The nurse supervises the care of residents in an assisted living center. The nurse should intervene if which is observed?

A nursing assistant remains silent when a resident tells a demeaning joke.

A nursing assistant and resident laugh together while watching television.

Two nursing assistants laugh at themselves after spilling a pitcher of water.

A nursing assistant makes a joke about a confused resident to other residents.

Answer and Explanation

The Correct Answer is D

A. Remaining silent when a resident tells a demeaning joke may not be ideal, but it's not as harmful as actively making a demeaning joke.

B. Laughing together while watching television is a positive interaction.

C. Laughing at themselves after an accident can foster a positive environment and is harmless.

D. Making a joke about a confused resident to other residents is inappropriate and demeaning, requiring intervention.

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Correct Answer is D

Explanation

A. Resolving conflicts and setting goals indicates adjustment, not reality shock.

B. Energy and excitement reflect an idealistic phase rather than the reality shock phase.

C. Realizing hope is a positive outcome and does not reflect the shock phase of transitioning.

D. Frustration due to time constraints reflects the reality shock phase where the graduate nurse encounters unexpected challenges.

A. Call a nursing colleague who speaks the same language as the client to interpret the information. B. Ask the client's partner to interpret the information. C. Use an electronic translating service from the internet to interpret the information. D. Telephone the interpreter that is designated for the facility to interpret the information.

Correct Answer is D

Explanation

A. Call a nursing colleague who speaks the same language as the client to interpret the information.
While this option may seem viable, it is not the best practice. Using a colleague for interpretation could breach confidentiality and might not ensure a professional level of accuracy. Nurses are not always trained interpreters and might not fully understand the nuances of medical communication.

B. Ask the client's partner to interpret the information.
It is not appropriate to use the client’s partner as an interpreter due to potential conflicts of interest and breaches of confidentiality. Family members may not provide accurate translations and could unintentionally alter the information.

C. Use an electronic translating service from the internet to interpret the information.
While online translating tools can be helpful for casual conversations, they are not reliable for medical information due to potential inaccuracies and lack of medical terminology. Professional interpreters are trained to handle medical terminology and ensure that communication is clear and accurate.

D. Telephone the interpreter that is designated for the facility to interpret the information.
This is the best practice for ensuring clear and accurate communication. Designated interpreters are trained professionals who can accurately convey medical information and maintain confidentiality. They ensure that communication is both effective and compliant with legal and ethical standards.

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The nurse supervises the care of residents in an assisted living center. The nurse should intervene if which is observed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A graduate nurse experiences reality shock when transitioning to a staff nurse position on an oncology unit. Which of the following would be a reflection of that shock phase?

Correct Answer is D

Explanation

A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The charge nurse informs a staff nurse that it is her turn to float to another unit. Which response by the staff nurse is aggressive?

A patient is irritable and complains to the nurse about difficulty sleeping last night. Which response by the nurse is most appropriate?

The nurse is updating a patient care policy based on current literature. Which action by the nurse ensures that the best available evidence is being used to update the policy?

Which of the following is a common American value that interferes with the nurse’s recognition and appreciation of healthcare beliefs and behaviors of diverse cultures?

A student nurse is not able to start an IV after two attempts. Two staff nurses laugh and call the student nurse "stupid." The student nurse reports the staff nurses' behavior to the charge nurse. Which response by the charge nurse is best?

The nurse questions a patient with hypertension before developing a teaching plan. Which question, if asked by the nurse, is most appropriate?

The nurse manager is interviewing several nurses who have applied for a position as a hospice nurse. It is most important for the nurse manager to assess each applicant for which qualities below? (Select all that apply.)

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