A nurse is looking after an unconscious client with a living will. The client’s family inquires if they can modify life-saving measures now that the client is unconscious. What should the nurse say in response?

Choice A Reason

Advising the nurses to work out the problem between them can be a useful strategy in some situations, as it encourages direct communication and problem-solving. However, in this scenario, the nurses are already speaking loudly and simultaneously, indicating a high level of conflict and emotional intensity. Without managerial intervention, the situation may escalate further. Therefore, this approach may not be effective in resolving the immediate conflict.

Choice B Reason

Sending both nurses away and emphasizing that they cease their complaints is not an effective negotiation strategy. This approach dismisses the concerns of the nurses and does not address the underlying issue. It can lead to feelings of frustration and resentment, potentially worsening the conflict. Effective negotiation requires active listening and addressing the concerns of all parties involved.

Choice C Reason

Requesting each nurse, individually, to state their position is an effective negotiation strategy. This approach allows the manager to understand each nurse’s perspective and the specifics of the conflict. By listening to each nurse separately, the manager can gather all relevant information, reduce the emotional intensity, and facilitate a more structured and productive discussion. This method promotes fairness and ensures that both parties feel heard and respected.

Choice D Reason

Cautioning the nurses that disciplinary actions may be necessary if the issue isn’t resolved is a punitive approach that can escalate the conflict. This strategy may create a hostile environment and discourage open communication. Effective negotiation focuses on finding mutually acceptable solutions rather than threatening consequences. It is important to address the conflict constructively and collaboratively.

Choice A Reason:

Assisting the employee in obtaining professional help is the most appropriate strategy. Emotional distress can significantly impact an employee’s well-being and job performance. Professional help, such as counseling or therapy, provides the necessary support and resources to address the underlying issues effectively. This approach ensures that the employee receives specialized care from trained professionals, which is crucial for their mental health and recovery.

Choice B Reason:

Adjusting the standard of care to assist the employee is not a practical or sustainable solution. The standard of care is established to ensure consistent and high-quality service delivery. Altering it for individual employees can compromise the overall quality of care and create inconsistencies in service provision. Instead, supporting the employee through professional help is a more effective way to address their emotional distress without impacting the standard of care.

Choice C Reason:

Adjusting the employee’s work schedule to decrease stress can be a helpful short-term measure, but it does not address the root cause of the emotional distress. While reducing stress through schedule adjustments can provide temporary relief, it is not a comprehensive solution. The employee may still need professional support to manage their emotional health effectively. Therefore, this option should be considered as a supplementary measure rather than the primary strategy.

Choice D Reason:

Acting as a therapist for the employee is not appropriate for a nurse manager. While providing support and understanding is important, nurse managers are not trained mental health professionals. Attempting to act as a therapist can blur professional boundaries and may not provide the employee with the specialized care they need. It is essential to refer the employee to qualified mental health professionals who can offer the appropriate support and interventions.