The nurse educator is instructing newly hired nurses about client rights and the legal obligations of hospital staff. Which of the following would be an example to use when describing an assault in a clinical situation?
The nurse threatens to apply restraints to a client who is exhibiting aggressive behavior.
The client requests to be discharged, but the nurse physically forces the client to stay.
The charge nurse sends an email to a staff member that includes a poor performance evaluation about another person.
The nurse overhears the provider make derogatory remarks to a client about the nurse's level of competency.
The Correct Answer is A
Choice A reason: This statement describes assault because it involves a threat of harm. In this case, the nurse is threatening to apply restraints to a client, which can cause the client to fear imminent physical contact or harm. Assault does not necessarily involve physical contact, but the threat or attempt to cause harm.
Choice B reason: This statement describes battery rather than assault. Battery involves actual physical contact or harm. Physically forcing the client to stay after they request to be discharged constitutes battery, as it involves unwanted physical contact.
Choice C reason: This statement does not describe assault. Sending an email with a poor performance evaluation about another person is an issue of professional conduct and confidentiality but does not involve a threat of harm or physical contact.
Choice D reason: This statement does not describe assault. Making derogatory remarks about someone’s competency is an issue of professional behavior and respect but does not involve a threat or act of physical harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A reason: The acuity level of the clients is a critical factor to consider when planning staff assignments. Clients with higher acuity levels require more intensive care and monitoring, necessitating a greater allocation of resources and experienced staff. By considering client acuity, the charge nurse can ensure that the most critical patients receive the appropriate level of care and attention, while also balancing the workload among the nursing staff.
Choice B reason: The clustering of the rooms on the unit can significantly impact the efficiency of care delivery. By grouping clients in close proximity, the nurse can minimize the time and effort spent moving between rooms, thus enhancing the ability to respond quickly to client needs. This consideration helps to optimize workflow and improve overall patient care by reducing potential delays.
Choice C reason: Considering both client needs and the staff's needs and abilities ensures that the right personnel are assigned to the appropriate tasks. Matching staff competencies with client requirements maximizes the effectiveness of care delivery. Additionally, taking into account staff preferences and skills can improve job satisfaction and performance, ultimately benefiting the clients.
Choice D reason: The number of anticipated client discharges is an important logistical factor that can affect the day's workflow. Planning for discharges allows the charge nurse to allocate resources for discharge planning, patient education, and follow-up care. It also helps in managing bed availability and preparing for incoming admissions, ensuring a smooth transition for both clients and staff.
Choice E reason: Specific requests from the staff can include preferences for certain shifts, working with particular patients, or avoiding specific tasks. While it may not always be possible to accommodate all requests, considering them when feasible can improve staff morale and cooperation. Addressing staff preferences helps to create a positive work environment, leading to better teamwork and patient outcomes.
Correct Answer is C
Explanation
Choice A reason: Conducting a client care conference is important for multidisciplinary care planning, but it may not immediately address the client's safety needs upon admission. Safety measures should be implemented promptly to prevent potential accidents or confusion.
Choice B reason: Providing information about advance directives is crucial for ensuring that the client's wishes are respected during their care. However, this does not directly address immediate safety concerns that may arise from being in a new environment.
Choice C reason: Orienting the client to his room is essential to promote client safety. This includes familiarizing the client with the layout of the room, location of the bathroom, call bell, and any other essential features. It helps prevent falls and accidents by reducing confusion and ensuring the client knows how to access help if needed.
Choice D reason: Developing a plan of care is critical for long-term management of the client's health needs. However, immediate safety concerns should be addressed first to ensure a safe environment for the client from the outset.
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