A home health nurse is planning her daily visits and receives laboratory results for four adult clients. The nurse should first visit the client who has which of the following laboratory values?

Choice A rationale:

Role model a positive approach to the changes. Rationale: The correct choice. As a charge nurse, leading by example is crucial. Demonstrating a positive attitude toward the changes sets a tone for the unit and encourages staff members to approach the situation with an open mind.

Choice B rationale:

Redirect the conversation when staff members make negative comments about the changes. Rationale: The correct choice. Addressing negativity and redirecting the conversation helps maintain a constructive and respectful work environment. This approach allows for open dialogue while discouraging excessive negativity that can hinder the adaptation process.

Choice C rationale:

Encourage staff members who support the changes to discuss the issue with resistant staff. Rationale: While encouraging open communication is important, it might not be sufficient to address the resistance completely. The charge nurse should take a more active role in managing negativity and facilitating a positive transition.

Choice D rationale:

Suggest that resistant staff members transfer to a different unit. Rationale: Transferring staff members might not be a productive solution and can lead to further discord within the unit. It's important to address the issues within the current team before considering such drastic measures.

Choice E rationale:

Reprimand staff members who are resistant to the changes. Rationale: Adopting a punitive approach can escalate tensions and foster a negative work environment. It's better to focus on positive reinforcement and facilitating open conversations to manage resistance effectively.

Choice A rationale:

Writing a memorandum emphasizing the importance of attending staff meetings might help remind the staff about the significance of these meetings. However, it does not address the root causes of the poor attendance issue. Exploring the reasons behind the lack of attendance should come before issuing reminders.

Choice B rationale:

Appointing a task force to promote attendance at the meetings is a proactive step. However, it might be premature without understanding the reasons for the poor attendance. The task force's efforts could be more effective if informed by a thorough analysis of the underlying issues.

Choice C rationale:

Exploring the reasons that staff are not attending the meetings is the crucial first step. Understanding the factors contributing to the poor attendance allows the charge nurse to tailor interventions appropriately. Reasons could include scheduling conflicts, lack of engagement, or dissatisfaction with meeting content.

Choice D rationale:

Reducing the number of meetings staff are required to attend might address the attendance issue, but it doesn't address the root causes. It's important to identify the reasons behind poor attendance before making decisions about changing meeting frequency.