A staff nurse has applied for a promotion. The hiring manager insinuates that if there was a sexual relationship between the two of them, the nurse's promotion request would get increased consideration. Which of the following actions should the staff nurse take first?

Correct Answer: A

Rationale: The correct answer is A. The staff nurse should first directly address the inappropriate behavior with the hiring manager. By clearly stating that the conduct causes discomfort and requesting it to stop immediately, the nurse sets clear boundaries and asserts their rights. This action establishes a record of the nurse's response to the misconduct and gives the hiring manager the opportunity to rectify the situation. It also empowers the nurse to advocate for themselves in a professional manner. Summary: - B: Reporting to the nurse manager can be done after addressing the hiring manager directly. - C: Creating a written document can be important but should follow direct communication. - D: Seeking help from a friend can provide support but should not replace direct confrontation with the hiring manager.

Correct Answer: C

Rationale: The correct answer is C because the statement "I have to choose a family member as my health proxy" is incorrect. The client does not have to choose a family member as their health care proxy; they can choose any trusted individual to act as their proxy. This indicates a need for clarification as the client may be under the misconception that the proxy must be a family member. Statement A is not the correct answer because the client can indeed change their designated health care proxy at any time. Statement B is not the correct answer because end-of-life choices are typically made by the proxy only if the client is unable to make decisions themselves. Statement D is not the correct answer because the health care proxy does go into effect as soon as it is designated, not only when the client is incapable of making decisions.

Correct Answer: A

Rationale: The correct answer is A: Do not adjust the oxygen flow rate. This is crucial for maintaining the prescribed oxygen therapy and preventing potential harm to the client. Adjusting the flow rate without medical guidance can lead to inadequate oxygenation or oxygen toxicity. Incorrect Choices: B: Checking oxygen equipment weekly is important for safety but not directly related to the client's immediate oxygen use. C: Storing oxygen tanks horizontally is incorrect as they should be stored upright to prevent leaks. D: Using wool blankets to reduce static is not recommended as they can generate static electricity, posing a risk of fire near oxygen.

Correct Answer: B

Rationale: The correct answer is B: Another staff nurse provides testimony about how a reasonable, prudent nurse would have handled the situation. In a legal proceeding to determine if the nurse was negligent, the standard used is typically that of what a reasonable and prudent nurse would have done in the same situation. This standard is known as the "standard of care." It is important because it assesses the nurse's actions based on what is considered acceptable and appropriate within the nursing profession. Testimony from another staff nurse who can provide insight into how a reasonable and prudent nurse would have acted is crucial in establishing whether the nurse in question met this standard. Choice A is incorrect because testimony from an expert nurse about how the situation should have been handled differently may not necessarily reflect the standard of care for a reasonable and prudent nurse. Choice C is incorrect because the client's attorney stating that the injury could have been prevented does not establish the standard of care for a nurse in the situation. Choice D is incorrect because the client's provider

Correct Answer: D

Rationale: The correct answer is D: Right supervision. The nurse checking in with assistive personnel to ensure tasks are completed is an example of proper supervision, which is one of the rights of delegation. Supervision involves overseeing and guiding the work of others to ensure tasks are being carried out correctly and safely. This helps maintain accountability and quality of care. Summary of other choices: A: Right circumstances - This refers to ensuring the task is appropriate for delegation based on factors such as patient condition and complexity. B: Right communication - This involves clear and effective communication of tasks, responsibilities, and expectations between the nurse and assistive personnel. C: Right person - This focuses on selecting the most qualified and competent individual to perform the delegated task based on their skill level and training.