The new graduate would like to work on an obstetrics unit in the ...

[s.tung]

The new graduate would like to work on an obstetrics unit in the local hospital. After applying for several jobs, the long-term care facility offers the graduate a position caring for older residents. What is the nurse's best action?
 
  1.
  Thank the facility for the job offer but explain that caring for older adults is not the job desired.
  2.
  Take the job caring for older adults temporarily until a better job in the desired field is offered.
  3.
  Refuse the job by explaining that another job has been offered to avoid hurting feelings.
  4.
  Accept the job and work there for one or two years to gain experience before applying for a different job.

Question 2

The nurse working in the long-term care facility reviews a physician order that the nurse feels is unsafe. The physician is contacted and upholds the order. What should the nurse do?
 
  1.
  Carry out the order and document the order was questioned with the physician.
  2.
  Refuse to carry out the order and document the rationale for why it was not done.
  3.
  Consult the RN supervisor and explain the situation and the physician's response.
  4.
  Explain the dilemma to the patient and ask the patient to give permission for the order to be done.

[Brummell1998]

Answer to Question 1

ANS: 4
Taking the job offered will allow the nurse to build experience and improve skills, making it easier to get another job in a few years.

Answer to Question 2

ANS: 3
The nurse should inform the supervisor of the problem and follow the supervisor's direction. The supervisor may explain why the order is acceptable or may call the physician to have the order changed.

[s.tung]

TYSM

[raenoj]

Excellent