A newly licensed nurse accepts a position on a medical-surgical unit.
Which of the following is an example of the nurse displaying confidence?
Delaying documentation of clinical findings until approved by the charge nurse.
Gathering supplies before entering a client's room to insert an indwelling urinary catheter.
Redirecting the conversation when a client who is terminal asks about the dying process.
Asking a colleague to perform a skill the nurse is unfamiliar with.
The Correct Answer is B
Choice A rationale
Delaying documentation until approved by a charge nurse suggests a lack of confidence in one's own clinical judgment and assessment skills. Confident nurses document findings accurately and promptly based on their independent assessments, taking accountability for their observations and interventions within their scope of practice.
Choice B rationale
Gathering supplies before entering a client's room to insert an indwelling urinary catheter demonstrates preparedness, efficiency, and confidence. This action reflects proactive planning and a clear understanding of the procedure, minimizing interruptions and ensuring a smooth, competent execution of the task, thereby exhibiting self-assurance in one's abilities.
Choice C rationale
Redirecting the conversation when a client asks about the dying process indicates discomfort or a lack of confidence in addressing sensitive topics. A confident nurse would engage in open, empathetic communication, providing accurate information and emotional support, even when discussing difficult subjects, demonstrating professional composure and compassion.
Choice D rationale
Asking a colleague to perform a skill the nurse is unfamiliar with is a responsible and ethical action, reflecting an awareness of one's limitations, but it does not demonstrate confidence in performing the skill itself. Confidence is shown in the willingness to learn and seek guidance, but directly performing the unfamiliar skill is not implied.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A rationale
Responsibility in nursing directly refers to the specific tasks and duties that a nurse is obligated to perform. This encompasses a broad range of activities from direct patient care interventions to documentation, all of which are essential components of the nurse's role in providing safe and effective care within their scope of practice.
Choice B rationale
Responsibility inherently requires an ongoing obligation for maintaining competence. Nurses are professionally and ethically bound to continually update their knowledge and skills through continuing education and professional development, ensuring they can provide current, evidence-based, and safe patient care.
Choice C rationale
Responsibility includes the implementation of interventions designed to meet clients' needs. This involves applying critical thinking and nursing judgment to assess, plan, implement, and evaluate care that is tailored to individual patient requirements and contributes to their recovery or well-being.
Choice D rationale
Responsibility encompasses tasks such as reporting laboratory values to providers. This is a critical communication aspect of nursing practice, ensuring that pertinent diagnostic information is relayed promptly to the healthcare team, facilitating timely medical decisions and adjustments to the plan of care.
Choice E rationale
Responsibility also encompasses the successful completion of delegated care. While delegation involves entrusting tasks, the delegating nurse retains accountability for the overall outcome. The responsible nurse ensures that delegated tasks are performed correctly and that patient safety is maintained throughout the process.
Correct Answer is C
Explanation
Choice A rationale
Submitting to weekly drug testing is a common component of monitoring for chemical impairment but is typically part of a broader re-entry plan. While necessary for accountability and ensuring sobriety, it is a compliance measure rather than a foundational rehabilitative requirement that addresses the underlying issues of chemical dependence for successful re-entry.
Choice B rationale
Working on the night shift for the first year is not a standard requirement for re-entry after chemical impairment and may even be counterproductive. Irregular schedules and isolation can potentially increase stress and relapse risk, as a supportive and stable environment is crucial for successful recovery and reintegration into the workforce following impairment.
Choice C rationale
Completing a diversion program is an appropriate requirement for re-entry to the workplace for a chemically impaired nurse. These programs are structured to provide comprehensive treatment, rehabilitation, and monitoring, addressing the root causes of impairment and supporting the nurse's recovery to ensure patient safety and professional integrity upon return.
Choice D rationale
Attending anger management classes is not typically a primary requirement for re-entry following chemical impairment. While anger management might be beneficial for some individuals, it does not directly address the core issue of chemical dependence or provide the structured monitoring and treatment necessary for a safe and successful return to nursing practice.
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