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.
Depending on the unit/facility, the CNA may have more contact than the nurse with the pt.
The CNA maybe ambulating/toileting/feeding the pt more than I. Is their gait off, coughing while eating, suddenly incontinent....things that the nurse may not be as familiar with, and might not be evident on a nursing assessment of the pt in bed.
If someone tells me a patient is not acting quite right. I would clarify" What do you mean by not right"
My first thought in my mind is altered mental status,( but that would be an assumption of what she is trying to tell me.. How do I know what she means by her statement .
Then once she defines what she means, I assess what are the possible causes of what she is telling me? tadatada,,, wont go into further details of what I would do.
Clearly, we need a deadline as to when to get an answer. Pick a deadline of some sort, either after so many answers to questions , or on such and such a date.:lol_hitti
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:
i guess (and i haven't looked at any of the other answers) i'd go do a quick visual on the patient and then find the patient's nurse and ask for her input before i did anything else.
:banghead:
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icunurse42066
134 Posts
Make sure they have great insurance? (or insurance period for that matter!!):roll