A nurse is doing infection control observations for the unit’s safety committee. Which of the following actions increase the transmission of infection? (Select all that apply)
The nurse wore gloves to empty a urinal
The doctor cleansed her hands with hand gel before entering a patient room
The UAP cleansed hands with soap and water for 10 seconds before patient care
The wound nurse wore artificial nails during patient care
The UAP cleansed hands with hand gel after caring for a patient with Clostridium difficile (C. Diff.)
Correct Answer : C,D,E
Choice A reason: Wearing gloves to empty a urinal is appropriate infection control practice. Gloves protect the nurse from exposure to urine and potential pathogens.
Choice B reason: Cleansing hands with hand gel before entering a patient room is acceptable for most situations. Alcohol-based hand rubs are effective against many pathogens, though not against C. Diff spores.
Choice C reason: Washing hands with soap and water for only 10 seconds is insufficient. Proper hand hygiene requires at least 20 seconds of scrubbing to effectively remove pathogens. Inadequate handwashing increases infection transmission.
Choice D reason: Wearing artificial nails during patient care increases infection risk because bacteria and fungi can harbor under artificial nails, even with hand hygiene. This practice is prohibited in clinical settings.
Choice E reason: Using hand gel after caring for a patient with C. Diff is ineffective because alcohol-based sanitizers do not kill C. Diff spores. Soap and water must be used to prevent transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Suggesting distractions may minimize the client’s grief and does not validate their feelings. It may be perceived as avoiding emotional support.
Choice B reason: Encouraging the client to focus on positives and “stay strong” can come across as dismissive and does not allow the client to process their grief fully.
Choice C reason: This response validates the client’s emotions and communicates empathy. It provides an opportunity for the client to express grief, promoting emotional support and therapeutic communication.
Choice D reason: Claiming to know exactly how the client feels can minimize their individual experience. Grief is unique to each person, and such statements can hinder therapeutic rapport.
Correct Answer is C
Explanation
Choice A reason: An open-ended question invites the patient to share feelings or elaborate on concerns, typically beginning with prompts like “Tell me more about…” or “How are you feeling?” The statement given by the LPN is not a question at all, and therefore does not encourage patient expression. Instead, it closes off dialogue.
Choice B reason: A therapeutic method involves validating feelings, offering empathy, and encouraging coping strategies. For example, saying “I understand this is difficult, let’s talk about what worries you most” would be therapeutic. The LPN’s statement dismisses the patient’s unique feelings by generalizing them, which is not therapeutic.
Choice C reason: This is a communication block because it minimizes the patient’s concerns and discourages further discussion. By saying “Everyone feels that way,” the nurse invalidates the patient’s individual experience, which can lead to mistrust and reluctance to share. Communication blocks interfere with therapeutic rapport and hinder patient-centered care.
Choice D reason: “Just Culture” refers to a system of accountability in healthcare organizations that balances learning from mistakes with appropriate responsibility. It is not a communication style used in patient interactions. Therefore, this option does not apply to the scenario.
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