A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have sufficient experience to safely care for his assigned clients. Which of the following actions should the nurse take?
Notify the risk manager.
Request that the charge nurse modify the assignment.
Document the concern in the nurse's notes.
Accept the assignment with help from assistive personnel on the unit.
The Correct Answer is B
A. While notifying the risk manager might be appropriate if there is an ongoing pattern of safety concerns or systemic issues, it is not the most immediate or direct way to address the immediate concern of the nurse's inability to safely care for clients in an unfamiliar unit.
B. The charge nurse has the authority to modify assignments and can reassign clients or adjust responsibilities based on the nurse's experience and competency. By communicating the concern to the charge nurse, the newly licensed nurse can ensure that clients receive safe and effective care, and the charge nurse can make adjustments to better align the assignment with the nurse's experience level.
C. Documenting the concern in the nurse's notes is important for record-keeping but does not address the immediate need for reassignment or adjustments. Documentation is useful for future reference or to support any formal complaints or reviews but does not solve the current issue of inadequate experience for the assigned tasks.
D. Accepting the assignment while relying on assistive personnel may compromise patient safety if the nurse does not have the necessary experience. Although assistive personnel can provide support, they cannot substitute for the nurse's clinical judgment and skills.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Staffing issues are important as they can affect the workload and safety of the unit. However, the immediate concern is usually related to direct patient care. This situation should be addressed promptly to ensure coverage and proper delegation of tasks, but it is not the most urgent concern compared to issues directly affecting patient safety or emergency situations.
B. While this issue affects the logistical aspects of patient care, it is less critical compared to urgent patient care needs or emergencies. Arranging alternative transport solutions or rescheduling the therapy session should be addressed, but it is not as immediate as other concerns.
C. This situation should be addressed first because timely handoff of patient information is crucial for continuity of care. The new admission could require immediate attention, and a delay in receiving the report could impact patient care.
D. While an incident report about a medication error is significant and should be reviewed and addressed, it does not require immediate action in the same way that ensuring patient care continuity does. The charge nurse should review the incident report and follow up as necessary, but it is not as urgent as the need to receive a report on a new admission from the emergency department.
Correct Answer is A
Explanation
A. Contacting a professional sign language interpreter is the most appropriate action. Professional interpreters are trained in medical terminology and ethical standards for translation, ensuring that the client fully understands the information being provided and can give informed consent.
B. Speaking loudly will not facilitate communication with a client who uses sign language, as they rely on visual communication. This approach does not address the client’s needs and may lead to misunderstandings or frustration.
C. Using a family member for translation is not recommended. Family members may not be proficient in medical terminology and could introduce bias or inaccuracies. Additionally, involving family members can lead to potential conflicts of interest or breaches in confidentiality.
D. The provider should be positioned so that the client can clearly see both the provider and the interpreter. Sitting to the side would not facilitate effective communication through sign language. Proper positioning is crucial to ensure that the client can follow the conversation and fully understand the information being provided.
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