CELBAN Responding to Healthcare Issues 2

Question 1

A patient's family member insists that the nurse is providing incorrect medication. What is the most appropriate initial response?

Accepted Answer

Acknowledge the concern, pause the administration, and verify the order

Answer

Ignore the concern and continue with the medication

Answer

Ask the family member to leave the room

Answer

Report the family member to the charge nurse immediately

Question 2

During a busy shift, a nurse notices a colleague appears to be under the influence of alcohol. What should the nurse do first?

Accepted Answer

Immediately remove the colleague from patient care and report to the supervisor

Answer

Say nothing to avoid conflict

Answer

Ask patients if they have noticed anything unusual

Answer

Wait until the end of the shift to report

Question 3

A patient refuses to take a prescribed medication. Which response best reflects the nurse's role?

Accepted Answer

Document the refusal and notify the physician

Answer

Crush the medication into the patient's food without telling them

Answer

Insist the patient take the medication

Answer

Call the patient's family to force compliance

Question 4

A nurse discovers a medication error made by a previous nurse. What is the priority action?

Accepted Answer

Assess the patient immediately, notify the physician, and complete an incident report

Answer

Cover up the error to protect the colleague

Answer

Wait to see if the patient develops symptoms before reporting

Answer

Only document it in the nurse's notes

Question 5

An elderly patient with dementia repeatedly pulls out their IV line. What is the most appropriate nursing response?

Accepted Answer

Discuss with the care team and explore alternatives such as mittens or distraction techniques before considering restraints

Answer

Physically restrain the patient without a physician order

Answer

Ignore the behavior as it is expected with dementia

Answer

Discharge the patient's IV and discontinue treatment

Question 6

A post-operative patient complains of worsening pain that is not relieved by the prescribed analgesic. What should the nurse do?

Accepted Answer

Reassess the pain, contact the physician to report the findings, and request a medication review

Answer

Tell the patient the pain will pass on its own

Answer

Administer a higher dose than prescribed

Answer

Document the complaint and take no further action

Question 7

During a handover, the incoming nurse realizes critical information about a patient's allergy was omitted. What is the best course of action?

Accepted Answer

Immediately flag the omission, update the patient's records, and inform the care team

Answer

Proceed with care assuming the allergy is not relevant

Answer

Wait for the next scheduled chart review

Answer

Only mention it if the patient brings it up