A nurse is caring for a client who is recovering from a stroke. The provider

recommends an extracranial-intracranial bypass, but the client tells the nurse that

he will not have the surgery. Which of the following actions should the nurse take?

A. Inform the client of the consequences of decreased cerebral circulation.

B. Initiate a mental health consultation to determine why the client refuses the

surgery.

C. Discuss with the client his concerns about having the surgery.

D. Provide the client with information on additional treatment options.

(ANS- C. Discuss with the client his concerns about having the surgery.

A charge nurse notices a newly hired nurse consistently does not finish client care

tasks by the end of the shift. Which of the following statements should the charge

nurse make?

A. "You should set aside time to plan your day at the beginning of each shift."

B. "You should not take a break until all of your tasks are completed."

C. "You should leave your hardest task for the end of the shift."

D. "You should save your charting for the end of the shift."

(ANS- A. " You should set aside time to plan your day at the beginning of each

shift."

Two nurses on a unit each contend that the other is not doing a fair share of work.

The conflict is affecting the functioning of the unit. A charge nurse should

recognize that which of the following is an appropriate approach to this conflict?

A. Schedule the nurses to work on alternating shifts.

B. Organize a task force to evaluate the situation.

C. Tell the nurses that it is their responsibility to cooperate with coworkers.

D. Explore alternative solutions to address unit workflow with the nurses.

(ANS- D. Explore alternative solutions to address unit workflow with the nurses.