Sexual Assault & Advocacy
A client presents to the emergency department showing signs of Rape-Trauma Syndrome. Which action should the nurse prioritize during the initial assessment?
What is ensuring the client’s physical safety and providing emotional support?
A nurse is asked to float to a unit they are unfamiliar with. What should the nurse do to ensure client safety?
What is notifying the charge nurse of their limitations and requesting assignments within their scope of competence?
A client falls in the hospital, and the nurse completes an incident report. What documentation should the nurse include in the client’s medical record?
What is documenting the client’s condition, the care provided, and omitting any reference to the incident report?
A client without health insurance is admitted to the hospital. What resources can the nurse offer to help the client manage the cost of care?
What is referring the client to a social worker for assistance with Medicaid or other financial aid options?
A nurse is reviewing the latest research on fall prevention. What is the first step in integrating this evidence into practice?
What is conducting a literature review and comparing it to current facility protocols?
A nurse is caring for a client who discloses intimate partner violence but is hesitant to leave their partner. What is the most appropriate nursing intervention?
What is providing information about local shelters and support services, and respecting the client’s autonomy?
A new graduate nurse is unsure about the correct dosage for a medication. What is the best action for the nurse to take?
What is verifying the dosage with a drug reference and consulting the pharmacist or a more experienced nurse?
A nurse is asked to administer a medication that the client reports an allergy to. What should the nurse do next?
What is holding the medication, verifying the allergy in the client’s chart, and notifying the healthcare provider?
A nurse is discharging a client who is eligible for Medicare. What type of care is covered under Medicare Part A?
What is inpatient hospital care, skilled nursing facility care, and hospice?
A nurse is implementing a new wound care protocol based on recent evidence. What should the nurse do to ensure the protocol is effective?
What is monitoring patient outcomes and adjusting care as needed based on feedback and results?
A nurse suspects a client may be experiencing elder abuse based on multiple bruises in various stages of healing. What should the nurse do first?
Report the suspected abuse to the appropriate authorities as a mandatory reporter.
During a staff meeting, a nurse speaks negatively about a coworker who is not present. What action should the nurse take to maintain professionalism?
What is addressing the concern directly with the coworker in a private setting to resolve the conflict?
A nurse notices that the wrong IV fluid has been hanging for an hour. What should the nurse do first?
What is stopping the IV, assessing the client’s condition, and notifying the physician immediately?
A client is concerned about the high cost of their medication. What action can the nurse take to assist the client in reducing prescription costs?
What is connecting the client with pharmaceutical assistance programs or suggesting generic alternatives?
A hospital has a new policy based on evidence to prevent catheter-associated infections. What should the nurse do if a client questions this new approach?
What is explaining the evidence behind the policy and how it benefits the client’s care?
While assessing a client with a history of sexual abuse, the nurse notes signs of PTSD. What nursing interventions are appropriate?
What is providing a calm environment, encouraging the client to express feelings, and referring the client to counseling services?
A nurse witnesses a colleague documenting a procedure that was not performed. What is the nurse’s responsibility in this situation?
What is reporting the incident to a supervisor or following the facility’s protocol for reporting ethical violations?
A nurse observes a colleague failing to follow proper infection control measures. What action should the nurse take to address this risk?
What is intervening immediately to prevent harm, educating the colleague, and reporting the incident if necessary?
A nurse is educating a client about the importance of follow-up care after a hospital stay. How can poor coordination of care impact healthcare reimbursement?
What is leading to increased hospital readmissions, which may result in financial penalties for the hospital under Medicare’s reimbursement policies?
A nurse is evaluating whether a new pain management technique is working effectively for postoperative clients. What data should the nurse collect?
What is pain scale ratings, patient satisfaction scores, and the need for additional pain relief measures?
A 10-year-old child presents with bruising in various stages of healing, a spiral fracture, and injuries inconsistent with the story received from the parents. What immediate action should the nurse take to ensure the child’s safety?
What is contacting child protective services (CPS) and documenting the injuries accurately without confronting the caregiver?
A nurse makes an error when administering a medication, but the client does not experience any immediate adverse effects. What is the nurse’s responsibility?
What is immediately reporting the error, monitoring the client for potential complications, and documenting the incidence accurately?
A nurse is involved in a sentinel event where a client experiences serious injury. What is the nurse’s role in the root cause analysis (RCA) process?
What is providing a factual account of the events, participating in identifying system failures, and collaborating on prevention strategies?
A client with a chronic condition is being managed under a case management model. What is the role of the nurse in this model of care?
What is coordinating care, ensuring the client follows the care plan, and facilitating access to necessary resources to improve outcomes?
A nurse leader is tasked with updating the hospital’s fall prevention protocol based on recent research. What should be the next step after implementing the new protocol?
What is conducting a post-implementation evaluation to assess the impact on fall rates and ensure adherence to the protocol?