A medical-surgical unit has implemented a policy change. The nurse manager has noticed that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy. Which of the following actions should the nurse manager take?
Encourage the nurse to verbalize the reasons for resistance to the change.
Ignore the resistance and allow peer pressure to facilitate a change in the nurse's behavior.
Explain the importance and rationale of implementing the new policy to the nurse.
Indicate that there will be disciplinary consequences if the nurse does not implement the new policy.
The Correct Answer is A
If a nurse manager notices that a nurse who has a history of being resistant to change is not delivering care according to a new policy, the appropriate action for the nurse manager to take is to encourage the nurse to verbalize the reasons for their resistance to the change. This will allow the nurse manager to understand the nurse's concerns and work with them to address any issues and facilitate their acceptance of the new policy.
Option B is incorrect because ignoring the resistance and allowing peer pressure to facilitate a change in the nurse's behavior is not an effective or respectful way to address the issue.
Option C is incorrect because explaining the importance and rationale of implementing the new policy to the nurse may be necessary, but it should not be the first action taken.
Option D is incorrect because indicating that there will be disciplinary consequences if the nurse does not implement the new policy may be necessary, but it should not be the first action taken.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should include the statement "Delegation permits a designated individual to meet a goal on your behalf" in the teaching. This is because delegation allows the nurse to assign tasks to an AP who has the appropriate skills and knowledge to complete them, while still maintaining accountability for the outcome of the task.
Option A is incorrect because accountability for a delegated task remains with the delegator, not the AP.
Option C is incorrect because discharge teaching activities for clients cannot be delegated to an AP as they require nursing judgment and assessment.
Option D is incorrect because it is important for the nurse to follow up on delegated tasks even if the AP has completed them before to ensure that they have been completed correctly and that the client's needs have been met.
Correct Answer is D
Explanation
If a nurse overhears two assistive personnel (AP) discussing a client who is currently hospitalized in the hospital cafeteria, the appropriate action for the nurse to take is to quietly tell the APs that the conversation is inappropriate. This will allow the nurse to address the issue in a respectful and professional manner and remind the APs of their responsibility to maintain client confidentiality.
Option A is incorrect because completing an incident report may be necessary, but it should not be the first action taken.
Option B is incorrect because reporting the incident to the provider is not an appropriate action in this situation.
Option C is incorrect because documenting the occurrence in the client's medical record is not an appropriate action in this situation.
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