Do you know the right answer?

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ok, here is a trick question that i was asked during an intervew for a federal job. what would be your answer? remember, the interviewer knows the answer, but is trying to find out what your answer is...i will tell you the answer after i find out what other responses might be. here is the question:

q: a floor worker aka certified nurse assistant comes to you and states that a resident is not "quite acting right". what would you as the charge nurse do?

using the nursing process, what would you do? i stated i would first assess the resident..vital signs, etc, then check the chart for any previous episodes, check the mar for new medications or reactions to meds, chart all this information, call the doctor if vitals are not wnl,

but there is one other important thing to do. the one thing they(the interviewers) were looking for, i did not say and why did i not think of this???. everyone knows that you do this, but if you are thinking of the residents needs now, you are not thinking of this answer that they, the interviewers, wanted which you wouldn't do until you are ready to leave...my g-d some people must think nurses are dumb.

anyone game? :banghead::banghead::banghead:

Specializes in ER, ICU cath lab, remote med.

Safety? Bed low, side rails up, call bell within reach, etc. If possible, have the CNA stay with the pt...which would of course depend on your assessment.

Specializes in Med/Surge, Psych, LTC, Home Health.

???? I don't know. Ask them if they need to use the restroom? Ask them if they know where, who they are? Ask if they are hungry? The restroom is the first thing that popped into my mind when you said "Something they need to do NOW"

Specializes in Med/Surge, Psych, LTC, Home Health.

Never mind, I didn't read the post correctly. You are asking, what would you do later on before you leave.

Geez... check on the patient and report the findings to the oncoming shift.

Specializes in CNA, SPN, LPN.

Just a long shot.

A B C'S

Airway, breathing, and circulation.

Nina

Specializes in geri, med/surg, neuro critical care.
How about verify the patient's code status?

:yeahthat:

Check for signs of stroke?

Specializes in LTC, MDS, Education.

Got to agree with eltrip. Wash hands before assessing...:yeah:

Specializes in Med-Surg.
Check back in on the patient later?

That's what I was thinking. They specifically asked for the interviewee to use the nursing process.

Assessment - gather inforation

Diagnose - what is the problem?

Planning - what are you going to do - this can be collaborative as you're going to notify the MD if inessary.

Implement - take care of the situation

Evaluate - were the above steps successful in helping the patient

After the assessment checks out okay , ask the patient " Is there anything else I can do for you ? I have the time . "

No , wait this is the government right ? That rules out customer service. Hmmm . I am stumped . :jester::jester::jester:

Now I will wonder all night what the answer is.

Specializes in LTC.

OK,I give. Now I need the answer.

Specializes in Ortho, Neuro, Detox, Tele.

Check a blood sugar?

Ask the CNA what they mean by "not acting right"?

Ensure that the resident isn't dirty or wet?

Specializes in Gerontology.

What is the answer? I won't be able to sleep tonight!

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