A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

Determine the reasons the nurses are not taking scheduled breaks

Provide coverage for the nurses' breaks

Review facility policies for taking scheduled breaks

Discuss time management strategies with the nurses

Answer and Explanation

The Correct Answer is A

a.   Determining the reasons behind the nurses not taking scheduled breaks is essential to address any underlying issues or concerns that may be contributing to the behavior.
b.   Providing coverage for the nurses' breaks may be necessary but should come after understanding why they are not taking breaks in the first place.
c.   Reviewing facility policies for taking scheduled breaks is important, but understanding the reasons for non-compliance should be the first step in addressing the issue.
d.   Discussing time management strategies with the nurses may be helpful, but it should come after identifying the root cause of their behavior.

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Correct Answer is C

Explanation

a. Assault involves threatening or causing fear of harm to another person, which did not occur in this scenario.
b. Libel refers to making defamatory statements in written form, which is not relevant to the situation described.
c. Battery involves the unauthorized and intentional physical contact with another person, which includes administering medication against their will. Even if the nurse distracts the client to administer the injection, it is still considered battery because it violates the client's autonomy and right to refuse treatment.
d. False imprisonment involves unlawfully confining or restraining a person against their will, which also does not apply in this case.

A. Recommend the AP come back later when the record is available B. Log out so the AP can log in to document the vital signs C. Offer to chart the vital signs for the AP D. Allow the AP to document the vital signs prior to logging out

Correct Answer is B

Explanation

a. Recommending the AP to come back later could delay vital sign documentation unnecessarily.

b. Logging out allows the AP to log in using their own credentials and document the vital signs accurately.

c. Offering to chart the vital signs for the AP could compromise the integrity of the electronic record and violate organizational policies.
d. Allowing the AP to document vital signs prior to logging out could lead to unauthorized access to the electronic record, which is a violation of privacy and security protocols.

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A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?

Correct Answer is C

Explanation

A nurse has just completed assessment charting on the electronic record for an assigned client. As assistive personnel (AP) who just measured the client’s vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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