A nurse manager observes a newly licensed nurse interacting with clients.
Which of the following actions by the newly licensed nurse requires intervention by the nurse manager?
Offering to meet with a client's home health nurse after discharge.
Informing the client that she cannot accept a personal gift.
Recommending the client contact clergy for spiritual counsel.
Sharing personal contact information with the client.
The Correct Answer is D
Choice A rationale
Offering to meet with a client's home health nurse after discharge demonstrates appropriate interprofessional collaboration and continuity of care. This action facilitates a smooth transition for the client by ensuring that relevant health information is accurately conveyed and understood by the home health provider, promoting optimal post-discharge outcomes and preventing fragmented care.
Choice B rationale
Informing the client that she cannot accept a personal gift aligns with ethical nursing practice and professional boundaries. Nurses are obligated to maintain a professional relationship, avoiding situations that could lead to actual or perceived conflicts of interest, exploitation, or compromise the nurse-client therapeutic relationship.
Choice C rationale
Recommending the client contact clergy for spiritual counsel demonstrates an understanding of holistic care, addressing the client's spiritual needs. This action respects the client's autonomy and acknowledges the significant role that spiritual well-being can play in a client's coping mechanisms and overall health outcomes.
Choice D rationale
Sharing personal contact information with the client blurs professional boundaries and can compromise the nurse-client relationship. This action creates a risk for dependency, manipulation, and potential exploitation, undermining the therapeutic nature of the interaction and violating professional conduct standards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Offering to meet with a client's home health nurse after discharge demonstrates appropriate interprofessional collaboration and continuity of care. This action facilitates a smooth transition for the client by ensuring that relevant health information is accurately conveyed and understood by the home health provider, promoting optimal post-discharge outcomes and preventing fragmented care.
Choice B rationale
Informing the client that she cannot accept a personal gift aligns with ethical nursing practice and professional boundaries. Nurses are obligated to maintain a professional relationship, avoiding situations that could lead to actual or perceived conflicts of interest, exploitation, or compromise the nurse-client therapeutic relationship.
Choice C rationale
Recommending the client contact clergy for spiritual counsel demonstrates an understanding of holistic care, addressing the client's spiritual needs. This action respects the client's autonomy and acknowledges the significant role that spiritual well-being can play in a client's coping mechanisms and overall health outcomes.
Choice D rationale
Sharing personal contact information with the client blurs professional boundaries and can compromise the nurse-client relationship. This action creates a risk for dependency, manipulation, and potential exploitation, undermining the therapeutic nature of the interaction and violating professional conduct standards.
Correct Answer is C
Explanation
Choice A rationale
Assisting in meeting workplace expectations is a characteristic activity of a preceptor. Preceptors are typically responsible for guiding new nurses through the practical aspects of their role, ensuring they understand and can meet the immediate operational requirements and performance standards of the unit.
Choice B rationale
Providing feedback to the nurse manager about a nurse's productivity is a function commonly associated with a preceptor. Preceptors are often tasked with evaluating the new nurse's performance and communicating their progress and areas needing improvement to management.
Choice C rationale
Providing guidance in career decisions is a hallmark activity of a mentor. Mentors offer broader, long-term professional development support, helping the mentee explore career paths, set professional goals, and navigate the complexities of their professional journey over an extended period.
Choice D rationale
Ensuring the new nurse adheres to hospital policies is a direct responsibility of a preceptor. Preceptors are instrumental in familiarizing new nurses with institutional protocols, safety guidelines, and policies, ensuring compliance and safe practice within the specific healthcare environment.
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