Which of the following behaviors would not have disciplinary or legal consequences?
A staff nurse filing an event report after making a medication error.
A nurse manager abuses their power by humiliating a new nurse in front of their peers for making a medication error.
A charge nurse improperly uses authority by condescending a new nurse who asked them a question about medication administration.
Sexual harassment of a patient by their primary nurse.
The Correct Answer is A
A. Filing an event report after a medication error is a professional and responsible action. This behavior promotes transparency and accountability and is often required by healthcare facilities to improve safety and prevent future errors. Generally, filing such a report itself does not carry disciplinary consequences, especially if done in accordance with the facility's policies.
B. This behavior can have serious disciplinary consequences. Humiliating a colleague can create a hostile work environment, which may lead to formal complaints and disciplinary actions against the nurse manager. Such actions violate workplace professionalism and can result in legal repercussions as well.
C. This behavior can also lead to disciplinary action. Condescension and disrespect undermine teamwork and can discourage open communication, which is critical in healthcare settings. This behavior can be reported and may be addressed by management or human resources.
D. Sexual harassment of a patient is a serious offense that can lead to severe legal and disciplinary consequences. It is a violation of ethical and legal standards in healthcare, resulting in potential termination, loss of licensure, and legal action.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While it's important to obtain a formal DNR order, the nurse should not delay providing emergency care while waiting for the order. The client's immediate needs take precedence.
B. The risk manager can provide guidance and support, but they cannot provide immediate medical care. The nurse's priority should be to provide emergency care to the client.
C. Even in the absence of a formal DNR order, the nurse has a legal and ethical duty to provide emergency care to a client who is in cardiac or respiratory arrest.
D. This is the most appropriate action. The nurse should immediately call the emergency response team to initiate resuscitation efforts. While waiting for the team to arrive, the nurse should continue to provide basic life support measures, such as CPR and rescue breathing. Once the emergency response team arrives, they will take over the resuscitation efforts and obtain a formal DNR order from the provider if necessary.
Correct Answer is D
Explanation
A. Bradycardia, or a slow heart rate, is not a typical finding during a sickle cell crisis. In fact, during a crisis, the child may exhibit tachycardia (increased heart rate) due to pain, stress, and potential hypoxia.
B. While constipation can be a complication in children with sickle cell disease (often related to pain medications or dehydration), it is not a primary symptom of a sickle cell crisis itself. The immediate concerns in a crisis are related to pain and vaso-occlusive episodes.
C. High fever is not a direct symptom of a sickle cell crisis. Although children with sickle cell disease are at increased risk for infections, which can cause fever, a fever is not a typical finding specifically related to a sickle cell crisis. It is essential to assess for infection, especially if fever is present.
D. Pain is the hallmark symptom of a sickle cell crisis, often referred to as a vaso-occlusive crisis. The sickle-shaped red blood cells can block blood flow in small vessels, leading to severe pain in various parts of the body, such as the chest, abdomen, and joints.
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