Nclex PN Questions and Answers - Nurselytic

Correct Answer: C

Rationale: The least appropriate behavior when dealing with fellow staff members is to only report conflicts that interfere with client care. This choice implies ignoring or neglecting other conflicts that may affect team dynamics and the work environment. It is crucial to address and report all conflicts, whether they impact client care directly or not, to maintain a harmonious and effective working relationship within the healthcare setting. Providing positive feedback, constructive criticism, serving as a resource, and offering input for performance evaluations are all important and appropriate behaviors that contribute to a supportive and professional work environment. By focusing solely on conflicts that interfere with client care, essential issues that influence teamwork and overall staff morale may be overlooked, potentially leading to a negative impact on the work environment.

Correct Answer: B

Rationale: In this situation, when Nurse Ann informs Nurse Christine that a client's status is declining and she needs to attend to them, the most appropriate action for Nurse Christine is to inform their supervisor that assignments may need to be changed. By informing the supervisor, necessary adjustments can be made to ensure proper care for all clients. Offering to give medications to Nurse Ann's other two clients (choice
A) may not address the underlying issue of a declining client and could lead to a delay in care. Asking other nurses for help (choice
C) might not be the most efficient solution, as the supervisor is responsible for reassigning tasks. Nurse Ann continuing to care for all her assigned clients (choice
D) may compromise the quality of care provided to the declining client and may spread her too thin, impacting all clients negatively.

Correct Answer: C

Rationale: Allowing the client's family member to serve as the interpreter is the least appropriate option. It is not recommended to rely on family members for interpretation as they may not be impartial, accurate, or trained to handle sensitive medical information. This can lead to misunderstandings, breaches in confidentiality, and compromised care.
Choice A is a better option as it involves communication with the family member to manage expectations.
Choice B is also appropriate as it prioritizes the need for a professional interpreter to ensure accurate communication.
Choice D is a valid option as it explores the possibility of using a phone-service interpreting service to facilitate communication efficiently.

Correct Answer: C

Rationale: People-related supervisory tasks involve direct interaction with individuals performing the work. Coaching, encouraging, rewarding, evaluating, and facilitating are all part of these tasks as they focus on supporting and motivating employees. Target setting, on the other hand, is a task-centered responsibility that involves projecting goals or objectives to be accomplished. It focuses more on setting objectives and goals rather than directly interacting with individuals, making it the exception among the given choices.

Correct Answer: C

Rationale: A client's medical condition is confidential and should never be discussed with anyone other than the client and the client's healthcare provider.
Therefore, the nurse must tell the unit secretary that the client's condition is not to be discussed.

Choices A and B confirm the client's disease, which is inappropriate as it breaches patient confidentiality.
Choice D promotes further discussion of the client's condition, which is also inappropriate. The correct response is to firmly state, 'We can't discuss a client's medical condition,' to uphold patient privacy and confidentiality.