With each interaction with the nurse during the shift, the client tells the nurse a "dirty" joke and makes sexual comments about the nurse's appearance. Which of the following is the best response by the nurse to this client?
1. "If you say that again, I will slap you."
2. "I am withholding your evening meal because of your behavior."
3. "Fine. I will report your behavior to my nursing manager."
4. "I find it inappropriate for you to say those kinds of things."
Answer: 4
Rationale: The appropriate nursing response is assertive communication. The individual who is performing the sexual harassment must be informed of the discomfort that is felt by the nurse. It is not appropriate for the nurse to be physically violent towards the client. It is not appropriate to withhold food or client care from the client. The nursing manager will need to be informed, but the first step for the nurse in this situation is to use an assertive communication style to help prevent the behavior from occurring.
You might also like to view...
The nurse is caring for a 72-year-old female with head and neck cancer who had surgery 2 weeks ago to remove the tumor. She is scheduled to begin external beam radiation therapy 1 week after discharge from the hospital
When discussing the radiation treatment, the nurse understands that it is important to stress: Select all that apply. 1. Getting lots of rest. 2. Meticulous skin care. 3. Protecting the scalp from alopecia. 4. Monitoring blood pressure. 5. Monitoring weight gain.
A client is hospitalized on a psychiatric unit secondary to a suicide attempt. He has been diagnosed with depression. He has been consistently depressed
When assessing the client, which of the following would alert the nurse that the client's suicidal risk has worsened? A) He tells the nurse that he feels more depressed than ever. B) He is lethargic, remaining isolated from other clients. C) He says he feels better as he interacts more with other clients. D) His energy level and degree of depression remain the same.
A nurse is caring for a patient who is a practicing Jehovah's Witness. The physician orders 2 units of packed cells based on his low hemoglobin and hematocrit levels
The nurse states to the surgeon that it is unethical to go against the patient's beliefs even though his blood counts are very low. What is the best description of the nurse's intentions? A) Acting in the patient's best interest B) Siding with the patient over the surgeon C) Observing institutional policies D) Being legally responsible
One of the responsibilities of the new community/public health nurse was to teach parenting classes to high-risk, teenage, single-parent moms
What might be an effective approach to helping moms deal with their infants' behavior without resorting to physical discipline? A. Asking the moms to listen carefully to the nurse's suggestions and not accept advice from anyone else B. Asking the moms to make a contract with them to use the techniques discussed in the parenting classes C. Asking the moms to talk it over and come to a group consensus as to how to deal with specific problems D. Pointing out that moms who hurt their infants can be arrested