The practical nurse (PN) hears an older adult resident of a long term care facility shout profanities at an unlicensed assistive personnel (UAP) who shouts back at the resident. Which is the first action the PN should take?
Report the incident and the UAP for further action by the nurse-manager.
Tell both of them to lower their voices in consideration of other residents.
Enter the room and tell the UAP to leave the room immediately.
Tell the resident and the UAP that shouting is not permitted.
The Correct Answer is C
A. Report the incident and the UAP for further action by the nurse-manager:
Reporting may be needed later, but immediate intervention is required to stop inappropriate behavior.
B. Tell both of them to lower their voices in consideration of other residents:
This addresses the noise but not the unprofessional and potentially abusive behavior.
C. Enter the room and tell the UAP to leave the room immediately:
Immediate action is necessary to protect the resident from verbal abuse and to de-escalate the situation.
D. Tell the resident and the UAP that shouting is not permitted:
This fails to remove the UAP from the situation and address potential abuse concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Document the finding in the record:
Documentation is important but immediate provider notification is necessary for abnormal findings.
B. Perform range of motion to the joint:
Could cause injury if the infant has developmental dysplasia of the hip.
C. Continue care since this is a normal finding:
Limited abduction in newborns is not normal and requires evaluation.
D. Notify the healthcare provider:
Possible hip dysplasia; prompt reporting allows early intervention.
Correct Answer is D
Explanation
A. Late Middle adulthood:
Calcium intake is important at all ages, but prevention is most effective before peak bone mass is reached.
B. Late adulthood:
At this stage, bone loss prevention is still important, but most peak bone mass has already been lost.
C. Middle adulthood:
Bone mass maintenance continues, but the critical period for maximizing peak bone mass is earlier.
D. Early adulthood:
Bone mass peaks by the late 20s; maximizing calcium intake during early adulthood helps prevent osteoporosis later.
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