After arguing with a nurse, a disgruntled patient removes their peripheral venous catheter, gathers their belongings, and storms out of the room. Which of the following actions made by the nurse is most appropriate?
The nurse waits for the patient to leave, then files an incident report.
The nurse contacts the patient's next-of-kin on the telephone.
The nurse walks with the patient, attempting to explain the risks of leaving against medical advice.
The nurse calls security personnel to apprehend the patient.
The Correct Answer is C
A. Waiting for the patient to leave before filing an incident report is not the most appropriate response. The immediate priority should be addressing the situation to ensure the patient's safety and attempting to resolve any issues before the patient leaves.
B. Contacting the patient’s next-of-kin can be appropriate if the nurse is concerned about the patient’s safety and if it’s necessary to inform the family about the patient’s condition or situation. However, this should be done only after attempting to address the situation directly with the patient, if feasible. It’s important to first try to resolve the issue directly with the patient before involving family members.
C. Walking with the patient and explaining the risks of leaving against medical advice (AMA) shows a proactive approach to addressing the patient's concerns and ensuring they understand the potential consequences of their actions. This approach aims to de-escalate the situation, provide important information, and potentially encourage the patient to stay for necessary care.
D. Calling security personnel should be a last resort and is generally used in situations where there is a safety threat or risk of harm. In this case, the patient is leaving in a disgruntled state but not exhibiting violent or threatening behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Primary care institutions, such as ambulatory care centers, are typically the first point of contact for patients within the healthcare system. They provide initial evaluations, treatment for common conditions, and ongoing care management. Primary care focuses on comprehensive and preventive services and is the entry point for patients seeking healthcare services.
B. Rehabilitative or long-term care is not the primary focus of a primary care institution. Rehabilitative care involves services designed to help patients recover functional abilities after illness or injury, while long-term care supports individuals with chronic conditions or disabilities over an extended period.
C. Disease-restorative care is more specific to settings that focus on managing and treating particular diseases or conditions, often in a more intensive or specialized manner. While primary care does address disease management, its primary role is broader, encompassing overall health maintenance, preventive care, and managing general health issues rather than solely focusing on restorative care for specific diseases.
D. While ambulatory care centers and primary care institutions primarily provide outpatient services, the term “only” is limiting and may not fully capture the scope of services provided. Primary care settings do indeed offer outpatient services, but they also play a broader role in coordinating care, preventive health, and sometimes providing minor procedures.
Correct Answer is A
Explanation
A. Accommodation involves giving in to the needs or desires of others, often at the expense of one’s own needs or preferences. In this scenario, Lee is accommodating Jillian’s schedule by sacrificing his own personal time to ensure she receives the coaching she needs.
B. Avoiding is a conflict management strategy where one party tries to ignore or evade the conflict, often by withdrawing from the situation. In this case, Lee is not avoiding the conflict but is actively working to resolve it by adjusting his schedule.
C. Compromising involves each party giving up something to reach a middle ground. While Lee is adjusting his schedule, he is not negotiating or finding a middle ground where both parties make concessions. Instead, he is accommodating Jillian’s needs by sacrificing his own time, which does not fit the definition of compromising.
D. Competing is a strategy where one party seeks to win the conflict at the expense of others. This involves pursuing one's own goals aggressively, often disregarding the needs or preferences of others. In this scenario, Lee is not trying to win or impose his preferences; rather, he is making a personal sacrifice to meet Jillian’s needs.
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