A nurse intervenes when a client attempts to harm herself on the unit. During the interaction, the client slaps the nurse across the face, as a manager, it is important that you:
Assist with follow-up documentation and offer access to counseling.
Offer the nurse immediate education and training in self-defense.
Encourage the nurse to view the incident as a normal part of care.
Provide access to a lawyer so a formal complaint can be filed.
The Correct Answer is A
Choice A reason: This is the appropriate response as it addresses the immediate need for support and ensures that the incident is properly recorded.
Choice B reason: While education and training in self-defense may be beneficial, it is not the immediate concern following such an incident.
Choice C reason: Encouraging the nurse to view physical assault as a normal part of care is inappropriate and can lead to a harmful work environment.
Choice D reason: Providing access to a lawyer may be necessary if the nurse decides to take legal action, but the initial response should focus on support and documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct answer. It is important to first assess the situation and surroundings to ensure safety and understand the context before engaging with the individual.
Choice B reason: Telling the individual to leave immediately may escalate the situation, especially without understanding the full context or the individual's needs.
Choice C reason: While it is important to inform about visiting hours, the priority should be to assess the situation for any immediate risks or needs.
Choice D reason: Confronting the individual with multiple staff members could be intimidating and may not be necessary until the situation is fully assessed.
Correct Answer is D
Explanation
Choice A: State nurse practice act
The State Nurse Practice Act is a set of laws that governs how nurses should practice nursing in each state. It provides a broad framework for the practice of nursing, but it does not provide specific details about procedures such as inserting an IV catheter.
Choice B: More experienced nurse
While a more experienced nurse can be a valuable resource for a newly licensed nurse, they may not always be available. Additionally, their methods may vary and may not always align with the current best practices or institutional policies.
Choice C: Website
While there are many educational resources available online, the information on websites can vary in quality and may not be up-to-date or in line with the specific policies and procedures of the nurse's institution.
Choice D: Institutional policy and procedures manual
The institutional policy and procedures manual is the most reliable source for a newly licensed nurse to review the procedure and the standard at which it should be performed. This manual provides detailed, step-by-step instructions for various procedures and is tailored to the specific practices and standards of the institution. Therefore, it is the best choice in this scenario.
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