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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: This statement is false and should not be included in the teaching. Teaches nursing students is not a responsibility of a case manager, but rather a role of a nurse educator. A nurse educator is a nurse who designs, implements, and evaluates educational programs for nurses, students, and other health care professionals.

Choice B reason: This statement is false and should not be included in the teaching. Provides direct client care is not a responsibility of a case manager, but rather a role of a direct care nurse. A direct care nurse is a nurse who provides handson care to patients in various settings, such as hospitals, clinics, or home health agencies.

Choice C reason: This statement is true and should be included in the teaching. Organizes client services following discharge is a responsibility of a case manager, as it involves coordinating and facilitating the transition of care from one setting to another. A case manager is a nurse who assesses, plans, implements, monitors, and evaluates the options and services required to meet the client's health and human service needs.

Choice D reason: This statement is false and should not be included in the teaching. Collects and utilizes data to change current practice is not a responsibility of a case manager, but rather a role of a nurse researcher. A nurse researcher is a nurse who conducts scientific studies to improve health care outcomes, quality, and safety.

A. Provides competencies for the nurses to achieve before licensure. B. Establishes a protocol for care to provide for a specific health problem. C. Specifies that nurses provide care that reflects current and competent level of behavior when providing client care. D. Lists a set of skills that all nurses should be competent in performing, outlines responsibilities that every nurse is expected to provide regardless of their role.

Correct Answer is C

Explanation

Choice A reason: Providing competencies for the nurses to achieve before licensure is not a description of standards of practice, but rather a function of the nursing education and accreditation system. Standards of practice are authoritative statements that define the expected level of performance for nurses after they obtain their license.

Choice B reason: Establishing a protocol for care to provide for a specific health problem is not a description of standards of practice, but rather a function of the clinical practice guidelines and evidence based practice. Standards of practice are broader and more general statements that apply to all nurses regardless of their specialty or setting.

Choice C reason: Specifying that nurses provide care that reflects current and competent level of behavior when providing client care is a description of standards of practice, as it captures the essence of what standards of practice are and why they are important. Standards of practice are based on the best available evidence and professional consensus, and they guide nurses in delivering safe, quality, and ethical care to their clients.

Choice D reason: Listing a set of skills that all nurses should be competent in performing, outlining responsibilities that every nurse is expected to provide regardless of their role is not a description of standards of practice, but rather a function of the scope of practice. Scope of practice describes the services that a qualified health professional is deemed competent to perform, and permitted to undertake, in keeping with the terms of their professional license..

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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