A medical-surgical unit has implemented a policy change. The nurse manager has noticed that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy. Which of the following actions should the nurse manager take?
Encourage the nurse to verbalize the reasons for resistance to the change.
Ignore the resistance and allow peer pressure to facilitate a change in the nurse's behavior.
Explain the importance and rationale of implementing the new policy to the nurse.
Indicate that there will be disciplinary consequences if the nurse does not implement the new policy.
The Correct Answer is A
If a nurse manager notices that a nurse who has a history of being resistant to change is not delivering care according to a new policy, the appropriate action for the nurse manager to take is to encourage the nurse to verbalize the reasons for their resistance to the change. This will allow the nurse manager to understand the nurse's concerns and work with them to address any issues and facilitate their acceptance of the new policy.
Option B is incorrect because ignoring the resistance and allowing peer pressure to facilitate a change in the nurse's behavior is not an effective or respectful way to address the issue.
Option C is incorrect because explaining the importance and rationale of implementing the new policy to the nurse may be necessary, but it should not be the first action taken.
Option D is incorrect because indicating that there will be disciplinary consequences if the nurse does not implement the new policy may be necessary, but it should not be the first action taken.
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Correct Answer is D
Explanation
The nurse should approach the man and ask why he is making copies of the client's medical records. This action allows the nurse to directly address the situation and gather more information before taking further steps.
Option A, may not be the best initial action because it does not directly address the situation.
Option B may be premature without first gathering more information.
Option C, may also not be the best initial action because it does not directly address the situation.
Correct Answer is D
Explanation
When resolving a conflict with an assistive personnel (AP) who refuses a client assignment, it would be appropriate for the nurse to say "I need to talk to you about the unit policies regarding client assignments." This comment addresses the issue directly and professionally and provides an opportunity for the nurse to clarify the unit policies and expectations.
Option A is accusatory and unprofessional.
Option B may be necessary at some point, but it should not be the first response.
Option C is also accusatory and unprofessional.
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