A nurse has just received a shift report for a 12-hour shift. As ...

[tnt_battle]

A nurse has just received a shift report for a 12-hour shift. As the nurse is preparing to enter a client's room, the nurse overhears a coworker telling an offensive joke with a sexual undertone to the client.
 
  Which action by the nurse is appropriate?
  A) Tell the nurse, in private, that such conduct is offensive and not professional.
  B) Ignore the coworker and walk away.
  C) Report the incident to the nurse manager.
  D) Ask to be scheduled opposite this coworker.

Question 2

A female nurse is caring for a 21-year-old male client with a questionable gastrointestinal blockage. The healthcare provider prescribes an enema. Which reaction by the client does the nurse anticipate when planning care?
 
  A) May I have a visitor as support in the room?
  B) I would rather have my doctor perform this procedure.
  C) I have never had an enema before.
  D) I am afraid of having an enema.

[katieost]

Answer to Question 1

Answer: A

Nurses must develop skills of assertiveness to deter sexual harassment in the workplace. Telling the coworker to stop, and why, is the first step in putting an end to the situation. Ignoring the situation or asking to be scheduled opposite this individual is not addressing the situation in an assertive manner. Reporting the incident to the nurse manager would be a second step if the behavior doesn't stop after the nurse's approach.

Answer to Question 2

Answer: B

The nurse would anticipate that most young adults will be embarrassed by this procedure when the nurse and young client are of different genders. When the client states that the doctor could perform the enema, the client is probably acting on embarrassment and on the assumption that the doctor is male. The nurse should approach the client beforehand to address the issue. Most clients would only experience annoyance, not fear for this procedure. A client who has never experienced an enema is exhibiting a lack of knowledge, which is not usually the case for a 21-year-old; most people of that age have experienced an enema. The nurse would definitely not expect the client to request the presence of another individual in the room for an intimate procedure.

[tnt_battle]

Excellent

[JaynaD87]

Gracias!