A nurse is working on a unit and suspects a coworker is chemically impaired. Which of the following members of the chain of command should the nurse notify first?
Hospital supervisor
Charge nurse
Chief nursing officer
Unit director
The Correct Answer is B
Choice A reason: The hospital supervisor is not the first person to notify, as they are not directly responsible for the unit or the staff. The hospital supervisor is usually a senior nurse who oversees the operations of the entire hospital or a specific shift. They may be involved in the later stages of the reporting process, but not as the initial contact.
Choice B reason: The charge nurse is the first person to notify, as they are the immediate supervisor of the unit and the staff. The charge nurse is usually an experienced nurse who coordinates the care and activities of the unit, assigns tasks, and provides guidance and support to the staff. They have the authority and responsibility to address the situation and take appropriate actions.
Choice C reason: The chief nursing officer is not the first person to notify, as they are not directly involved in the unit or the staff. The chief nursing officer is usually the highestranking nurse in the organization, who oversees the nursing practice, quality, and education across the entire system. They may be informed of the situation by the unit director or the hospital supervisor, but not as the initial contact.
Choice D reason: The unit director is not the first person to notify, as they are not directly available on the unit or the staff. The unit director is usually a nurse manager who oversees the administrative and financial aspects of the unit, such as budgeting, staffing, and evaluation. They may be notified of the situation by the charge nurse or the hospital supervisor, but not as the initial contact.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Workshops are a resource that the nurse should include in the teaching. Workshops are short-term educational programs that provide practical skills, knowledge, or experience on a specific topic or area of interest. Workshops can help nurses to update their competencies, learn new techniques, or explore new trends in nursing practice. Workshops can also provide opportunities for networking, collaboration, and feedback from peers and experts.
Choice B reason: Nursing topics on social media are not a resource that the nurse should include in the teaching. Nursing topics on social media are informal and unregulated sources of information that may not be reliable, valid, or evidence based. Nursing topics on social media may also pose ethical and legal risks, such as breaching confidentiality, privacy, or professionalism. Nursing topics on social media may be useful for raising awareness, sharing opinions, or engaging in discussions, but they are not a substitute for formal education or research.
Choice C reason: Online continuing education is a resource that the nurse should include in the teaching. Online continuing education is a form of distance learning that offers courses, modules, or programs that can be accessed through the internet. Online continuing education can help nurses to enhance their knowledge, skills, and attitudes, and to meet the requirements for licensure, certification, or accreditation. Online continuing education can also provide flexibility, convenience, and affordability for nurses who have busy schedules or limited resources.
Choice D reason: Scholarly journals are a resource that the nurse should include in the teaching. Scholarly journals are academic publications that disseminate original research, reviews, or analyses on various topics or fields of study. Scholarly journals can help nurses to keep abreast of the latest evidence, innovations, and best practices in nursing science and practice. Scholarly journals can also stimulate critical thinking, inquiry, and curiosity among nurses who seek to advance their profession and improve their outcomes.
Choice E reason: Nursing blogs online are not a resource that the nurse should include in the teaching. Nursing blogs online are personal or professional websites that feature posts, articles, or stories written by nurses or nursing students. Nursing blogs online may provide insights, perspectives, or experiences on various aspects of nursing, but they may not be objective, comprehensive, or rigorous. Nursing blogs online may also contain errors, biases, or opinions that may not reflect the standards or values of the nursing profession. Nursing blogs online may be enjoyable, inspirational, or motivational, but they are not a source of formal education or research.
Correct Answer is C
Explanation
Choice A reason: Providing competencies for the nurses to achieve before licensure is not a description of standards of practice, but rather a function of the nursing education and accreditation system. Standards of practice are authoritative statements that define the expected level of performance for nurses after they obtain their license.
Choice B reason: Establishing a protocol for care to provide for a specific health problem is not a description of standards of practice, but rather a function of the clinical practice guidelines and evidence based practice. Standards of practice are broader and more general statements that apply to all nurses regardless of their specialty or setting.
Choice C reason: Specifying that nurses provide care that reflects current and competent level of behavior when providing client care is a description of standards of practice, as it captures the essence of what standards of practice are and why they are important. Standards of practice are based on the best available evidence and professional consensus, and they guide nurses in delivering safe, quality, and ethical care to their clients.
Choice D reason: Listing a set of skills that all nurses should be competent in performing, outlining responsibilities that every nurse is expected to provide regardless of their role is not a description of standards of practice, but rather a function of the scope of practice. Scope of practice describes the services that a qualified health professional is deemed competent to perform, and permitted to undertake, in keeping with the terms of their professional license..
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