You are the charge nurse. Two hours into the shift, you discover that two nurses (Nurse A and Nurse B) have switched patients because Nurse A does not like to take care of patients with prostate cancer. Which action should you take first?

Ask Nurse A to explain her position regarding prostate cancer patients and seek alternatives to prevent future issues.

Allow them this flexibility: as long as the patient is well cared for, it doesn't matter if the assignments are changed.

Insist that they switch back to the original patient assignments and talk to each of them at the end of the shift.

Explain to Nurse A and B that all patients deserve kindness and care regardless of their condition or the nurses' personal feelings.

Answer and Explanation

The Correct Answer is D

Choice A reason: Asking Nurse A to explain her position is important for understanding her concerns. However, it does not immediately address the issue of equitable patient care, which is the priority.

Choice B reason: While flexibility can be important, allowing personal preferences to dictate patient assignments can lead to a slippery slope of discriminatory practices. Patient care should not be compromised by personal biases.

Choice C reason: Insisting on switching back to the original assignments without addressing the underlying issue may not resolve the conflict or lead to better patient care in the long term.

Choice D reason: This is the most appropriate first action as it addresses the core principle of nursing care — providing compassionate care to all patients. It sets a standard for professional behavior and ensures that personal feelings do not interfere with patient care.

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Correct Answer is D

Explanation

Choice A reason: Stealing and selling narcotics is a criminal act and a clear violation of trust and legal obligations, warranting immediate dismissal.

Choice B reason: Unsupervised and punitive restraint of a patient is unethical, potentially illegal, and against medical standards, justifying immediate dismissal.

Choice C reason: Physical assault or threats against any staff member, including the unit manager, are serious offenses that compromise safety and warrant immediate dismissal.

Choice D reason: While failing to pursue further medical help is a serious concern, it may not always result in immediate dismissal. It requires investigation to understand the context and whether it was a case of negligence or a different issue.

A. Assist with follow-up documentation and offer access to counseling. B. Offer the nurse immediate education and training in self-defense. C. Encourage the nurse to view the incident as a normal part of care. D. Provide access to a lawyer so a formal complaint can be filed.

Correct Answer is A

Explanation

Choice A reason: This is the appropriate response as it addresses the immediate need for support and ensures that the incident is properly recorded.

Choice B reason: While education and training in self-defense may be beneficial, it is not the immediate concern following such an incident.

Choice C reason: Encouraging the nurse to view physical assault as a normal part of care is inappropriate and can lead to a harmful work environment.

Choice D reason: Providing access to a lawyer may be necessary if the nurse decides to take legal action, but the initial response should focus on support and documentation.

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You are the charge nurse. Two hours into the shift, you discover that two nurses (Nurse A and Nurse B) have switched patients because Nurse A does not like to take care of patients with prostate cancer. Which action should you take first?

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Naxlex Comprehensive Predictor Exams

The following are grounds for immediate dismissal except:

Correct Answer is D

Explanation

A nurse intervenes when a client attempts to harm herself on the unit. During the interaction, the client slaps the nurse across the face, as a manager, it is important that you:

Correct Answer is A

Explanation

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