A caregiver is caring for a client who is uncooperative, verbally abusive, and disrespectful towards the nurse. The nurse responds defensively and threatens to withhold the client’s meal tray if they do not cooperate. Which of the following intentional torts has the nurse demonstrated?
Abandonment
Battery
Assault
False imprisonment
The Correct Answer is C
Choice A Reason
Abandonment occurs when a nurse terminates the nurse-patient relationship without reasonable notice or providing a competent replacement. This can leave the patient without necessary care and support, potentially leading to harm. In this scenario, the nurse did not abandon the patient but instead threatened to withhold care, which aligns more closely with the definition of assault.
Choice B Reason
Battery involves the actual physical contact with a patient without their consent. This could include actions such as administering a medication against the patient’s will or physically restraining them without justification. In this case, the nurse did not physically touch the patient, so battery is not the correct term for the described behavior.
Choice C Reason
Assault is the threat of harm or unwanted physical contact that causes the patient to fear for their safety. By threatening to withhold the client’s meal tray, the nurse is using intimidation to coerce the patient into compliance. This threat can cause the patient to feel fearful and anxious, which constitutes assault. The key element here is the threat of harm, not the actual physical act.
Choice D Reason
False imprisonment involves restraining a patient against their will without legal justification. This could include locking a patient in a room or using physical restraints without a medical order. The scenario does not describe any form of physical restraint or confinement, so false imprisonment is not applicable in this context.
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Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Providing the LPN with reassurance that they may be overly self-critical and motivating them to independently carry out the task is supportive but not sufficient. While encouragement is important, it does not address the need for supervision and guidance in performing the task correctly. The LPN needs practical feedback to improve their skills and ensure patient safety.
Choice B Reason:
Ensuring patient safety by refraining from allowing the LPN to perform colostomy care until they feel confident might seem like a safe approach, but it can hinder the LPN’s learning and development. It is important to provide opportunities for practice under supervision to build their confidence and competence. Completely refraining from allowing them to perform the task does not facilitate learning.
Choice C Reason:
Taking on the task personally while having the LPN observe can be helpful initially, but it should not be the primary approach. Observation alone does not provide the hands-on experience necessary for skill development. The LPN needs to practice the task under supervision to gain confidence and proficiency.
Choice D Reason:
Watching the LPN and after they finish the task, offering constructive feedback is the most appropriate action. This approach ensures patient safety while providing the LPN with the opportunity to practice and improve their skills. Constructive feedback helps the LPN understand what they did well and what areas need improvement, fostering their professional growth and competence.
Correct Answer is C
Explanation
Choice A Reason
Representing nurses in labor-management disputes is an important function of workplace advocacy programs. These programs often provide support during negotiations and conflicts between staff and management, ensuring that nurses’ rights and interests are protected. However, this function is more focused on resolving specific disputes rather than addressing the broader challenges posed by a rapidly changing healthcare environment, such as those brought about by the COVID-19 pandemic.
Choice B Reason
Negotiating employment contracts is another key role of workplace advocacy programs. These programs help nurses secure fair wages, benefits, and working conditions through collective bargaining and contract negotiations. While this is crucial for ensuring job satisfaction and security, it does not directly address the immediate need for nurses to adapt to the rapidly evolving demands of the healthcare environment during a crisis like COVID-19.
Choice C Reason
Equipping nurses to practice in a rapidly changing environment is the most relevant function of workplace advocacy in the context of the COVID-19 pandemic. This involves providing nurses with the necessary resources, training, and support to adapt to new protocols, technologies, and patient care practices. During the pandemic, healthcare environments have undergone significant changes, requiring nurses to quickly learn and implement new procedures to ensure patient and staff safety. Workplace advocacy programs play a critical role in facilitating this adaptation process.
Choice D Reason
Creating professional practice climates in their institutions is an essential aspect of workplace advocacy. These programs work to foster supportive and collaborative work environments where nurses can thrive professionally. While this is important for long-term job satisfaction and retention, it is not as directly related to the immediate need for nurses to adapt to the rapidly changing conditions brought about by the COVID-19 pandemic.
Conclusion
In summary, while representing nurses in disputes, negotiating contracts, and creating supportive work environments are important functions of workplace advocacy programs, the most relevant function in the context of the COVID-19 pandemic is equipping nurses to practice in a rapidly changing environment. This ensures that nurses have the resources and support they need to adapt to new challenges and continue providing high-quality care.
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