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 C
Explanation
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.
Correct Answer is A
Explanation
A. In a decentralized scheduling system, the responsibility for creating and managing schedules lies primarily with the individual units. Therefore, after developing a draft schedule, the nurse manager or designated scheduler would need to negotiate it with the unit staff to ensure it meets their needs and is feasible.
B. Budgetary approval is typically handled at a higher organizational level and is not typically part of the decentralized scheduling process.
C. This would be the case in a centralized scheduling system, not a decentralized one.
D. Balancing personal schedules with institutional needs is important but it's not a specific step in the decentralized scheduling process after creating a draft schedule. This is an ongoing consideration for all schedulers.
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