A nurse manager observes assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

Help the AP assist the client with the transfer

Demonstrate the proper client transfer technique to the AP

Instruct the AP to request assistance when unsure about a task

Refer the AP to the facility procedure manual

Answer and Explanation

The Correct Answer is B

a.   While helping the AP assist the client with the transfer is a hands-on approach, it might not address the root cause of the incorrect technique. Demonstrating the proper technique ensures that the AP understands the correct method for future transfers.
b.   This option directly addresses the observed issue by providing immediate education and correction to the AP, helping to prevent future errors.
c.   Instructing the AP to request assistance when unsure about a task is a good general practice, but in this specific scenario, addressing the incorrect technique is more pressing.
d.   Referring the AP to the facility procedure manual might provide guidance, but it doesn't offer immediate correction or education on the observed error.

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Correct Answer is C

Explanation

54) A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to experienced assistive personnel. Which of the following assessments should the nurse make before delegating care?
a. Is the client’s family present so the AP can show them how to turn the client
b. Does the AP have time to change the client’s central IV-line dressing after turning her?
c. Has data been collected about specific client needs related to turning?
d. Has the AP checked the client’s pain level prior to turning her?

A. Alert the infection control department B. Discuss the issue with the AP C. Reinforce facility protocols at the next staff meeting D. Notify the unit manager about the incident

Correct Answer is B

Explanation

a. While alerting the infection control department is important, directly addressing the issue with the involved personnel should be the initial action.
b. Discussing the issue with the assistive personnel (AP) allows for immediate clarification of the protocol and provides an opportunity to correct the behavior.
c. Reinforcing facility protocols at a staff meeting may be necessary but should not be the first step when immediate action is required.
d. Notifying the unit manager is important, but addressing the issue with the AP directly is the first step in resolving the situation and preventing future occurrences.

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A nurse manager observes assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to experienced assistive personnel. Which of the following assessments should the nurse make before delegating care?

Correct Answer is C

Explanation

A charge nurse witnesses assistive personnel failing to follow facility protocol when discarding contaminated lines. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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