A nurse manager is overseeing employees on their unit.
Remove the employee from the work environment.
Create a plan for the employee to overcome their substance use Coordinate a ride home for the employee.
Schedule a meeting with the employee to address the occurrence within 24 hr.
Coordinate a ride home for the employee.
Have the employee sign a contract acknowledging that substance use will not be tolerated
The Correct Answer is C
A. Remove the employee from the work environment. While safety is paramount, removing the employee should be a last resort after determining the underlying issues. It does not address the reasons behind the employee's behavior, and it may further exacerbate the problem if there are underlying stressors or personal issues.
B. Create a plan for the employee to overcome their substance use. This option assumes that substance use is the primary issue without further evidence. Addressing potential substance use is important, but creating a detailed plan should come after understanding the employee's situation in a more personalized meeting.
C. Schedule a meeting with the employee to address the occurrence within 24 hr. This action allows the nurse manager to have a direct conversation with the employee to understand their perspective and any potential issues affecting their performance. It demonstrates an attempt to support the employee while addressing performance concerns, creating an opportunity for the employee to express any challenges they may be facing.
D. Coordinate a ride home for the employee. This option may seem compassionate but does not directly address the issue of the employee's behavior or performance. Coordinating transportation does not resolve the ongoing attendance and performance problems and might only serve as a temporary fix without long-term solutions.
E. Have the employee sign a contract acknowledging that substance use will not be tolerated. Although setting clear expectations regarding substance use is important, this should occur after understanding the employee's situation. Simply having the employee sign a contract without discussion may not be effective and could create further resistance or defensiveness in the employee.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Informing the client that a catheter will be inserted is not appropriate; a catheter should only be used if necessary and with the client’s consent.
B. Documenting the client's refusal is crucial for legal and ethical reasons, ensuring that the healthcare team is aware of the client’s decision regarding the urine sample.
C. Telling the client that their blood alcohol level will be checked does not address their refusal and may lead to confusion or further resistance.
D. Assessing for urinary incontinence does not address the situation regarding the urine sample and is not directly relevant to the client's refusal to provide a sample.
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Ensuring that the goals of the facility are met is a key responsibility of the nurse manager, as it relates to strategic planning and operational effectiveness.
B. Monitoring the overall functions of the unit is essential for maintaining quality care and efficient operations.
C. Making decisions on the unit is part of the nurse manager's role, as they oversee clinical and administrative functions.
D. Delegating tasks to assistive personnel is a crucial responsibility to ensure that the workload is managed efficiently and that staff is utilized effectively.
E. Rewarding and disciplining staff as necessary is an important function for maintaining a productive and motivated team, ensuring accountability, and promoting professional development.
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