A nurse-manager discovered that a nurse was retrieving narcotics from sharps containers and has been abusing these medications for several months. When addressing this behavior and assisting the nurse, what factor should the manager prioritize?
The integrity of the unit
The nurse's personal growth
The safety of clients and families
The nurse's well-being
The Correct Answer is C
A. While maintaining the integrity of the unit is important, particularly concerning safety and professionalism, it should not be the primary focus in this scenario. Addressing the underlying issue of substance abuse is more crucial to ensure a safe environment for patients and staff.
B. Supporting the nurse's personal growth is important, especially in recovery. However, personal growth cannot be the primary concern when the nurse's behavior poses significant risks to patient safety. While this can be a component of the overall approach, it should not overshadow immediate safety concerns.
C. The safety of clients and families must be the top priority in this situation. The nurse’s substance abuse poses a direct risk to patient safety, and addressing this risk is essential. Ensuring that clients and families are safe should guide the manager's actions in handling the nurse's behavior.
D. The well-being of the nurse is certainly important and should be considered in the context of providing support and resources for recovery. However, in this case, the immediate risk to patients takes precedence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. This task is appropriate for UAP, as it involves basic hygiene care. UAP can assist with routine oral care
B. Assisting with repositioning is a basic care activity that UAP can perform. This helps prevent pressure ulcers and maintains client comfort, and it does not require advanced clinical skills.
C. Administering IV fluids or medications requires specialized training and knowledge of nursing assessments, potential complications, and monitoring. This task should only be performed by a licensed nurse, not by UAP.
D. UAP can document basic measurements such as urine output. This is a straightforward task that does not require clinical judgment, but the UAP should understand how to accurately measure and record this information.
E. While UAP can observe and report general changes, monitoring for clinical indications of dehydration requires nursing assessment skills and judgment. This task should be performed by an RN, as it involves interpreting signs and symptoms.
F. UAP can weigh clients, but the assessment of weight trends requires clinical judgment and interpretation of data. The RN should evaluate and interpret this information to determine its significance in the client's care.
Correct Answer is D
Explanation
A. While prioritizing tasks is important, simply instructing the team member to focus on the most necessary tasks does not address the root of the problem. It may not provide the support or resources needed to effectively manage their workload.
B. While this might seem helpful in the short term, it does not empower the team member or address the issue of workload management. Taking on too much responsibility can also lead to burnout for the RN and is not a sustainable solution.
C. This option does not consider the needs of the original team member and may disrupt teamwork or create additional stress for other staff. It’s important to address the workload collaboratively rather than simply redistributing it without context.
D. This is the best initial action. By examining the workload together, the RN can help the team member identify which tasks are most critical and which can be deferred or delegated. This approach fosters collaboration, empowers the team member, and ensures that patient care needs are met efficiently.
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