A patient expresses frustration that no one explained the purpose of a new medication. What should the nurse do first?
Notify the charge nurse immediately.
Provide clear medication teaching and assess understanding.
Tell the patient to ask the physician.
Document that the patient is noncompliant.
The Correct Answer is B
Effective clinical communication hinges on therapeutic rapport and patient autonomy. Nurses must address knowledge deficits through targeted health literacy interventions, ensuring informed consent by explaining pharmacological actions, therapeutic intent, and potential adverse effects to patients expressing confusion or dissatisfaction with their treatment.
Rationale:
A. Notifying the charge nurse is a hierarchical escalation that should follow direct intervention. The primary nurse is responsible for the nursing process, and the immediate priority is to address the patient's concern directly before involving management or seeking administrative assistance.
B. Providing education is the priority intervention to resolve the patient's frustration. The nurse must perform a needs assessment and deliver comprehensive teaching to bridge the information gap, ensuring the patient understands the rationale behind the newly prescribed pharmacological therapy.
C. Deflecting the patient's concern to the physician represents a dereliction of duty. Patient teaching is a nursing mandate, and while physicians prescribe, nurses are professionally obligated to explain medication purposes and verify comprehension as part of standard bedside care.
D. Documenting noncompliance is an inaccurate assessment of the situation. The patient is expressing a lack of information, not a refusal to cooperate, and labeling them as noncompliant ignores the provider's responsibility to facilitate adequate education and health literacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Patient safety events such as falls involve risk assessment, incident reporting systems, clinical evaluation for injury, and provider notification protocols, which ensure early detection of complications like fractures, internal injuries, or neurological compromise and support quality improvement and legal documentation processes.
Rationale:
A. Documenting refusal only is incomplete and unsafe. A fall with subsequent pain requires further evaluation because it may indicate occult injury such as fracture or soft tissue trauma. Failure to escalate care violates patient safety standards.
B. Completing an incident report and notifying the provider is correct. Falls are reportable safety events requiring formal documentation and medical evaluation to rule out injury, ensure timely intervention, and support risk management and quality improvement processes.
C. Informing housekeeping to clean the area addresses environmental safety but does not address the patient’s reported pain or potential injury. Clinical evaluation and reporting take priority over environmental cleanup after a fall event.
D. Delaying reporting until the next shift is inappropriate. Fall incidents require immediate reporting and assessment to prevent missed injuries and ensure timely intervention. Delayed communication increases risk of complications and violates patient safety protocolsTop of FormBottom of Form
Correct Answer is A
Explanation
A career in nursing is defined by structured professional development, regulated scope of practice, progressive skill acquisition, and commitment to a defined field of practice, where individuals build expertise within a regulated healthcare profession over time with clear standards and competencies.
Rationale:
A. Involvement in an area of practice that is regulated is the best definition of a career. Nursing is a regulated profession with licensure, standards of practice, and continuing competency requirements that define a structured professional career pathway.
B. Continuous employment in the same area for 20 years reflects job tenure rather than defining a career. A career involves professional development and progression, not simply long-term repetition of the same role without advancement or skill expansion.
C. Short-term contract employment across multiple fields represents job mobility or gig work, not a defined career. It lacks continuity in a regulated professional trajectory and does not reflect structured progression in a specific discipline.
D. Moving in and out of nursing positions in various cities reflects career mobility or instability, not a career definition. While nursing may involve relocation, a career is defined by sustained development within a regulated professional framework, not random job movement.Top of FormBottom of Form
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