A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
Instruct the AP to request assistance when unsure about a task.
Help the AP assist the client with the transfer.
Refer the AP to the facility procedure manual.
Demonstrate the proper client transfer technique for the AP.
The Correct Answer is B
A. Instruct the AP to request assistance when unsure about a task: While this is an important instruction, the immediate priority is ensuring the safety of the client during the transfer.
B. Help the AP assist the client with the transfer: This is the correct answer. The nurse should intervene immediately to ensure the safety of the client during the transfer. Providing assistance to the AP in safely transferring the client is the most appropriate action to take first.
C. Refer the AP to the facility procedure manual: While facility procedures are important, referring to the manual may not address the immediate need to correct the incorrect transfer and ensure client safety.
D. Demonstrate the proper client transfer technique for the AP: While education and demonstration of correct techniques are important, the immediate priority is to intervene and ensure the safety of the client during the transfer.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. An adolescent who refuses to speak to their parents may be experiencing emotional distress, but this behavior does not necessarily require immediate intervention by the nurse.
B. A toddler who cries in the presence of their parent is displaying separation anxiety, which is a common reaction in young children and does not typically require intervention by the nurse unless it persists or escalates.
C. A preschooler who was previously toilet trained and now requires diapers may indicate regression, which could be a sign of emotional distress or physical illness and warrants further assessment and intervention by the nurse.
D. A school-age child with abrasions on their lower legs may require wound care and assessment, but this does not indicate an immediate need for intervention by the nurse unless there are signs of infection or other complications.
Correct Answer is D
Explanation
A. Decreased cost-effectiveness: Critical pathways aim to streamline care processes, which often leads to decreased costs as resources are utilized more efficiently.
B. Increased variation in clinical interventions: Critical pathways typically standardize clinical interventions to ensure consistency and reduce variation in care, leading to improved outcomes.
C. Increased length of stay: Critical pathways are designed to optimize patient care and reduce unnecessary delays, which often results in decreased length of stay rather than an increase.
D. Decreased care delays: One of the primary goals of critical pathways is to identify and eliminate delays in care delivery, leading to smoother and more efficient patient transitions through the healthcare system.
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