A nurse is working on a unit and suspects a coworker is chemically impaired. Which of the following members of the chain of command should the nurse notify first?
Hospital supervisor
Charge nurse
Chief nursing officer
Unit director
The Correct Answer is B
Choice A reason: The hospital supervisor is not the first person to notify, as they are not directly responsible for the unit or the staff. The hospital supervisor is usually a senior nurse who oversees the operations of the entire hospital or a specific shift. They may be involved in the later stages of the reporting process, but not as the initial contact.
Choice B reason: The charge nurse is the first person to notify, as they are the immediate supervisor of the unit and the staff. The charge nurse is usually an experienced nurse who coordinates the care and activities of the unit, assigns tasks, and provides guidance and support to the staff. They have the authority and responsibility to address the situation and take appropriate actions.
Choice C reason: The chief nursing officer is not the first person to notify, as they are not directly involved in the unit or the staff. The chief nursing officer is usually the highestranking nurse in the organization, who oversees the nursing practice, quality, and education across the entire system. They may be informed of the situation by the unit director or the hospital supervisor, but not as the initial contact.
Choice D reason: The unit director is not the first person to notify, as they are not directly available on the unit or the staff. The unit director is usually a nurse manager who oversees the administrative and financial aspects of the unit, such as budgeting, staffing, and evaluation. They may be notified of the situation by the charge nurse or the hospital supervisor, but not as the initial contact.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Critical thinking is a component of clinical decision-making that the nurse should use to make an evidence based decision. Critical thinking is the process of applying logic, reasoning, analysis, and evaluation to the information and evidence that is available. Critical thinking helps the nurse to identify and question assumptions, biases, and gaps in the data, and to draw valid and reliable conclusions based on the best available evidence.
Choice B reason: Clinical judgement is not a component of clinical decision-making, but an outcome of clinical decision-making. Clinical judgement is the result of applying critical thinking and clinical reasoning to the data and evidence that is gathered and interpreted. Clinical judgement is the expression of the nurse's decision or opinion about the client's situation, needs, and interventions.
Choice C reason: Concept mapping is not a component of clinical decision-making, but a tool or a strategy that can facilitate clinical decision-making. Concept mapping is a visual representation of the relationships among concepts, data, and evidence that are relevant to the client's situation. Concept mapping can help the nurse to organize, synthesize, and analyze the information, and to identify patterns, themes, and gaps in the data.
Choice D reason: Clinical reasoning is not a component of clinical decision-making, but a process that is involved in clinical decision-making. Clinical reasoning is the cognitive process that the nurse uses to collect, process, interpret, and integrate the data and evidence that is available. Clinical reasoning helps the nurse to make sense of the client's situation, needs, and responses, and to select the appropriate interventions and actions.
Correct Answer is A
Explanation
Choice A reason: Evidence based practice is the process that the nurse is planning to use. Evidence based practice is the integration of the best available evidence from research, clinical expertise, and patient preferences to make decisions and provide quality care for the client.
Choice B reason: Standardization is not the process that the nurse is planning to use. Standardization is the process of establishing and implementing uniform criteria, methods, or procedures for a specific activity or task. Standardization can help improve efficiency, consistency, and safety, but it does not necessarily involve research or scientific data.
Choice C reason: Benchmarking is not the process that the nurse is planning to use. Benchmarking is the process of comparing the performance, outcomes, or practices of one's own organization or unit with those of other organizations or units that are recognized as leaders or exemplars in the same field. Benchmarking can help identify gaps, strengths, and areas for improvement, but it does not necessarily involve research or scientific data.
Choice D reason: Root cause analysis is not the process that the nurse is planning to use. Root cause analysis is the process of identifying and analyzing the underlying factors or causes that contribute to an adverse event or error. Root cause analysis can help prevent recurrence, enhance safety, and promote learning, but it does not necessarily involve research or scientific data.
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