A Registered Nurse (RN) who has been employed in the ambulatory care unit for six weeks is consistently 10-20 minutes late for work. The nurse's lateness has caused unrest among other staff members. The nurse is due to receive a 3-month probation evaluation in one month. How should the manager appropriately deal with this situation?
Tell the nurse that she will be fired if her behavior does not change.
Confront the nurse to discuss the lateness and initiate problem-solving measures.
Tell the other staff members to cover for the nurse until she arrives.
Address the lateness with the nurse at the 3-month probation evaluation.
The Correct Answer is B
Choice A reason: Telling the nurse she will be fired if her behavior does not change is a final warning and may not be the best initial approach. It can create a hostile work environment and does not facilitate a solution to the underlying issue.
Choice B reason: Confronting the nurse to discuss the issue and initiate problem-solving measures is a proactive approach. It allows the manager to understand the reasons behind the lateness and work with the nurse to find a solution, which could include time management strategies.
Choice C reason: Telling other staff members to cover for the late nurse does not address the problem and may lead to further unrest and resentment among the team.
Choice D reason: Waiting to address the issue at the 3-month probation evaluation delays dealing with the problem and allows the disruptive behavior to continue, potentially affecting patient care and team dynamics.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While promoting teamwork among healthcare providers is important, it is not the primary reason for maintaining a low nurse-to-patient ratio. Teamwork is a byproduct of adequate staffing, which allows nurses to collaborate effectively.
Choice B reason: Increasing adverse events is the opposite of what a low nurse-to-patient ratio aims to achieve. Research shows that higher nurse-to-patient ratios are associated with increased adverse events.
Choice C reason: A low nurse-to-patient ratio does not contribute to the duplication of services. Instead, it ensures that nurses can provide adequate attention and care to each patient, which can reduce the need for redundant services.
Choice D reason: Nursing research has validated that a low nurse-to-patient ratio improves client outcomes. Studies have shown that lower ratios are associated with reduced mortality, medication errors, ulcers, restraint use, infections, pneumonia, and improved intervention times.
Correct Answer is D
Explanation
Choice A reason: Cultural sensitivity is important, but it is not the sole indicator of patient satisfaction.
Choice B reason: Cost-effectiveness is a factor in healthcare management but does not directly reflect patient satisfaction.
Choice C reason: The economic value of service is more related to the financial aspect of healthcare rather than patient satisfaction.
Choice D reason: Patient outcomes and their perceptions of care are direct measures of patient satisfaction, as they reflect the quality and effectiveness of the nursing care received.
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