Which of the following behaviors would not have disciplinary or legal consequences?

A staff nurse filing an event report after making a medication error.

A nurse manager abuses their power by humiliating a new nurse in front of their peers for making a medication error.

A charge nurse improperly uses authority by condescending a new nurse who asked them a question about medication administration.

Sexual harassment of a patient by their primary nurse.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is ["B","D","F"]

Explanation

A. While nonsteroidal anti-inflammatories (NSAIDs) are commonly used medications, they do not typically have a high potential for abuse or addiction. Monitoring these medications for diversion is generally not a primary concern compared to other classifications.
B. Opioids are one of the most commonly abused medication classes due to their pain-relieving properties and high potential for addiction. They are frequently monitored closely for signs of diversion and theft in healthcare settings.
C. Although some antidepressants may have mild abuse potential, they are not generally associated with the same level of diversion or abuse as opioids, benzodiazepines, or stimulants. Therefore, they are not typically monitored as closely.
D. Benzodiazepines are known for their sedative effects and potential for dependency and abuse. They are often misused for their calming effects, making them a priority for monitoring in medication inventories.
E. Anticholinergics are not commonly associated with abuse or diversion. They are used primarily for specific medical conditions and do not have a high potential for addiction, so monitoring these medications is not a primary focus.
F. Central nervous system (CNS) stimulants, such as those used to treat ADHD, have significant potential for abuse and dependency. These medications can lead to feelings of euphoria and are often misused, making them important to monitor closely for diversion.

A. Accompany a client who has depression to occupational therapy. B. Initiate soft wrist restraints on a client who is at risk for self-harm. C. Sit with a client who has alcohol use disorder and whose last drink was five days ago. D. Set limits with a client who has mania. E. Work a jigsaw puzzle with a client who has dementia. F. Assess a client who has hypomania for exhaustion.

Correct Answer is ["A","E"]

Explanation

A. This is a routine task that can be safely delegated to a NAP. It does not require complex decision- making or assessment skills.
B. This task requires the ability to assess the client's condition and determine the appropriate level of restraint. It is a task that should be performed by an RN or licensed practical nurse (LPN).
C. While this may seem like a simple task, it requires the ability to monitor the client for signs of withdrawal and to intervene if necessary. It is a task that should be performed by an RN or LPN.
D. This task requires the ability to assess the client's behavior and to intervene if necessary. It is a task that should be performed by an RN or LPN.
E. This is a therapeutic activity that can be delegated to a NAP. It can help to stimulate the client's cognitive function and provide social interaction.
F. This task requires the ability to assess the client's condition and identify potential complications. It is a task that should be performed by an RN or LPN.

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Which of the following behaviors would not have disciplinary or legal consequences?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When monitoring medication inventories for possible diversion or theft by nurses who abuse chemicals, what medication classifications should be monitored most closely? [SELECT ALL THAT APPLY]

Correct Answer is ["B","D","F"]

Explanation

A nurse is planning to assign care activities to nursing assistive personnel (NAP) on her team. Which of the following activities can the nurse assign to the NAP? [SELECT ALL THAT APPLY]

Correct Answer is ["A","E"]

Explanation

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A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of the following health promotion strategies should the nurse include in the teaching?(Select All that Apply.)

Which term best describes sickle cell disease?

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