While walking down the hallway, the nurse finds a female client yelling, swinging her hands, and pushing a male visitor away from her hospital bed. Which intervention should the nurse implement first?

Determine who is assigned the care of the client.

Enter the room and quietly observe the interaction.

Notify the hospital security department immediately.

Instruct the visitor to leave the room immediately.

Answer and Explanation

The Correct Answer is D

Choice A rationale: The nurse does not need to determine who is assigned the care of the client, as this is not relevant to the immediate situation.

Choice B rationale: The nurse should not enter the room and quietly observe the interaction, as this would delay the intervention and put the client and the visitor at risk.

Choice C rationale: The nurse should not notify the hospital security department immediately, as this would also delay the intervention and may escalate the situation.

Choice D rationale: The nurse should prioritize the safety of the client and the visitor, and intervene to stop the potential violence. The nurse should instruct the visitor to leave the room immediately, and then assess the client's condition and provide appropriate care.

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Correct Answer is C

Explanation

Choice A rationale: The risk management nurse is not typically responsible for coordinating patient care through rehabilitation and discharge.

Choice B rationale: The neurology unit supervisor may have expertise in neurology care but may not be directly involved in coordinating care through rehabilitation and discharge.

Choice C rationale: The nurse case manager is specifically trained to coordinate and manage the care of patients through the entire healthcare continuum, including rehabilitation and discharge.

Choice D rationale: While the adult nurse practitioner may be involved in the patient's care, the nurse case manager is spec

Correct Answer is {"dropdown-group-1":"B"}

Explanation

Choice A rationale: Maintaining personal malpractice insurance is important for individual protection but does not directly address preventing litigation related to client dissatisfaction.

Choice B rationale: Discussing how to handle complaints from clients and/or their families is an important objective to include in the orientation classes for staff nurses, because it can help prevent litigation by a dissatisfied client.

Choice C rationale: Completing an adverse occurrence or variance report is a necessary step after an error or incident has occurred, but it does not prevent litigation by itself.

Choice D rationale: Describing how to obtain legal services, while valuable, is a reactive rather than proactive approach to preventing litigation.

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While walking down the hallway, the nurse finds a female client yelling, swinging her hands, and pushing a male visitor away from her hospital bed. Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adult client is admitted via the emergency department (ED) with a head injury that will initially require intensive care. Which nurse should be responsible for coordinating the progression of this client's care through rehabilitation and discharge?

Correct Answer is C

Explanation

To help prevent litigation by a dissatisfied client, which objective is most important to include in the orientation classes for staff nurses? New nursing staff members will dropdown

Correct Answer is {"dropdown-group-1":"B"}

Explanation

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