Page 187 - Saunders Comprehensive Review For NCLEX-RN

prescription because the PHCP cannot be located or because the prescription
remains as it was written after talking with the PHCP, the nurse should contact the
nurse manager or nursing supervisor for further clarification as to what the next step
should be. Under no circumstances should the nurse proceed to carry out the
prescription until obtaining clarification.
Test-Taking Strategy: Eliminate options 2 and 4 first because they are comparable
or alike and are unsafe actions. Holding the medication can result in client injury.
The nurse needs to take action. The correct option clearly identifies the required
action in this situation.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Implementation
Content Area: Leadership/Management: Ethical/Legal
Health Problem: N/A
Priority Concepts: Clinical Judgment; Safety
Reference: Potter et al. (2017), pp. 624-625, 628.

28. Answer: 3

Rationale: Ensuring a safe workplace is a responsibility of an employing
institution. Sexual harassment in the workplace is prohibited by state and federal
laws. Sexually suggestive jokes, touching, pressuring a coworker for a date, and
open displays of or transmitting sexually oriented photographs or posters are
examples of conduct that could be considered sexual harassment by another worker
and is an abusive behavior. If the nurse believes that he or she is being subjected to
unwelcome sexual conduct, these concerns should be reported to the nursing
supervisor immediately. Option 1 is unnecessary at this time. Options 2 and 4 are
inappropriate initial actions.
Test-Taking Strategy: Note the strategic words, most appropriate initial. Remember
that using the organizational channels of communication is best. This will assist in
directing you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Implementation
Content Area: Leadership/Management: Ethical/Legal
Health Problem: Mental Health: Abusive Behaviors
Priority Concepts: Health Care Law; Professionalism
Reference: Zerwekh, Zerwekh Garneau (2015), pp. 300-301.

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