneficial in the long run, it is not an immediate or direct approach to addressing the specific behavior observed. This statement deflects from the issue at hand and may not convey the urgency needed in correcting the aide's behavior.
B. This statement is somewhat vague and could come across as patronizing or defensive. While it points out the need to be mindful of tone, it does not specifically address the emotional impact of the aide’s behavior on the client or acknowledge the situation effectively. It focuses on appearance rather than the well-being of the patient.
C. This approach does not address the underlying issue of the aide's behavior and may create a confrontational or punitive atmosphere. It can also foster resentment rather than promote learning and improvement. It's essential to address behaviors directly instead of merely reassigning responsibilities.
D. This statement is direct and addresses the specific behavior observed. It expresses concern without being accusatory and opens a dialogue about the aide’s communication style. This approach encourages reflection and offers the aide an opportunity to discuss and understand how their tone may affect clients, especially those with cognitive impairments like Alzheimer's.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Filing an event report after a medication error is a professional and responsible action. This behavior promotes transparency and accountability and is often required by healthcare facilities to improve safety and prevent future errors. Generally, filing such a report itself does not carry disciplinary consequences, especially if done in accordance with the facility's policies.
B. This behavior can have serious disciplinary consequences. Humiliating a colleague can create a hostile work environment, which may lead to formal complaints and disciplinary actions against the nurse manager. Such actions violate workplace professionalism and can result in legal repercussions as well.
C. This behavior can also lead to disciplinary action. Condescension and disrespect undermine teamwork and can discourage open communication, which is critical in healthcare settings. This behavior can be reported and may be addressed by management or human resources.
D. Sexual harassment of a patient is a serious offense that can lead to severe legal and disciplinary consequences. It is a violation of ethical and legal standards in healthcare, resulting in potential termination, loss of licensure, and legal action.
Correct Answer is C
Explanation
A. While nurses can verify that a consent form is signed, they do not typically have the authority to ensure it is completed correctly or to explain the details of the procedure, which is the responsibility of the surgeon. The nurse's role is to ensure the client understands the procedure and has had the opportunity to ask questions, but they do not explain the surgery itself in detail.
B. This is a key responsibility of the nurse. Assessing the client's health status before surgery is critical for identifying any potential risks or issues that may affect the surgical outcome. This includes physical assessments and reviewing the client’s medical history.
C. This action is considered outside the nurse's responsibilities. The explanation of the operative procedure, risks, and benefits is typically the responsibility of the surgeon or the physician performing the surgery. Nurses may provide general information or support but are not the ones who explain the specifics of the surgical procedure.
D. Nurses are responsible for reviewing and interpreting preoperative laboratory results to ensure the client is medically ready for surgery. This review helps identify any abnormalities that may need to be addressed before proceeding with the surgical procedure.
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