Which of the following are examples of intentional unsafe acts in nursing? (Select All that Apply.)

Ignoring a patient's call for assistance

Disregarding hand hygiene protocols

Administering medication without proper verification

Accidentally administering blood through an 18 gauge IV catheter with insulin also infusing

Improperly documenting patient information

Answer and Explanation

Correct Answer : A,B,C,E

Rationale:

A. Ignoring a patient's call for assistance is an intentional unsafe act because it represents a deliberate decision not to provide care, putting the patient at risk of falls, injury, or deterioration. This behavior demonstrates neglect and failure to fulfill the nurse’s duty to the patient, which can have serious ethical and legal implications.

B. Disregarding hand hygiene protocols is an intentional unsafe act because hand hygiene is a fundamental infection prevention measure. Choosing not to perform hand hygiene exposes patients to preventable healthcare-associated infections, showing a conscious disregard for safety standards and professional guidelines.

C. Administering medication without proper verification is intentional when the nurse knowingly bypasses safety checks, such as the five rights of medication administration (right patient, right drug, right dose, right route, right time). This increases the risk of adverse drug events and reflects a willful breach of safe practice standards.

D. Accidentally administering blood through an 18-gauge IV catheter while insulin is also infusing is unintentional. This constitutes a human error rather than a deliberate act. While it may be harmful, it is considered negligence or a system error, not intentional misconduct.

E. Improperly documenting patient information is an intentional unsafe act when it involves falsifying, omitting, or inaccurately recording patient data. Such documentation can mislead other healthcare providers, compromise care, and potentially result in patient harm. Intentional documentation errors are considered unethical and unsafe practice.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:
A. Encouraging the colleague to reflect on their emotions and discuss constructive ways to manage their response is correct because it aligns with emotional intelligence principles, including self-awareness, self-regulation, and social skills. Supporting the colleague in understanding and processing their emotions fosters personal growth, reduces defensiveness, and improves interpersonal relationships within the team.

B. Reporting the colleague’s behavior to management without addressing emotional aspects is incorrect because it focuses solely on punitive action rather than supporting professional development and emotional growth. Emotional intelligence emphasizes resolving conflicts through understanding and reflection rather than immediate escalation.

C. Suggesting that the colleague confront the team member to assert dominance is incorrect because this approach may escalate conflict and does not promote constructive emotional regulation. Emotional intelligence encourages addressing feedback thoughtfully rather than reactively.

D. Advising the colleague to ignore the criticism is incorrect because avoidance does not teach emotional self-regulation or resilience. Ignoring feedback may prevent learning and professional growth, which are key components of emotional intelligence.

A. Obtain a routine urine sample from a newly-admitted client. B. Pass fresh water to clients on the unit. C. Transport a client to the radiology department for an x-ray. D. Take an arterial blood gas (ABG) specimen to the laboratory.

Correct Answer is A

Explanation

Rationale:

A. Obtain a routine urine sample from a newly-admitted client is correct because this task is time-sensitive and directly related to the initial assessment and care planning for the newly admitted client. Early collection ensures that diagnostic information is available promptly to guide interventions and treatment. Prioritizing tasks that affect immediate client care and assessment aligns with safe delegation practices.

B. Pass fresh water to clients on the unit is incorrect as the first task because while hydration is important, it is not as urgent as obtaining diagnostic specimens that impact clinical decision-making. This task can be delegated after more time-sensitive responsibilities are addressed.

C. Transport a client to the radiology department for an x-ray is incorrect as the first task because although transporting clients is important, it is less urgent than tasks that directly affect immediate assessment or care of newly admitted clients. Timing may be flexible depending on the client’s condition and schedule.

D. Take an arterial blood gas (ABG) specimen to the laboratory is incorrect because this is more of a follow-up task after collection and typically has a short window for transport, but it does not take precedence over obtaining new assessment data for a newly admitted client.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which of the following are examples of intentional unsafe acts in nursing? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse observes that a colleague becomes defensive and withdrawn after receiving constructive criticism from a team member. Using emotional intelligence principles, what is the most appropriate nursing action to support the colleague?

Correct Answer is A

Explanation

A nurse has several tasks to delegate to an assistive personnel (AP). Which of the following tasks should the nurse ask the AP to perform first?

Correct Answer is A

Explanation

A client with a Do-Not-Intubate (DNI) order is admitted to the hospital with respiratory distress. As the nurse responsible for care, which nursing actions are appropriate to implement in accordance with the client's code status? (Select all that apply)

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? (Select All that Apply.)

A nurse is part of an interprofessional team conducting a root cause analysis (RCA) after a sentinel event involving a medication error that caused serious patient harm. Which nursing action best supports the RCA process to prevent future similar events?

A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

A charge nurse has access to the facility's electronic client records. It is appropriate for the charge nurse to share her personal password with whom?

A nurse is evaluating the documentation of a newly licensed nurse. The nurse should identify that which of the following entries requires intervention?

A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?