NCLEX-RN

Category - Care Management

During a client-care team meeting, a nursing assistant requests not to be assigned to a client known to be difficult and demanding. Others on the team agree with the nursing assistant and begin to compare experiences with this client. Which of the following is the best response?
  1. “I agree he is a handful; we can take turns taking care of him.”
  2. “You are healthcare workers and should know how to cope with demanding clients.”
  3. “It won’t be long until he transferred; until then we must take care of him.”
  4. “He is so demanding because he is scared and doesn’t know how to cope. Does anyone have any ideas on what can we do to help him cope?”
Explanation
Answer: D - Explaining the clients behavior in a non-demeaning manner, and encouraging the healthcare team to problem solve is the best response. Taking sides with the healthcare team against the client is not in the best interest of the client, while scolding or judging healthcare workers will serve to breakdown communication between the nurse and the healthcare team. Allowing team members to take part in problem solving will enhance each member’s sense of value to the team, while benefitting the client.
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