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 A
Explanation
Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as recording vital signs ¹. Collecting intake and output [a] is a task that can be delegated to an AP.
The other options are not tasks that should be delegated to an AP.
Evaluating pain relief after administering pain medication [b] involves assessing the effectiveness of a medical intervention, which is typically the responsibility of a licensed nurse.
Providing a central line dressing change [c] is a complex task that requires specialized knowledge and skills.
Selecting a menu for a low-sodium diet [d] involves dietary planning, which is typically the responsibility of a licensed nurse or a registered dietitian.
Correct Answer is A
Explanation
The nurse is planning to use a democratic leadership style when conducting an in-service that encourages active member participation and feedback about decreasing nosocomial infections on the unit. A democratic leader values the input and opinions of team members and encourages participation and collaboration in decision-making. By encouraging active participation and feedback from team members, the nurse is demonstrating a democratic approach to leadership.
The other options are not the leadership style that the nurse plans to use in this situation. A laissez-faire leader [b] takes a hands-on approach and allows team members to make their own decisions without providing guidance or direction. An autocratic leader [c] makes decisions unilaterally without seeking input or feedback from team members. An open-door leader [d] maintains an open-door policy and is accessible to team members, but this does not necessarily involve active participation and feedback from team members.
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