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”

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. While the attorney may argue that the injury was preventable, this statement alone does not establish negligence. It lacks specific evidence or expert testimony to support the claim. Legal arguments must be substantiated by facts, not just assertions from an attorney.
B. This option describes a key component in establishing the standard of care in negligence cases. Testimony from another nurse about the actions of a "reasonable, prudent nurse" provides a benchmark against which the accused nurse’s actions will be measured. This type of testimony is often considered credible and is vital in determining whether the nurse acted within the accepted standards of practice.
C. While a provider’s testimony may influence the case, it is not definitive in establishing negligence. A provider may not be the appropriate expert to determine nursing standards and practices. Their perspective may be biased and does not constitute the standard of care expected of a nurse.
D. Expert testimony is indeed important in negligence cases, and an expert nurse can provide valuable insight into proper nursing practices. However, this option does not fully capture the essence of establishing negligence as clearly as option B, which specifically mentions the standard of a “reasonable, prudent nurse.”

A. Protamine B. Naloxone C. Neostigmine D. Flumazenil

Correct Answer is B

Explanation

A. Protamine is an antidote for heparin and is used to reverse anticoagulation effects. It is not relevant in the context of administering morphine, which is an opioid analgesic.
B. Naloxone is an opioid antagonist that is specifically used to reverse the effects of opioid overdose, including respiratory depression caused by morphine. Having naloxone available is a critical safety measure when administering opioids, as it can quickly counteract the effects if the patient experiences severe sedation or respiratory distress.
C. Neostigmine is a medication used to treat myasthenia gravis and to reverse the effects of non- depolarizing neuromuscular blockers. It is not related to the administration of morphine and does not serve as a reversal agent for opioid effects.
D. Flumazenil is a benzodiazepine antagonist used to reverse the effects of benzodiazepine sedation. It is not used for opioid reversal and would not be applicable in the context of morphine administration.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

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