In a nursing home, the nurse hears an unlicensed assistant threatening to withhold fresh water if the client does not do as the assistant instructed. What is the nurse?s priority action?
1. Immediately confront the assistant at the bedside about the behavior.
2. Ask the assistant to immediately follow you to a private place to talk.
3. Tell the nurse manager or nursing supervisor what was witnessed.
4. Encourage the client to report the situation to the administration.
2
Explanation: 1. As a client advocate, the nurse must confront the assistant immediately, but should do so in
private. This allows the assistant to explain the behavior and ?save face.? Follow the ?praise in
public, confront in private? rule. The nurse manager is not necessary at this time, but may be if
the behavior continues. The nurse is the client advocate and should address the issue for the
client.
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