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Question Dissection® Podcast Transcript for NCSBN Learning Extension’s NCLEX® Review | NCSBN Learning Extension | learningext.com - Copyright 2014 National Council of State Boards of Nursing, Inc. (NCSBN) Transcript for NCSBN Learning Extension’s Question Dissection® Podcast Website: learningext.com/students/student_resources/b/questiondissection/default.aspx [Intro Music] The Question Dissection for November 24th is... During a discussion with the nurse manager, a staff nurse confides that she is attracted to a client regularly assigned to her. Which of the following actions should be implemented following this discussion? 1. The nurse reassigns all personal care of the client to the nursing assistant 2. The nurse waits until after discharge to tell the client about her feelings 3. The nurse continues to provide care for the client 4. The nurse transfers the care of the client to another nurse Let's begin the Question Dissection! Sue: When a questionable situation or relationship is suspected, every nurse has a responsibility to report it. But the best case scenario is when a nurse recognizes that she is becoming overly-involved with a client and asks for guidance from her nurse manager… before acting on those feelings. And that’s exactly what happened in our Question of the Week. Now it’s up to you to determine what action should be taken. First, the nurse should not continue to care for the client because her professional judgment would be influenced by her feelings. And, of course, it doesn’t make sense to assign the nurse to the client and then have the nurse avoid him. You may think

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Page 1: Transcript for NCSBN Learning Extension’s Question Dissection® Podcast · Question Dissection® Podcast Transcript for NCSBN Learning Extension’s NCLEX® Review | NCSBN Learning

 

Question Dissection® Podcast Transcript for NCSBN Learning Extension’s NCLEX® Review | NCSBN Learning Extension | learningext.com - Copyright 2014 National Council of State Boards of Nursing, Inc. (NCSBN)

 

Transcript for NCSBN Learning Extension’s Question Dissection® Podcast

Website: learningext.com/students/student_resources/b/questiondissection/default.aspx

[Intro Music]

The Question Dissection for November 24th is...

During a discussion with the nurse manager, a staff nurse confides that she is attracted to a client regularly assigned to her. Which of the following actions should be implemented following this discussion?

1. The nurse reassigns all personal care of the client to the nursing assistant

2. The nurse waits until after discharge to tell the client about her feelings

3. The nurse continues to provide care for the client

4. The nurse transfers the care of the client to another nurse

Let's begin the Question Dissection!

Sue: When a questionable situation or relationship is suspected, every nurse has a responsibility to report it. But the best case scenario is when a nurse recognizes that she is becoming overly-involved with a client and asks for guidance from her nurse manager… before acting on those feelings. And that’s exactly what happened in our Question of the Week.

Now it’s up to you to determine what action should be taken.

First, the nurse should not continue to care for the client because her professional judgment would be influenced by her feelings. And, of course, it doesn’t make sense to assign the nurse to the client and then have the nurse avoid him. You may think

Page 2: Transcript for NCSBN Learning Extension’s Question Dissection® Podcast · Question Dissection® Podcast Transcript for NCSBN Learning Extension’s NCLEX® Review | NCSBN Learning

 

Question Dissection® Podcast Transcript for NCSBN Learning Extension’s NCLEX® Review | NCSBN Learning Extension | learningext.com - Copyright 2014 National Council of State Boards of Nursing, Inc. (NCSBN)

 

that it’s okay to wait until after the client is discharged and then talk to the client about her feelings, but, in most cases, the nurse-client relationship extends beyond discharge.

The best course of action is to assign another nurse to care for the client.

This is such an important topic for nursing students and nurses to understand, which is why I hope that you watch the NCSBN video:Professional Boundaries in Nursing.

Melinda: Thanks so much for talking with us today Sue. For all you listening, if you have any questions please post them in our online community, at learningext.com. And remember to catch our next podcast December 8th.

[Outro Music]