The nurse is calling a health care provider to give an update on a client's condition. The nurse receives a telephone order and, when requests that the order be read back to the provider for confirmation, the provider states, "I don't have time for this." What is the most appropriate action by the nurse?
Don't follow through with the order, and delete it from the record
Inform the provider, to ensure safety for the client, it must be read back
Proceed with the order since the nurse heard it the first time
Ask the secretary to call the provider back and take the order
The Correct Answer is B
A. The nurse should never delete or ignore a provider’s order without proper communication and documentation.
B. The nurse must insist on reading back the order to ensure accuracy and client safety, even if the provider is impatient. This is a standard safety protocol to prevent errors.
C. Proceeding without read-back risks misunderstanding the order, which could harm the client.
D. Asking the secretary to take the order bypasses the nurse’s professional responsibility and does not guarantee safe communication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cultural blindness involves ignoring cultural differences and treating everyone the same, rather than ridiculing beliefs.
B. Cultural imposition is when someone imposes their own cultural values on others, not necessarily mocking them.
C. Culture conflict occurs when there is an expressed disdain or ridicule for different cultural beliefs and values, often resulting in defensive or hostile behavior, as seen in the coworker's reaction.
D. Culture shock refers to feelings of disorientation when encountering a new culture, not active ridicule or condescension.
Correct Answer is B
Explanation
A. While loneliness can contribute to distress, the specific behaviors observed (excessive religious reading, crying, and poor sleep) suggest something deeper than just social isolation.
B. These behaviors are signs of spiritual distress, which may occur when a person is facing a serious illness or surgery and is struggling with questions of meaning, faith, or fear. Spiritual distress can manifest emotionally and behaviorally, as seen here.
C. While some anxiety is expected before major surgery, persistent emotional signs like excessive crying and poor sleep, along with intense religious focus, indicate more than normal preoperative nerves.
D. Labeling the client as “naturally emotional” is an assumption and dismisses the need for assessment and appropriate support.
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