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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Related Questions
Correct Answer is B
Explanation
The first action the nurse should take is to speak with the other nurse privately. This allows the nurse to address the mistake in a respectful and professional manner and provide guidance on how to perform the procedure correctly in the future.
Option A is incorrect because correcting the mistake independently does not address the underlying issue of the other nurse performing the procedure incorrectly.
Option C is incorrect because volunteering to perform the procedure next time does not address the underlying issue of the other nurse performing the procedure incorrectly.
Option D is incorrect because submitting an incident report may be necessary, but it should not be the first action taken.
Correct Answer is B
Explanation
The charge nurse should include the statement "The final step in delegation is evaluation of the outcomes" in the teaching. This is because it is important for the nurse to evaluate the outcomes of delegated tasks to ensure that they have been completed correctly and that the client's needs have been met.
Option A is incorrect because it is not the AP's responsibility to document the client's outcome for a delegated task.
Option C is incorrect because a delegated task should have predictable outcomes.
Option D is incorrect because the nurse does not give up accountability for client outcomes when care is delegated. The nurse remains accountable for ensuring that the delegated task is completed correctly and that the client's needs are met.
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