A medical-surgical unit has implemented a policy change.
The nurse manager notices that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy.
What action should the nurse manager take?
Explain the importance and rationale of implementing the new policy to the nurse.
Encourage the nurse to verbalize the reasons for resistance to the change.
Indicate that there will be disciplinary consequences if the nurse does not implement the new policy.
Ignore the resistance and allow peer pressure to facilitate a change in the nurse’s behavior.
The Correct Answer is B
Choice A rationale:
While explaining the importance and rationale of the new policy may be helpful in some cases, it may not be sufficient for nurses who are resistant to change. This approach assumes that the nurse's resistance is due to a lack of understanding, which may not be the case. It's possible that the nurse understands the rationale but has other concerns or objections.
Focusing solely on explaining the rationale can make the nurse feel they are not being listened to or that their concerns are not being valued. This can further contribute to resistance.
Choice B rationale:
Encouraging the nurse to verbalize their reasons for resistance allows the nurse manager to understand the root cause of the resistance. This could include:
Concerns about the effectiveness of the new policy
Belief that the new policy will create more work or make their job more difficult
Feeling that they were not adequately consulted or involved in the decision-making process Personal factors such as fear of change or a preference for established routines
Once the nurse manager understands the nurse's concerns, they can work together to address them and find ways to facilitate acceptance of the new policy. This approach fosters open communication, collaboration, and shared decision-making, which are essential for successful change management.
Choice C rationale:
Indicating disciplinary consequences may be necessary in some cases, but it should be a last resort. It can create a negative and hostile work environment, further alienate the nurse, and potentially lead to resentment and decreased morale among other staff members.
It's important to prioritize understanding and addressing the underlying reasons for resistance before resorting to disciplinary measures.
Choice D rationale:
Ignoring the resistance and relying on peer pressure is a passive and ineffective approach. It does not address the nurse's concerns and may even exacerbate the situation. This can lead to conflict among staff members, create a divide between those who support the change and those who resist it, and potentially compromise patient care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Confidentiality: Patient information stored within the facility's computer system is highly confidential and protected by various laws and regulations, such as HIPAA (Health Insurance Portability and Accountability Act). Sharing a password with anyone, even trusted colleagues, could potentially compromise patient privacy and lead to unauthorized access or breaches of sensitive data. Nurses are ethically and legally obligated to safeguard patient confidentiality and uphold the highest standards of privacy protection.
Accountability: Each nurse is held individually accountable for any actions taken under their unique login credentials. Sharing a password blurs the lines of responsibility and makes it difficult to trace actions back to the specific individual who performed them. This can create accountability issues and impede investigations in cases of errors, misconduct, or security breaches.
Security Best Practices: Password sharing is universally discouraged by cybersecurity experts as it significantly weakens system security. Strong passwords, kept confidential and changed regularly, are essential for protecting sensitive information from unauthorized access, malware, and potential cyberattacks.
Facility Policies: Most healthcare facilities have strict policies prohibiting password sharing to maintain compliance with regulations and safeguard patient privacy. Violating these policies could lead to disciplinary action, including termination of employment.
Choice B rationale:
While a nurse manager may have a legitimate need to access patient information in certain situations, sharing a password is not the appropriate method for granting such access. Facilities typically have designated procedures for authorized individuals to obtain temporary or secondary login credentials, ensuring accountability and adherence to security protocols.
Choice C rationale:
Unit clerks, while often responsible for administrative tasks within a unit, do not have a clinical role that necessitates access to patient information through the nurse's password. Sharing a password with a unit clerk could lead to unauthorized access and potential privacy violations.
Choice D rationale:
The facility's information system representative is responsible for maintaining the technical infrastructure of the computer system, but they do not require access to patient information through individual nurse passwords. They have their own authorized means of accessing the system for troubleshooting and maintenance purposes.
Correct Answer is D
Explanation
Choice A rationale:
Serosanguineous drainage is a mixture of blood serum and blood. It is typically thin and watery, with a pinkish or reddish hue.
It is common in the early stages of wound healing, as small blood vessels are injured and release their contents. However, it's not consistent with the yellow and thick drainage described in the question, making it an unlikely choice.
Choice B Rationale:
Serous drainage is clear and watery, composed primarily of blood plasma.
It's also common in the early stages of wound healing and is considered a normal part of the process. However, the clear and watery nature of serous drainage doesn't match the thick, yellow drainage described in the question, ruling out this option.
Choice C Rationale:
Sanguineous drainage is composed primarily of fresh blood.
It's often bright red and may be thick or thin, depending on the amount of bleeding. While sanguineous drainage can indicate a problem, it's typically associated with active bleeding or recent trauma. The yellow color of the drainage in the question makes this choice less likely.
Choice D Rationale:
Purulent drainage is a thick, yellow, green, or brown fluid that often has a foul odor.
It's a sign of infection, as it contains dead white blood cells, bacteria, and debris. The yellow and thick consistency of the drainage described in the question strongly suggests purulent drainage, making it the most likely answer.
Key Points:
The color, consistency, and odor of wound drainage can provide valuable clues about the healing process and potential complications.
Purulent drainage is a hallmark of infection and requires prompt attention.
Nurses play a crucial role in assessing wound drainage and reporting any concerns to the healthcare team.
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