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 B
Explanation
The correct answer is b. Misunderstanding of roles.
Choice A: Scope of practice
Reason: While the scope of practice defines the roles and responsibilities of different healthcare professionals, it is not inherently a barrier to interprofessional communication. Instead, it provides clarity on what each professional can and cannot do, which can actually facilitate better teamwork and communication.
Choice B: Misunderstanding of roles
Reason: Misunderstanding of roles is a significant barrier to interprofessional communication. When team members are unclear about each other’s roles and responsibilities, it can lead to confusion, overlap, and gaps in care. This misunderstanding can hinder effective collaboration and communication, as team members may not know who to turn to for specific issues or may duplicate efforts.
Choice C: Privacy laws
Reason: Privacy laws, such as HIPAA in the United States, are designed to protect patient information. While they impose certain restrictions on information sharing, they are not a primary barrier to interprofessional communication. Healthcare teams can still communicate effectively within the boundaries of these laws by ensuring that patient information is shared appropriately and securely.
Choice D: Burnout
Reason: Burnout is a significant issue in healthcare, affecting the well-being and performance of healthcare professionals. However, it is more of a personal and systemic issue rather than a direct barrier to interprofessional communication. Burnout can indirectly affect communication by reducing the overall effectiveness and engagement of team members.
Correct Answer is B
Explanation
Choice A reason: This statement does not demonstrate health literacy by the client, but rather a need for more health education. Health literacy is the ability to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Requesting further information to improve their health indicates that the client may lack some knowledge or skills related to their condition.
Choice B reason: This statement demonstrates health literacy by the client, as it shows that they have learned and applied an important selfcare behavior for diabetes management. Taking blood glucose daily is a way to monitor and control blood sugar levels, which can prevent or delay complications of diabetes.
Choice C reason: This statement does not demonstrate health literacy by the client, but rather a need for more communication with their provider. Health literacy is not only about acquiring information, but also about using it effectively to make informed decisions. Asking to speak with their provider suggests that the client may have some questions or concerns that need to be addressed.
Choice D reason: This statement does not demonstrate health literacy by the client, but rather a need for more nutritional guidance. Health literacy is not only about understanding information, but also about acting on it to improve health outcomes. Requesting to speak with a nutritionist implies that the client may need some assistance with planning and following a healthy diet for diabetes.
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