Nurse Z is extremely attentive to their client's emotional & spiritual needs. The nurse spends up to 45 minutes each day providing the psychosocial support. As a result, the nurse does not plan enough time to perform assessments or give medications on time. This nurse is liable for:

poor time management

neglect

fraud

an intentional tort

Answer and Explanation

The Correct Answer is A

A. Poor time management: This option is the correct answer. Poor time management occurs when a nurse fails to allocate sufficient time to complete essential nursing tasks, such as assessments and medication administration, due to excessive focus on non-priority activities, such as providing emotional and spiritual support. In this scenario, Nurse Z's inability to plan and allocate adequate time for essential nursing duties indicates poor time management skills.

B. Neglect: Neglect involves the failure to provide necessary care or attention to a client's needs, resulting in harm or potential harm. While Nurse Z's excessive focus on emotional and spiritual support may lead to neglect of other essential nursing responsibilities, the primary issue in this scenario is poor time management rather than deliberate neglect.

C. Fraud: Fraud involves intentional deception or misrepresentation for personal gain. There is no indication in the scenario that Nurse Z's actions involve deceit or manipulation for personal benefit, so fraud is not applicable in this context.

D. Intentional tort: Intentional torts involve deliberate actions that result in harm to another person. Nurse Z's failure to plan enough time for assessments and medication administration appears to stem from poor time management rather than intentional harm, so an intentional tort is not applicable in this scenario.

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Correct Answer is B

Explanation

A. HOB (Head of Bed): This abbreviation refers to the position of the client's bed and does not indicate a specific time for medication administration. It stands for "Head of Bed" and is often used in nursing documentation to describe the elevation of the head of the bed relative to the client's body.

B. hs: This is the correct abbreviation. "hs" stands for "hora somni" in Latin, which translates to "at bedtime." It indicates that the medication should be administered to the client before they go to sleep for the night. This abbreviation is commonly used in medication orders and nursing documentation to specify the timing of medications given at bedtime.

C. hr: This abbreviation stands for "hour," indicating a specific time frame rather than a particular time of day. It does not specify bedtime as the intended time for medication administration.

D. HOH (Hard of Hearing): This abbreviation refers to the client's auditory status and does not indicate a specific time for medication administration. It stands for "Hard of Hearing" and is used to describe clients who have difficulty hearing.

A. call the supervisor. B. limit the amount of time spent in the client's room. C. have a male nursing assistant provide care. D. address the behavior and ask that it stop.

Correct Answer is D

Explanation

A. Call the supervisor: While it's important to involve the supervisor if the situation escalates or if additional support is needed, calling the supervisor should not be the nurse's initial response. The nurse should first attempt to address the behavior directly with the client.

B. Limit the amount of time spent in the client's room: Limiting the time spent in the client's room may seem like a temporary solution to avoid the uncomfortable situation, but it does not address the underlying issue of inappropriate behavior. The nurse should address the behavior directly to attempt to resolve it rather than avoiding the client's room altogether.

C. Have a male nursing assistant provide care: Assigning care based on gender may not be feasible or appropriate in all situations. It also does not address the underlying behavior of the client making inappropriate sexual comments. Additionally, it may not be fair to the male nursing assistant to assign care based on the client's behavior.

D. Address the behavior and ask that it stop: This is the most appropriate initial response. The nurse should directly address the client's behavior by setting clear boundaries and expressing that the sexual comments are inappropriate and unacceptable. The nurse can assertively communicate that such behavior will not be tolerated and ask the client to stop. This approach empowers the nurse to assert professional boundaries and encourages respect for both the nurse and other healthcare providers.

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Nurse Z is extremely attentive to their client's emotional & spiritual needs. The nurse spends up to 45 minutes each day providing the psychosocial support. As a result, the nurse does not plan enough time to perform assessments or give medications on time. This nurse is liable for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse receives an order for a medication that will assist the client at bedtime. The abbreviation for the best time to administer this medication is:

Correct Answer is B

Explanation

A female nurse is beginning to avoid going into the room of a male client who makes frequent sexual comments about nurses. The nurse's initial response should be to:

Correct Answer is D

Explanation

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