While working as nurse in a hospital you notice that a co-worker has unsteady gait and slurred speech. You suspect that she may be an impaired nurse.

Which of the following will be the appropriate action to take?

Ask your co-worker to perform a sobriety test.

Report your co-worker to the supervisor.

Ignore your co-worker’s behavior until others notice the problem.

Confront the co-worker with your suspicions.

Answer and Explanation

The Correct Answer is B

This is because impaired nursing can have serious consequences for patients' safety and well-being, and it is your ethical and professional responsibility to take action to ensure patient safety.

Confronting the co-worker directly ( Option d) may not be the best approach, as it could lead to a confrontational situation and may not resolve the issue. Asking your co-worker to perform a sobriety test ( Option a) may also not be appropriate, as you may not be trained or authorized to administer such a test, and it may not be a reliable indicator of impairment. Ignoring the co-worker's behavior ( Option c) is not an appropriate action, as it could potentially harm patients and violate your ethical and professional responsibilities as a nurse.

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Correct Answer is D

Explanation

In a Mental Status Examination (MSE), thinking/content of thought is one of the key areas assessed. It refers to the content and process of a person's thoughts. The examiner will evaluate whether the person's thinking is coherent, organized, and logical, or if it is fragmented, disorganized, or delusional. They will also look for evidence of hallucinations, obsessions, or compulsions.

Speech and ability to communicate (a) are also assessed in the MSE, but they focus more on how the person expresses themselves, rather than the content of their thoughts. Judgment (b) refers to a person's ability to make decisions and solve problems, and memory (c) is the ability to recall past events and information. While both areas are important to assess in a mental health evaluation, they do not specifically focus on what the person is thinking.

A. Call the physician to ask for clarification. B. Check the states nurse practice act. C. Refer to the facility’s policy and procedures to determine the course of action. D. Contact the nursing supervisor for approval to carry out treatment.

Correct Answer is C

Explanation

When faced with an unfamiliar treatment instruction, it is important for the nurse to consult the facility’s policies and procedures to determine the appropriate course of action. These policies and procedures provide guidance on how to carry out treatments safely and eﬀectively and can help ensure that the patient receives the best possible care.

While it may also be appropriate for the nurse to call the physician for clarification (a), check the state’s nurse practice act (b), or contact the nursing supervisor for approval (d), consulting the facility’s policies and procedures should be the first step in determining the appropriate course of action.

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While working as nurse in a hospital you notice that a co-worker has unsteady gait and slurred speech. You suspect that she may be an impaired nurse. Which of the following will be the appropriate action to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

Correct Answer is D

Explanation

An order written by the physician is reviewed by the nursing staﬀ, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act. What is the nurses’ best course of action?

Correct Answer is C

Explanation

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While working as nurse in a hospital you notice that a co-worker has unsteady gait and slurred speech. You suspect that she may be an impaired nurse.

Which of the following will be the appropriate action to take?