A coworker puts an arm around a nurse and says, 'I bet you are a great lover.' Which of the following is an appropriate response by the nurse?

Correct Answer: C

Rationale: The correct answer is C: 'Speaking to me like that makes me uncomfortable.' This response sets a clear boundary, communicates discomfort with the inappropriate behavior, and asserts the nurse's right to be treated with respect. It addresses the behavior directly and sends a message that such comments are not acceptable. Choices A and B do not directly address the inappropriate behavior, potentially allowing it to continue. Choice D focuses on volume rather than the inappropriate content of the comment, not effectively addressing the situation.

Correct Answer: A

Rationale: The correct answer is A: Perform blood glucose monitoring before breakfast. This task should be done first as it is time-sensitive for the client's medication and meal planning. Monitoring blood glucose levels in the morning helps determine the appropriate insulin dosage or other medications needed for the day. Applying a condom catheter (B) can wait until after the blood glucose monitoring. Feeding a client with upper arm fractures (C) is important but not as time-sensitive as blood glucose monitoring. Delivering a urine specimen to the lab (D) is also important but can be done after the blood glucose monitoring. Prioritizing tasks based on client needs and urgency is crucial in providing safe and effective care.

Correct Answer: A

Rationale: The correct answer is A: Quietly tell the APs that this is not appropriate. The priority action is to address the situation immediately to prevent further breach of confidentiality. By speaking to the APs directly, the nurse can educate them on the importance of patient confidentiality and address the issue at its source. This approach promotes immediate corrective action and helps prevent future incidents. Summary: - Choice B: Asking the nurse manager for an inservice program may be helpful in the long run, but it does not address the immediate breach of confidentiality. - Choice C: Completing an incident report is important, but it should not be the initial action in this scenario. - Choice D: Documenting the occurrence in a personal log does not address the issue directly and may not prevent future breaches of confidentiality.

Correct Answer: A

Rationale: The correct answer is A because the AP's statement indicates a need for assistance in establishing priorities. Starting with room 1 and working way to room 10 does not consider the acuity of the clients' needs or urgency of tasks. This approach may lead to delays in providing care to clients with more critical needs. Option B demonstrates prioritizing based on a client's specific situation, which is appropriate. Option C shows planning for future discharges after immediate client needs are addressed. Option D indicates a logical sequence by starting with providing baths before breakfast to promote comfort and hygiene. Thus, A stands out as needing guidance on prioritization.

Correct Answer: D

Rationale: The correct answer is D because it encourages therapeutic communication by focusing on the client's understanding of the illness, which can help address feelings of hopelessness. Asking the client to explain their understanding opens up the opportunity for clarification and support. Choice A focuses on the emotion only, not the underlying cause. Choice B dismisses the client's feelings. Choice C assumes the client should seek hospice care without exploring their current thoughts and feelings. Thus, D is the most appropriate response for effective client-centered care.