A home health care nurse is visiting an older adult client who tells the nurse that she is feeling tired, is unable to shop for groceries, and would like the nurse to shop for her. Shopping and performing personal errands for the client is prohibited in the nurse's job description. Which of the following is an appropriate nursing response?
“What I think you should do is wait for the days when you feel better and do your grocery shopping then."
"Let's look at some other resources to solve this problem."
"I would be happy to do whatever I can to help you."
"I won't be able to shop for you today because I have to get home to my family."
The Correct Answer is B
A. This response dismisses the client’s immediate needs and does not offer a supportive or constructive solution. It puts the responsibility on the client without addressing her request for assistance or exploring alternatives.
B. This is an appropriate and constructive response. It acknowledges the client’s situation and shows willingness to help find alternative resources, such as community services, meal delivery programs, or assistance from family or friends. This approach empowers the client and provides practical support.
C. While this response expresses willingness to help, it goes against the nurse's job description by implying that the nurse would perform tasks that are not permitted. It's important for the nurse to maintain professional boundaries and adhere to policies regarding their role.
D. This response is not appropriate because it focuses on the nurse's personal reasons and does not address the client's needs. It may come off as dismissive and fails to offer any alternative solutions or support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Libel refers to the written defamation of someone's character, which is not applicable here. The nurse leaving early does not involve any defamatory statements or written content.
B. Battery involves the intentional and unlawful physical contact with another person without consent. The nurse leaving early does not constitute physical harm or unwanted contact with patients or colleagues.
C. Slander refers to the spoken defamation of someone's character. Similar to libel, this term does not apply to the nurse’s action of leaving early, as it does not involve making false statements about someone.
D. Negligence in nursing refers to a failure to provide the standard of care that a reasonably competent nurse would provide in similar circumstances. By leaving her shift early without notifying the charge nurse, the nurse may be failing to ensure continuity of care for her patients, even if they are stable.
Correct Answer is A
Explanation
A. Filing an event report after a medication error is a professional and responsible action. This behavior promotes transparency and accountability and is often required by healthcare facilities to improve safety and prevent future errors. Generally, filing such a report itself does not carry disciplinary consequences, especially if done in accordance with the facility's policies.
B. This behavior can have serious disciplinary consequences. Humiliating a colleague can create a hostile work environment, which may lead to formal complaints and disciplinary actions against the nurse manager. Such actions violate workplace professionalism and can result in legal repercussions as well.
C. This behavior can also lead to disciplinary action. Condescension and disrespect undermine teamwork and can discourage open communication, which is critical in healthcare settings. This behavior can be reported and may be addressed by management or human resources.
D. Sexual harassment of a patient is a serious offense that can lead to severe legal and disciplinary consequences. It is a violation of ethical and legal standards in healthcare, resulting in potential termination, loss of licensure, and legal action.
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