You are floated to the ICU for 12 hours. A nurse asks you to cover her patient who is
on a ventilator receiving ECMO while she goes to lunch. You have not been trained to
care for patients with ECMO. Which of the following would be most appropriate?
A. Watch the patient for the short period of time
B. Refuse to cover anyone for breaks since you are not familiar with the unit
C. Contact the charge nurse to see if someone else can cover since you are not
trained
D. Cover the patient promising you will notify the nurse if anything goes
wrong
Give this one a try later!
, C. Contact the charge nurse to see if someone else can cover since you
are not trained.
Rationale: If you have not been trained to care for certain patients or
devices/treatments they are receiving, you should not accept that
assignment or agree to cover for breaks. Notify the charge nurse
immediately to be assigned to a different patient. You must meet the
competencies to care for patients with specialized needs.
You are caring for a native American patient with end-stage heart failure who is not
expected to survive this hospitalization. His tribal leaders would like to be present
during his passing and would like to conduct tribal songs and customs prior to his
death. They expect about 30 people to be present for the ceremony. What would be
your best action for this request?
A. Tell them 30 people is unreasonable and to prioritize the list
B. Move the patient to a bigger room and allow the ceremony to proceed
if the environment is safe
C. Tell the group this is an unreasonable request
D. Suggest they reconsider and alter the ceremony to keep the room
quiet
Give this one a try later!
B. Move the patient to a bigger room and allow the ceremony to proceed if
the environment is safe.
Rationale: Response to diversity - Make every effort to meet the ethical,
religious, and ethnic needs of your patient. Cultural sensitivity - be aware of
differences that may impact clinical care. Incorporate the patient's values
into care as much as possible. Avoid stereotypes of cultures and race.
on a ventilator receiving ECMO while she goes to lunch. You have not been trained to
care for patients with ECMO. Which of the following would be most appropriate?
A. Watch the patient for the short period of time
B. Refuse to cover anyone for breaks since you are not familiar with the unit
C. Contact the charge nurse to see if someone else can cover since you are not
trained
D. Cover the patient promising you will notify the nurse if anything goes
wrong
Give this one a try later!
, C. Contact the charge nurse to see if someone else can cover since you
are not trained.
Rationale: If you have not been trained to care for certain patients or
devices/treatments they are receiving, you should not accept that
assignment or agree to cover for breaks. Notify the charge nurse
immediately to be assigned to a different patient. You must meet the
competencies to care for patients with specialized needs.
You are caring for a native American patient with end-stage heart failure who is not
expected to survive this hospitalization. His tribal leaders would like to be present
during his passing and would like to conduct tribal songs and customs prior to his
death. They expect about 30 people to be present for the ceremony. What would be
your best action for this request?
A. Tell them 30 people is unreasonable and to prioritize the list
B. Move the patient to a bigger room and allow the ceremony to proceed
if the environment is safe
C. Tell the group this is an unreasonable request
D. Suggest they reconsider and alter the ceremony to keep the room
quiet
Give this one a try later!
B. Move the patient to a bigger room and allow the ceremony to proceed if
the environment is safe.
Rationale: Response to diversity - Make every effort to meet the ethical,
religious, and ethnic needs of your patient. Cultural sensitivity - be aware of
differences that may impact clinical care. Incorporate the patient's values
into care as much as possible. Avoid stereotypes of cultures and race.
