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
Explanation
Choice A reason: This statement indicates an understanding of palliative care services, as they aim to improve the quality of life of people with serious or life altering illnesses by providing symptom relief, emotional support, and spiritual care.
Choice B reason: This statement does not indicate an understanding of palliative care services, as they do not directly provide respite care for caregivers. However, palliative care services may help caregivers cope with the stress and burden of caring for a terminally ill person, and may refer them to other resources that can offer respite care.
Choice C reason: This statement does not indicate an understanding of palliative care services, as they do not require the person to go to a skilled facility. Palliative care services can be provided in various settings, such as hospitals, nursing homes, outpatient clinics, or at home.
Choice D reason: This statement does not indicate an understanding of palliative care services, as they do not provide meal management for the person. However, palliative care services may include nutritionists who can offer dietary advice and guidance for the person, and may coordinate with other services that can help with meal preparation and delivery.
Correct Answer is D
Explanation
Choice A reason: The use of social media is included in the COE. According to the ICN Code of Ethics for Nurses, nurses should use social media responsibly and ethically, respecting the privacy and confidentiality of patients, colleagues, and employers. Nurses should also avoid posting any information that could harm the reputation of the profession or the health care organization.
Choice B reason: Student nurses are held accountable to the COE. According to the ANA Code of Ethics for Nurses, student nurses are expected to uphold the same ethical standards as registered nurses, as they are members of the profession and the public trust. Student nurses should also adhere to the academic policies and regulations of their educational institutions.
Choice C reason: Criteria for obtaining licensure is not included in the COE. The COE is not a legal document, but a guide for ethical nursing practice and decision-making. Criteria for obtaining licensure is determined by the regulatory bodies of each country or state, and may vary depending on the level and scope of practice.
Choice D reason: Professional expectations are included in the COE. The COE defines and guides the ethical values, responsibilities, and accountabilities of nurses in all settings, roles, and domains of practice. The COE also provides a framework for self-evaluation, peer review, and quality improvement.
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