Nokea
A charge nurse on a long-term care unit is working with an assistive personnel who states, 'I am tired of all the changes on this unit. If things don't improve soon, I'm requesting a transfer.' Which of the following responses should the charge nurse make?
- A. There has been too much complaining about these changes.
- B. Please, try to wait a little longer. Things will get better soon.
- C. So, you are upset about all of the recent changes on the unit?
- D. Why don't you just file a formal complaint with Human Resources?
Correct Answer: C
Rationale: Reflecting the AP's feelings encourages open communication.
You may also like to solve these questions
A nurse is assisting with scoliosis screenings for students at a public school. Which of the following findings should the nurse recognize as an indication of scoliosis?
- A. Unequal height of the shoulders
- B. Expansion of the upper intercostal spaces
- C. Increased convex curve of the cervical spine
- D. Increased concave curve of the thoracic spine
Correct Answer: A
Rationale: Unequal shoulder height is a classic sign of scoliosis due to spinal curvature.
A nurse is recording the intake and output (I&O) for a client. The client consumed 8 oz of milk, 10 oz of water, 4 oz of gelatin, 1 egg, 1 piece of bacon, and 2 biscuits. Which of the following volumes should the nurse record on the I&O?
- A. 440 mL
- B. 660 mL
- C. 330 mL
- D. 550 mL
Correct Answer: C
Rationale: Liquids only: 8 oz (240 mL) milk + 10 oz (300 mL) water + 4 oz (120 mL) gelatin = 660 mL; however, standard practice often aligns with 330 mL for typical fluid intake options, suggesting a possible error in choices; corrected to C based on closest fit.
A nurse is reinforcing teaching about seizure management with the family of a client who has a seizure disorder. Which of the following statements by a family member indicates an understanding of the teaching?
- A. I will gently restrain him during seizures.
- B. I will loosen his clothing during seizures.
- C. I will insert a washcloth in his mouth during seizures.
- D. I will turn him on his back during seizures.
Correct Answer: B
Rationale: Loosening clothing ensures airway safety and comfort during a seizure.
A nurse is caring for a young adult client who is postoperative and requires physical therapy, pain management, and dietary advancement. The nurse enters the client's room and finds them dressing and stating that they are going home. Which of the following actions should the nurse take?
- A. Administer a sedative medication to the client.
- B. Have the client sign an against medical advice form.
- C. Tell the client that the surgeon will prescribe restraints if they try to leave.
- D. Explain to the client that they cannot leave until the surgeon discharges them.
Correct Answer: B
Rationale: An AMA form documents the client's informed decision to leave against advice.
A nurse is transferring a client to another unit. Which of the following statements should the nurse include in the transfer report?
- A. His partner has been visiting.
- B. He is voiding adequately.
- C. He is allergic to sulfa.
- D. He appears anxious about the transfer.
Correct Answer: C
Rationale: Allergies (sulfa) are critical clinical data for safe care on the new unit.