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","D","E"]
Explanation
A. Increased mortality rates are not an outcome of quality stamina. In fact, quality stamina aims to improve overall care quality and patient outcomes, which should ideally lead to decreased mortality rates. High-quality care and sustained attention to standards generally contribute to better patient outcomes and lower mortality rates.
B. Quality stamina does not typically result in decreased patient volume. In fact, maintaining high-quality care can lead to increased patient satisfaction and potentially attract more patients. Decreased patient volume might be a result of other factors, such as poor service or lack of resources, rather than quality stamina.
C. Improved job satisfaction is a positive outcome of quality stamina. When healthcare staff work in an environment where high standards are maintained, they often experience greater job satisfaction due to better working conditions, support, and recognition of their efforts.
D. Optimal workload distribution is another positive outcome associated with quality stamina. Effective quality management practices can lead to more efficient processes and better distribution of tasks, which helps in reducing burnout and maintaining a sustainable work environment.
E. Enhanced nurse retention is also a likely outcome of quality stamina. When healthcare organizations prioritize quality and maintain high standards, it often leads to a better work environment and job satisfaction, which can contribute to higher nurse retention rates. Retaining experienced staff helps in maintaining consistent, high-quality care.
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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