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A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?
- A. Discuss the LPN's behavior with other nurses on the unit.
- B. Review the LPN's personnel file.
- C. Talk with the clients who have reported the LPN's lack of care.
- D. Reassign some of the LPN's client care to assistive personnel.
Correct Answer: B
Rationale: The correct answer is B: Review the LPN's personnel file. The charge nurse should investigate the LPN's background, qualifications, and performance history to address the reported lack of care. This step is crucial to understand any patterns or issues that may be contributing to the problem. Discussing the LPN's behavior with other nurses (Choice A) may lead to gossip and bias. Talking with the clients (Choice C) may not provide a complete picture and could breach confidentiality. Reassigning client care (Choice D) without addressing the root cause is not a sustainable solution.
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A nurse manager observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse plan to take first?
- A. Report the observation to the nurse caring for that client.
- B. Inform the nursing supervisor.
- C. Approach the man and ask why he is making copies.
- D. Notify hospital security.
Correct Answer: C
Rationale: The correct answer is C: Approach the man and ask why he is making copies. This is the first action the nurse should take to gather information and assess the situation. By directly addressing the man, the nurse can determine his intentions and potentially stop any unauthorized activity. Reporting to the nurse caring for the client (A) may lead to delays in addressing the issue directly. Informing the nursing supervisor (B) is important, but immediate action is needed. Notifying hospital security (D) should be done after gathering more information.
A nurse is leading a debriefing session after a critical incident on the unit. Which of the following actions should the nurse take to support the team?
- A. Focus on assigning blame for the incident.
- B. Encourage staff to share their feelings and experiences.
- C. Criticize staff for errors made during the incident.
- D. Limit the discussion to procedural changes only.
Correct Answer: B
Rationale: Encouraging staff to share their feelings and experiences promotes emotional support and team cohesion, helping staff process the incident and identify areas for improvement.
An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?
- A. The client who is in protective isolation
- B. The client who is actively dying and requires IV pain medication
- C. The client who is 3 days postoperative and requires a dressing change
- D. The client who requires frequent ambulation
Correct Answer: B
Rationale: The correct answer is B: The client who is actively dying and requires IV pain medication. The RN should assume responsibility for this client because as the registered nurse, they are the most qualified to manage complex care needs, such as IV pain medication administration and end-of-life care. The RN's advanced knowledge and skills make them best suited to provide appropriate assessment, intervention, and coordination of care in this critical situation.
Choice A is incorrect because the client in protective isolation requires meticulous adherence to infection control practices, which can be safely delegated to the LPNs or AP under the RN's supervision.
Choice C is incorrect as a dressing change for a client 3 days postoperative is within the scope of practice for the LPNs or AP and does not require the RN's direct involvement.
Choice D, the client requiring frequent ambulation, can be delegated to the LPNs or AP, as this task does not require the RN's specialized skill set.
A nurse is supervising a licensed practical nurse (PN) who is providing care to a client who is postoperative. Which of the following statements by the client requires the nurse to follow up with the PN?
- A. Do you know when I will be going home?
- B. My dressing was changed earlier this morning.
- C. I have not received any of my medications today.
- D. I do not know how to make the remote control work.
Correct Answer: C
Rationale: Correct Answer: C. "I have not received any of my medications today."
Rationale: This statement is concerning as it indicates a potential oversight in medication administration, which is crucial for postoperative clients. The nurse should follow up with the PN to ensure that the client receives the necessary medications promptly.
Summary of Other Choices:
A: Asking about discharge is appropriate and does not require immediate follow-up.
B: Reporting that the dressing was changed is a positive sign of wound care management.
D: Not knowing how to use the remote control is not a priority in postoperative care.
Overall, choice C stands out as it directly relates to the client's well-being and should be addressed promptly.
A nurse manager is preparing an inservice program about managing conflict for the nurses on the unit. The nurse manager should identify which of the following examples as interpersonal conflict?
- A. An experienced nurse is uncivil to a newly licensed nurse
- B. A nurse is uncertain about joining a professional nursing organization
- C. Nurses on the unit disagree about what time of day daily client weights should be obtained
- D. A nurse who just lost his spouse does not want to be assigned to care for a terminally ill client
Correct Answer: A
Rationale: The correct answer is A because it involves a direct conflict between two individuals, the experienced nurse and the newly licensed nurse. This type of conflict is interpersonal in nature as it pertains to personal interactions and relationships. The experienced nurse's uncivil behavior towards the newly licensed nurse indicates a clash of personalities or communication styles.
Choice B is incorrect as it does not involve a conflict between individuals but rather an internal struggle of the nurse deciding whether to join a professional organization. Choice C is incorrect as it describes a disagreement among nurses about a work-related task, which is more of an intragroup conflict. Choice D is incorrect as it represents a personal issue of the nurse dealing with grief, not a conflict with another individual.