A family member brings an electric radio to a client in a long-term care facility. The client tells the nurse that an electric shock was felt while turning on the radio. Which should the nurse do first?

Disconnect the radio from its power source.

Take the client's apical pulse.

Arrange for the maintenance department to examine the radio.

Check the client's skin for electrical burns.

Answer and Explanation

The Correct Answer is A

Rationale:

A. The primary principle in any situation involving electricity is safety. The client has already reported feeling an electric shock, which indicates that the device is still potentially hazardous. The first step must be to eliminate the source of danger by unplugging the radio or ensuring it is no longer connected to electricity. This protects both the client and anyone else in the area from further injury. Safety always takes precedence over assessment or administrative tasks.

B. While taking an apical pulse is important after an electric shock to assess for arrhythmias or other cardiac effects, it is secondary to removing the hazard. Performing an assessment while the source of electricity is still present could put the nurse or client at additional risk. Once the radio is disconnected and the client is safe, the nurse should then immediately assess cardiac status, including pulse, heart rhythm, and vital signs.

C. Having the maintenance department check the device is necessary to prevent future hazards, but it is a later action, not the first priority. Immediate safety and assessment of the client’s condition take precedence over administrative follow-up.

D. Inspecting for burns or other injuries is essential, as electric shocks can cause external burns, internal tissue damage, or cardiac complications, but again, it is secondary. The nurse must first remove the source of electricity to prevent additional injury. After the device is disconnected, the nurse can safely evaluate for burns, neurological changes, or other complications.

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Correct Answer is D

Explanation

Rationale:
A. While active listening is important in conflict resolution, simply allowing both parties to continue repeating their viewpoints is not productive at this stage. The situation has reached a point where communication is no longer advancing toward resolution, so further repetition without guidance will likely prolong the conflict rather than resolve it.

B. This response is inappropriate because it shows bias and prematurely takes the nurse’s side without fully exploring the CNA’s concerns. Effective mediation requires neutrality and ensuring that both parties feel heard and respected. Taking sides can escalate conflict and damage team dynamics.

C. Telling the individuals to resolve the issue on their own is not appropriate since the CNA has already attempted to address the conflict unsuccessfully. The nurse manager has a responsibility to facilitate resolution, not withdraw from the process.

D. This is the best answer because it helps move the conversation forward by encouraging both parties to explore underlying or unspoken issues contributing to the conflict. Often, repeated arguments signal deeper concerns such as workload perception, communication style, or role expectations. This approach promotes deeper understanding, problem-solving, and a more effective resolution.

A. Explain that the refusal of treatment is a violation of hospital policy. B. Address the client's concerns with the healthcare team and include the client in discussions. C. Transfer the client to another unit. D. Assign the client to a different nurse.

Correct Answer is B

Explanation

Rationale:
A. This approach is punitive and does not address the client’s underlying concern, which is a lack of trust. Confronting the client in this manner may escalate anxiety and further damage the nurse-client relationship.

B. This action reflects a collaborative and client-centered leadership approach. It actively involves the client in decision-making, validates their concerns, and promotes trust and transparency. By facilitating communication between the client and the healthcare team, the nurse supports informed consent and strengthens the therapeutic relationship.

C. Transferring the client does not resolve the underlying issue of mistrust with the healthcare team and may be disruptive or seen as avoidance rather than problem-solving.

D. While continuity of care is important, simply changing the nurse may not address the client’s lack of trust in the broader healthcare team or the specific concerns causing treatment refusal.

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A family member brings an electric radio to a client in a long-term care facility. The client tells the nurse that an electric shock was felt while turning on the radio. Which should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse on a surgical unit is working with a client who is refusing treatment due to a lack of trust in the healthcare team. Which of the following leadership actions should the nurse take to support this client?

Correct Answer is B

Explanation

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