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: Evidence based practice is the process that the nurse is planning to use. Evidence based practice is the integration of the best available evidence from research, clinical expertise, and patient preferences to make decisions and provide quality care for the client.
Choice B reason: Standardization is not the process that the nurse is planning to use. Standardization is the process of establishing and implementing uniform criteria, methods, or procedures for a specific activity or task. Standardization can help improve efficiency, consistency, and safety, but it does not necessarily involve research or scientific data.
Choice C reason: Benchmarking is not the process that the nurse is planning to use. Benchmarking is the process of comparing the performance, outcomes, or practices of one's own organization or unit with those of other organizations or units that are recognized as leaders or exemplars in the same field. Benchmarking can help identify gaps, strengths, and areas for improvement, but it does not necessarily involve research or scientific data.
Choice D reason: Root cause analysis is not the process that the nurse is planning to use. Root cause analysis is the process of identifying and analyzing the underlying factors or causes that contribute to an adverse event or error. Root cause analysis can help prevent recurrence, enhance safety, and promote learning, but it does not necessarily involve research or scientific data.
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because an interprofessional team does not necessarily decrease the number of visits to client by staff. In fact, an interprofessional team may increase the frequency and quality of communication and interaction between the client and the staff, as each member of the team contributes their expertise and perspective to the client's care. This can enhance the client's satisfaction, engagement, and education.
Choice B reason: This statement is correct because an interprofessional team can improve the efficiency in client care services. An interprofessional team can coordinate and integrate the care delivery across different disciplines, settings, and levels of care, reducing the duplication, fragmentation, or gaps in the services. This can also lower the costs and risks of care, and improve the outcomes and quality of care.
Choice C reason: This statement is incorrect because an interprofessional team does not increase the length of stay for client. On the contrary, an interprofessional team can reduce the length of stay for client by providing timely, appropriate, and effective care that meets the client's needs and goals. This can also prevent the readmission or complication of the client, and facilitate the transition and discharge of the client.
Choice D reason: This statement is incorrect because an interprofessional team does not decrease the number of referrals needed for client. Rather, an interprofessional team can enhance the referral process by ensuring that the client receives the right service from the right provider at the right time. An interprofessional team can also collaborate and communicate with the referral sources, and follow up on the client's progress and response to the service.
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