In a nursing home, the nurse hears an unlicensed assistant ...

[dakota nelson]

In a nursing home, the nurse hears an unlicensed assistant threatening to withhold fresh water if the client does not do as the assistant instructed. What is the nurses priority action?
 
  1. Immediately confront the assistant at the bedside about the behavior.
  2. Ask the assistant to immediately follow you to a private place to talk.
  3. Tell the nurse manager or nursing supervisor what was witnessed.
  4. Encourage the client to report the situation to the administration.

Question 2

When the nurse manager orders supplies for the unit, which communication mode is best?
 
  1. Telephone
  2. E-mail
  3. In person
  4. Voice mail

[bulacsom]

Answer to Question 1

2
Explanation: 1. As a client advocate, the nurse must confront the assistant immediately, but should do so in
private. This allows the assistant to explain the behavior and save face. Follow the praise in
public, confront in private rule. The nurse manager is not necessary at this time, but may be if
the behavior continues. The nurse is the client advocate and should address the issue for the
client.

Answer to Question 2

2
Rationale 1: Telephoning an order leaves room for misinterpretation or inaccuracy in recording what was ordered.
Rationale 2: To avoid misunderstanding of supplies needed, a written request is the most appropriate choice. It avoids misunderstanding, as the needs can be checked off a list.
Rationale 3: A verbal order in person may still result in misfilled orders because there is no written record of what was ordered.
Rationale 4: Voice mail may result in a mistake because there is no written record of what was ordered.
Global Rationale: