A nurse on a medical-surgical unit is evaluating an assistive personnel’s use of infection control precautions. Which of the following actions by the AP indicates correct use of the precautions?

The AP wears a surgical mask when caring for a client who has respiratory tuberculosis

The AP uses alcohol-based hand sanitizer after emptying the bed pan on a client who has Clostridum-difficle

The AP bundles the client side of linen inward when changing the sheets for a client who has an infected surgical wound

The AP removes her gloves before leaving the room of a client who has MRSA

Answer and Explanation

Correct Answer : C

a. The AP wears a surgical mask when caring for a client who has respiratory tuberculosis.

Incorrect. AP should wear an N95 Mask when caring for a client with respiratory tuberculosis helps prevent the spread of airborne pathogens, protecting both the healthcare worker and others in the environment.

b. The AP uses alcohol-based hand sanitizer after emptying the bedpan of a client who has Clostridium difficile.

This action is incorrect. Alcohol-based hand sanitizers are not effective against the spores of Clostridium difficile. Handwashing with soap and water is necessary to effectively remove the spores.

c. The AP bundles the client side of linen inward when changing the sheets for a client who has an infected surgical wound.

When handling soiled linen, it is essential to fold the client side of the linen inward to minimize the spread of contaminants. This helps to ensure that any contaminated surfaces do not come into contact with other surfaces, which is crucial for preventing the spread of infection.

d. The AP removes her gloves before leaving the room of a client who has MRSA.

For MRSA (Methicillin-resistant Staphylococcus aureus), the AP should remove gloves and perform hand hygiene before leaving the room.

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Correct Answer is D

Explanation

a. Compromising:

Compromising involves finding a middle ground or mutually acceptable solution where both parties give up something to reach an agreement. It requires each party to make concessions to meet halfway and resolve the conflict. This approach aims to achieve a quick resolution by accommodating the needs and concerns of both sides to some extent.

b. Collaborating:

Collaborating involves working together cooperatively to find a solution that satisfies the interests and concerns of all parties involved. It requires open communication, active listening, and joint problem-solving to achieve a consensus and reach a win-win outcome. This approach values mutual respect, trust, and cooperation among team members, emphasizing shared decision-making and collective ownership of the resolution.

c. Cooperating:

Cooperating involves willingly assisting or supporting others to achieve a common goal or resolve a conflict. It emphasizes teamwork, mutual support, and shared efforts to address challenges or differences constructively. This approach promotes harmony, unity, and a supportive environment where individuals work together toward shared objectives.

d. Competing:

Competing, also known as forcing or dominating, involves pursuing one's own interests or preferences at the expense of others' concerns or viewpoints. It prioritizes assertiveness and control, with the goal of achieving one's desired outcome without considering the needs or perspectives of others. This approach can lead to conflict escalation, resentment, and strained relationships, as it disregards collaboration and mutual understanding in favor of imposing one's will.

A. “A nurse can disclose information to a family member with the client’s permission.” B. “A nurse is responsible for informing clients about treatment options.” C. “A nurse can apply restraints on a PRN basis.” D. “A nurse can administer medications without consent to a client as part of a research study.”

Correct Answer is ["A"]

Explanation

A. Nurses are permitted to share a client’s information with family members only if the client grants permission. This aligns with the Health Insurance Portability and Accountability Act (HIPAA) and ensures the client’s right to privacy and confidentiality is upheld.

B.While nurses play a critical role in client education, it is the provider’s responsibility to explain treatment options, including risks, benefits, and alternatives. Nurses can reinforce this information and answer questions but are not the primary party responsible for obtaining informed consent.

C.Restraints must never be applied on a "PRN" (as needed) basis. They require a specific, time-limited order from a provider, and their use must be justified and continually reassessed. This ensures that client rights and safety are maintained.

D.Participation in a research study requires informed consent from the client. Administering medications without consent is a violation of the client’s rights and ethical standards, even in research settings.

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A nurse on a medical-surgical unit is evaluating an assistive personnel’s use of infection control precautions. Which of the following actions by the AP indicates correct use of the precautions?

Nursing Test Bank

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