A charge nurse in an acute care facility receives a client's request not to have particular assistive personnel (AP) care for her. Which of the following actions should the charge nurse take?
Document the issue on an incident report.
Address the concern with the assigned nurse.
Explain to the client the AP was having a bad day.
Notify the human resources department.
The Correct Answer is B
If a charge nurse in an acute care facility receives a client request not to have particular assistive personnel (AP) care for her, the appropriate action for the charge nurse to take is to address the concern with the assigned nurse. This will allow the charge nurse and the assigned nurse to work together to address the client's concerns and ensure that the client receives appropriate care.
Option A is incorrect because documenting the issue on an incident report may be necessary, but it should not be the first action taken.
Option C is incorrect because explaining to the client that the AP was having a bad day does not address the client's concerns or wishes.
Option D is incorrect because notifying the human resources department may be necessary, but it should not be the first action taken.
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Correct Answer is C
Explanation
In this situation, the nurse's failure to administer Mr. Smith's medication on time as ordered, resulting in harm to the patient, could be considered malpractice. Malpractice refers to a failure to meet the standard of care that results in harm to a patient.
Option A refers to legal responsibility for one's actions, but it does not specify the type of wrongdoing.
Option B refers to wrongdoing or misconduct, but it is not specific to the medical profession.
Option D refers to a failure to fulfill one's duties or obligations, but it does not necessarily imply harm to a patient.
Correct Answer is B
Explanation
When preparing to administer medications, the nurse carefully confirms the drug order and the patient's identity. This is an example of the ethical principle of nonmalfeasance. Nonmalfeasance refers to the principle of "do no harm" and requires healthcare providers to avoid causing harm to their patients.
Option A refers to wrongdoing or misconduct and is not applicable in this situation.
Option C refers to truthfulness and honesty, but it is not the primary principle being demonstrated in this situation.
Option D refers to fairness and equality, but it is not the primary principle being demonstrated in this situation.
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