You are the charge nurse. Two hours into the shift, you discover that two nurses (Nurse A and Nurse B) have switched patients because Nurse A does not like to take care of patients with prostate cancer. Which action should you take first?
Ask Nurse A to explain her position regarding prostate cancer patients and seek alternatives to prevent future issues.
Allow them this flexibility: as long as the patient is well cared for, it doesn't matter if the assignments are changed.
Insist that they switch back to the original patient assignments and talk to each of them at the end of the shift.
Explain to Nurse A and B that all patients deserve kindness and care regardless of their condition or the nurses' personal feelings.
The Correct Answer is D
Choice A reason: Asking Nurse A to explain her position is important for understanding her concerns. However, it does not immediately address the issue of equitable patient care, which is the priority.
Choice B reason: While flexibility can be important, allowing personal preferences to dictate patient assignments can lead to a slippery slope of discriminatory practices. Patient care should not be compromised by personal biases.
Choice C reason: Insisting on switching back to the original assignments without addressing the underlying issue may not resolve the conflict or lead to better patient care in the long term.
Choice D reason: This is the most appropriate first action as it addresses the core principle of nursing care — providing compassionate care to all patients. It sets a standard for professional behavior and ensures that personal feelings do not interfere with patient care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Dedication to a mission is typically beneficial for team performance as it aligns team members towards a common goal. When team members are committed to the mission, they are more likely to work collaboratively and put in the effort required to achieve the team's objectives.
Choice B reason: Having special work that is understood and supported by all is crucial for a team's success. It ensures that all members are on the same page and that their efforts are coordinated, which can lead to increased efficiency and better outcomes.
Choice C reason: While it may seem counterintuitive, the absence of disagreement or conflict can actually hinder team performance. Healthy debate and differing viewpoints can lead to better decision-making and innovation. Without conflict, teams may fall prey to groupthink, where the desire for harmony leads to poor decision-making and a lack of creative solutions.
Choice D reason: A willingness to work together respectfully is essential for a positive team environment and effective collaboration. Respectful interactions foster trust and open communication, which are foundational for high-performing teams.
Correct Answer is A
Explanation
Choice A reason: Advocating for the patient means the nurse manager is acting on behalf of the patient's interests, especially when the patient is unable to do so. This includes ensuring the patient receives necessary medical care regardless of their ability to pay.
Choice B reason: Empowering the patient typically involves educating and enabling them to make informed decisions about their own care. While important, it does not directly relate to the nurse manager's actions in this scenario.
Choice C reason: Avoiding litigation may be a secondary benefit of advocating for the patient, but it is not the primary intention described in this scenario. The focus is on patient care, not legal consequences.
Choice D reason: Supporting the clinical pathway involves following established protocols for patient care. While the nurse manager's actions may align with the clinical pathway, the term does not capture the advocacy aspect of ensuring treatment for a patient who cannot pay.
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