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 C
Explanation
A. Talkativeness: Seen during intoxication, not withdrawal.
B. Exhilaration: Associated with the stimulant effects of cocaine, not withdrawal.
C. Extreme drug craving: Withdrawal is characterized by intense cravings, fatigue, depression, and irritability.
D. Increased energy: Seen during intoxication, not during withdrawal.
Correct Answer is D
Explanation
A. Would you like me to call another nurse to be here while I show you the wound?: May feel pressured; not supportive.
B. Part of recovery is accepting your new body image and you will need to look at your incision: Judgmental and may increase resistance.
C. You will feel better when you see that the incision is not as bad as you may think: Assumes feelings; not therapeutic.
D. It's OK if you don't want to look or talk about the mastectomy. I will be available when you're ready: Acknowledges client’s feelings and leaves door open for readiness.
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