CELBAN Responding to Healthcare Issues 3

Question 1

A patient from a different cultural background declines a blood transfusion for religious reasons. How should the nurse respond?

Accepted Answer

Respect the patient's decision, document it, and inform the physician

Answer

Informed refusal based on religious or cultural beliefs must be respected, documented, and communicated to the physician.

Question 2

A nurse receives a verbal telephone order from a physician. What is the correct procedure?

Accepted Answer

Repeat the order back to the physician to verify, document it immediately, and have it countersigned within the required timeframe

Answer

Repeat-back verification and timely documentation with countersignature are required protocols for telephone orders.

Question 3

A nurse is caring for a patient who is being discharged but appears confused about their home medication regimen. What is the priority action?

Accepted Answer

Conduct a thorough medication education session and confirm understanding using teach-back

Answer

Teach-back is an evidence-based method to confirm patient understanding before discharge and reduce medication errors at home.

Question 4

A nurse witnesses a physician speaking disrespectfully to a patient. What should the nurse do?

Accepted Answer

Intervene calmly to redirect the conversation and later report the behavior through appropriate channels

Answer

Nurses have a duty to advocate for patients, which includes addressing disrespectful treatment and reporting it appropriately.

Question 5

A patient expresses suicidal ideation during a routine assessment. What is the nurse's immediate priority?

Accepted Answer

Ensure the patient's immediate safety, stay with them, and notify the physician and mental health team

Answer

Suicidal ideation requires immediate safety measures and rapid notification of the physician and mental health professionals.

(CELBAN) Canadian English Language Benchmark Assessment for Nurses Practice Test