A family is keeping vigil at a critically ill patient’s bedside. The nurse speaks with the family members and states she is referring them to the hospital social worker, who will work with the family. What role is the nurse assuming through this action?

Manager

Leader

Laissez-faire

Follower

Answer and Explanation

The Correct Answer is A

Choice A Reason

In this scenario, the nurse is assuming the role of a manager. By referring the family to the hospital social worker, the nurse is coordinating care and ensuring that the family receives the necessary support and resources. This action demonstrates the nurse’s ability to manage the overall care plan, delegate tasks, and utilize the expertise of other healthcare professionals to provide comprehensive care. The managerial role involves overseeing patient care, making decisions, and facilitating communication among the healthcare team.

Choice B Reason

While the nurse’s action could also be seen as demonstrating leadership qualities, the primary role in this context is managerial. Leadership involves guiding and inspiring others, which can be part of the nurse’s responsibilities. However, the specific action of referring the family to the social worker is more aligned with managing and coordinating care rather than leading a team or initiative.

Choice C Reason

The laissez-faire leadership style is characterized by a hands-off approach, where leaders provide minimal direction and allow team members to make decisions independently. This style is not applicable in this scenario, as the nurse is actively involved in coordinating care and ensuring that the family receives appropriate support. The nurse’s proactive approach does not align with the laissez-faire style.

Choice D Reason

The role of a follower involves taking direction from others and supporting the implementation of decisions made by leaders. In this scenario, the nurse is not merely following instructions but is actively managing the situation by referring the family to the social worker. This action demonstrates initiative and responsibility, which are characteristics of a managerial role rather than a follower role.

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Correct Answer is B

Explanation

Choice A Reason

Offering to input the note for the resident and asking them to sign it under the nurse’s login credentials is not appropriate. This practice can lead to issues with accountability and accuracy in medical records. Each healthcare professional is responsible for their own documentation, and using another person’s login credentials can compromise the integrity of the medical record and violate hospital policies and regulations.

Choice B Reason

Informing the resident that they need to enter the information using their own password is the correct response. This ensures that each entry in the medical record is accurately attributed to the correct healthcare provider, maintaining accountability and integrity in documentation. It also complies with hospital policies and regulations regarding the use of electronic health records (EHRs) and protects patient confidentiality.

Choice C Reason

Allowing the resident to use the nurse’s login credentials and log her out when finished is not appropriate. This practice can lead to security breaches and issues with accountability in the medical record. Each healthcare provider must use their own login credentials to ensure that all entries are accurately attributed and to maintain the security of the EHR system.

A. Make a copy of the incident report for the provider. B. Document in the chart that an incident report has been filed. C. Place the incident report in the client’s chart. D. Submit the incident report to the risk manager.

Correct Answer is D

Explanation

Choice A Reason:

Making a copy of the incident report for the provider is not necessary. Incident reports are typically used for internal documentation and risk management purposes. They are not part of the patient’s medical record and should not be shared with the provider in this manner. The provider should be notified of the incident through appropriate channels, but a copy of the report is not required.

Choice B Reason:

Documenting in the chart that an incident report has been filed is inappropriate. The patient’s medical record should contain factual, objective information about the patient’s condition and care. Mentioning that an incident report has been filed can be seen as an admission of liability and is not recommended. The focus should be on documenting the patient’s condition and any care provided as a result of the fall.

Choice C Reason:

Placing the incident report in the client’s chart is incorrect. Incident reports are not part of the patient’s medical record and should be kept separate. They are used for internal purposes to improve patient safety and care processes. Including them in the patient’s chart can lead to legal complications and is against best practices.

Choice D Reason:

Submitting the incident report to the risk manager is the appropriate action. The risk manager is responsible for reviewing incident reports to identify potential risks and implement measures to prevent future occurrences. This process is crucial for maintaining patient safety and improving healthcare quality.

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A family is keeping vigil at a critically ill patient’s bedside. The nurse speaks with the family members and states she is referring them to the hospital social worker, who will work with the family. What role is the nurse assuming through this action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The clinic nurse has recently opened a client’s chart on the computer. A resident approaches and requests her to remain logged in so he can add a note to the same chart. Her response should be:

Correct Answer is B

Explanation

A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client’s provider, and completes an incident report, which of the following actions should the nurse take?

Correct Answer is D

Explanation

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