A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?

Correct Answer: C

Rationale: In this scenario, the correct action for the charge nurse to take is option C: talk with the clients who have reported the LPN's lack of care. This is the most appropriate course of action as it directly addresses the concerns raised by the clients, allows for clarification of the reported issues, and provides an opportunity to gather more information to assess the situation accurately. Option A, reviewing the LPN's personnel file, is incorrect as it does not address the immediate issue of client safety and care. Option B, discussing the LPN's behavior with other nurses, may lead to gossip or speculation without concrete evidence of the reported lack of care. Option D, reassigning client care to assistive personnel, does not address the underlying problem and may compromise continuity of care for the clients. Educationally, this scenario highlights the importance of effective communication, active listening, and addressing client concerns promptly in ensuring client safety and quality care. It also emphasizes the role of the charge nurse in advocating for clients and supporting staff members in delivering optimal care.

Correct Answer: D

Rationale: The correct answer is D) Cooperating. In this scenario, the charge nurse is demonstrating cooperating by agreeing to take care of both nurses' clients while they sort out their conflict. Cooperation involves working together to find a mutually beneficial solution or outcome. In this case, the charge nurse is fostering a collaborative approach to resolving the conflict by stepping in to support both nurses and ensure client safety is maintained. Option A) Avoiding is incorrect because the charge nurse is not ignoring the conflict or avoiding addressing it; instead, they are actively involved in resolving it. Option B) Competing is incorrect as it involves pursuing one's own concerns at the expense of others, which is not demonstrated by the charge nurse's actions. Option C) Compromising is also incorrect as it involves finding a middle ground where each party gives up something, whereas in this scenario, the charge nurse is taking on additional responsibility to support both nurses. In an educational context, understanding different conflict management styles is crucial for healthcare professionals to effectively navigate interpersonal conflicts in a clinical setting. By recognizing and applying appropriate conflict management strategies, nurses can promote a positive work environment, maintain client safety, and enhance team collaboration. Cooperation, as demonstrated by the charge nurse in this scenario, is essential for effective conflict resolution and promoting a culture of teamwork and support in healthcare settings.

Correct Answer: A

Rationale: Ambulate an older adult client who has hypertension is correct. An AP can ambulate an older adult client who has hypertension. Provide discharge instructions for a client who has a new skin graft is incorrect. An RN should provide discharge teaching for a client. Perform an admission assessment on a client is incorrect. An RN should perform an admission assessment on a client. Check a blood product with another nurse prior to administration is incorrect. Two RNs or one RN and one licensed practical nurse (LPN) should check a blood product before administration. Weighing a client who has heart failure is correct. An AP can weigh a client who is stable.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Cooperating. The charge nurse is demonstrating a cooperative conflict management style by agreeing to take care of both nurses' clients while they are at lunch. This approach aims to find a mutually beneficial solution where all parties involved work together for a positive outcome. Avoiding (A) would involve the charge nurse ignoring or postponing the conflict, which is not what is happening in the given situation. Competing (B) would involve one party asserting their own needs over others, which is not demonstrated by the charge nurse in this case. Compromising (C) would involve both parties giving up something to reach a middle ground, but in this case, the charge nurse is taking on the responsibility without asking for a compromise. Educationally, understanding different conflict management styles is crucial for nurses and healthcare professionals to maintain a healthy work environment and ensure client safety. By utilizing a cooperative approach, like the charge nurse did in this scenario, conflicts can be resolved efficiently while prioritizing the needs of clients and promoting teamwork among colleagues.

Correct Answer: B

Rationale: In this scenario, option B is the best choice as it demonstrates thorough awareness of safe nursing practices. By asking for the client's name and allergies before checking the bands, the nurse ensures correct identification and allergy verification, which are crucial steps in medication administration to prevent errors. Option A is incorrect because asking the client to state their name is not as reliable as checking identification bands. Option C is also incorrect as it skips the step of verifying the client's allergies. Option D is incorrect because it does not prioritize confirming the client's identity and allergies before entering the room. This question emphasizes the importance of proper client identification and allergy verification to ensure safe medication administration. Nurses must follow specific protocols to prevent medication errors and ensure client safety, making option B the most appropriate choice in this context.