A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

The emergency department nurse is waiting to give report on a new admission.

Two staff members have called to say they will be absent.

Transport assistance is unavailable to take a client to occupational therapy.

A nurse on the previous shift wrote an incident report about a medication error.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice because this situation is the most urgent and requires immediate action. The charge nurse should prioritize the new admission and assign a staff nurse to receive the report and prepare the room for the client. The charge nurse should also ensure that the client's needs are met and that the admission process is smooth and efficient.

Choice B reason: This is not the correct choice because this situation is not as urgent as the new admission and can be addressed later. The charge nurse should plan the staffing for the shift and arrange for replacements or reassignments if necessary. The charge nurse should also communicate with the staff members who called in and document their reasons for absence.

Choice C reason: This is not the correct choice because this situation is not as urgent as the new admission and can be addressed later. The charge nurse should coordinate with the transport department and the occupational therapy department to reschedule the client's appointment or find an alternative way to transport the client. The charge nurse should also inform the client and the staff nurse about the change and apologize for any inconvenience.

Choice D reason: This is not the correct choice because this situation is not as urgent as the new admission and can be addressed later. The charge nurse should review the incident report and follow up with the nurse who wrote it and the client who was involved. The charge nurse should also implement corrective actions and preventive measures to avoid similar errors in the future.

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Correct Answer is D

Explanation

Choice A reason: This is not the correct choice because this action is not the nurse's responsibility. Coordinating the team and the plan of care is the role of the case manager or the social worker, who can facilitate communication and collaboration among the different disciplines involved in the client's care.

Choice B reason: This is not the correct choice because this action is not the nurse's responsibility. Ordering durable medical equipment for the client's home is the role of the occupational therapist or the physical therapist, who can assess the client's functional needs and abilities and recommend the appropriate devices.

Choice C reason: This is not the correct choice because this action is not the nurse's responsibility. Helping the client obtain financial assistance is the role of the social worker or the financial counselor, who can identify the client's eligibility and options for funding and insurance coverage.

Choice D reason: This is the correct choice because this action is the nurse's responsibility. Performing a dietary assessment is part of the nursing process and the scope of practice of the nurse, who can evaluate the client's nutritional status and needs and provide education and counseling on diet modifications and interventions.

A. "The clinicians help reduce the severity of your wife's physical problems." B. "This service delivers meals and supplies to reduce your errands away from home." C. "It makes it possible for you to have some time away from caring for your wife." D. "This service offers psychological interventions during and after your wife's illness."

Correct Answer is C

Explanation

Choice A reason: This is not the correct choice because this response is inaccurate and misleading. Respite services do not provide medical care or treatment for the client, but rather temporary relief and support for the family caregivers. The nurse should not give false hope or unrealistic expectations to the client's partner.

Choice B reason: This is not the correct choice because this response is incomplete and vague. Respite services may include some practical assistance such as meal delivery or housekeeping, but their main purpose is to provide emotional and social support for the family caregivers. The nurse should explain how respite services can help the client's partner cope with the stress and challenges of caregiving.

Choice C reason: This is the correct choice because this response is accurate and clear. Respite services can provide the client's partner with some time off from their caregiving duties, which can help them recharge their energy, attend to their own needs, and maintain their well-being. The nurse should emphasize the benefits of respite services for the client's partner and their relationship with the client.

Choice D reason: This is not the correct choice because this response is confusing and irrelevant. Respite services do not offer psychological interventions for the client or the family, but rather companionship and support. The nurse should not imply that the client's partner needs therapy or counseling, which may be perceived as judgmental or insensitive.

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A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

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