A nurse on a surgical unit is working with a client who is refusing treatment due to a lack of trust in the healthcare team. Which of the following leadership actions should the nurse take to support this client?
Explain that the refusal of treatment is a violation of hospital policy.
Address the client's concerns with the healthcare team and include the client in discussions.
Transfer the client to another unit.
Assign the client to a different nurse.
The Correct Answer is B
Rationale:
A. This approach is punitive and does not address the client’s underlying concern, which is a lack of trust. Confronting the client in this manner may escalate anxiety and further damage the nurse-client relationship.
B. This action reflects a collaborative and client-centered leadership approach. It actively involves the client in decision-making, validates their concerns, and promotes trust and transparency. By facilitating communication between the client and the healthcare team, the nurse supports informed consent and strengthens the therapeutic relationship.
C. Transferring the client does not resolve the underlying issue of mistrust with the healthcare team and may be disruptive or seen as avoidance rather than problem-solving.
D. While continuity of care is important, simply changing the nurse may not address the client’s lack of trust in the broader healthcare team or the specific concerns causing treatment refusal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["42"]
Explanation
Step 1: Identify total volume and time
Total volume = 250 mL, Time = 6 hours
Step 2: Use the formula
mL/hour = Total volume ÷ Time
Step 3: Insert values
= 250 ÷ 6
Step 4: Calculate
≈ 41.67 mL/hour
Step 5: Round to the nearest whole number
≈ 42 mL/hour
Final Answer: 42
Correct Answer is ["A","B","D"]
Explanation
Rationale:
A. A healthy full-term 1-day-old infant with a strong suck and a healthy mother is considered clinically stable. The infant is feeding well, demonstrating normal neurological and physical adaptation to extrauterine life. The mother is also healthy and able to care for the newborn. Because both mother and infant are stable, early discharge is reasonable with proper home follow-up, making this pair a suitable candidate to free up bed space during a disaster response.
B. A 2-day-old infant with a total serum bilirubin of 8 mg/dL is within normal limits for a healthy newborn at this age. Physiologic jaundice typically peaks around days 3–5 of life and is usually mild in full-term infants. With a healthy mother who can care for the infant and monitor for feeding or jaundice progression, early discharge is safe. This makes the infant appropriate for discharge to increase bed capacity.
C. A 28-hour-old preterm infant born at 34 weeks is high-risk for several complications, including hypoglycemia, temperature instability, apnea, and feeding difficulties. The infant requires ongoing monitoring, potential specialized feeding support, and frequent vital sign assessments. The mother is fatigued, further increasing the need for hospital support. Discharge at this time would be unsafe and could lead to serious complications.
D. A multipara woman who delivered 20 hours ago with an intact perineum is considered medically stable. She has minimal risk for postpartum complications, her vital signs are likely within normal limits, and she can ambulate and care for herself and her infant. Discharge in this situation is safe and appropriate during a surge situation, allowing the hospital to allocate resources to higher-acuity patients.
E. A woman who had a cesarean section and has just been started on IV antibiotics is medically unstable due to postoperative status and ongoing infection treatment. She requires close monitoring for signs of infection, pain control, and surgical site healing. Discharging her at this stage would put her at significant risk for complications and is unsafe.
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