A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action?

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: 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.

Correct Answer: D

Rationale: The correct answer is D: Set a target date. During the moving stage of change, setting a target date is crucial to provide a clear timeline for the implementation of the change. This helps create a sense of urgency and accountability among staff, ensuring progress towards the desired change. Assessing the problem (A) is typically done in the unfreezing stage to understand the need for change. Using tactics to alert staff nurses that a change is needed (B) is more relevant to the unfreezing stage to gain buy-in. Evaluating the effectiveness of the change (C) is usually done in the refreezing stage to assess outcomes and make adjustments. Setting a target date (D) is essential during the moving stage to maintain focus and drive progress.

Correct Answer: C

Rationale: The correct answer is C: Identify the problem. This is the first step that should be taken to resolve any conflict effectively. By identifying the root cause of the conflict, the nurse manager can gain a clear understanding of the issues at hand. Once the problem is identified, the nurse manager can then proceed to brainstorm solutions (B) based on the specific issues identified. Implementing a resolution (A) and evaluating the results (D) should come after the problem is fully understood and appropriate solutions have been developed. Therefore, choices A, B, and D are incorrect because they should follow the step of identifying the problem in order to effectively address the conflict between the pharmacy and staff nurses.

Correct Answer: D

Rationale: The correct answer is D. The priority intervention for a client with active tuberculosis is to place them in a negative pressure private room and have all who enter the room use masks with shields. This is crucial to prevent the spread of tuberculosis to others. Coughing can release infectious droplets into the air, so containing these droplets within a negative pressure room is essential. Choices A and B focus on managing the client's cough but do not address the spread of infection to others. Choice C emphasizes hand hygiene, which is important but not as critical as airborne precautions in this scenario.