A nurse leader is managing a multidisciplinary team during a high-stress situation on the unit. Which soft skill should the nurse leader prioritize to effectively facilitate communication and collaboration among team members?

Rationale:
A. Change the client's dressing is incorrect because while the client’s need is important, immediately performing the task does not address the underlying issue of why the delegated task was not completed. The nurse must first ensure proper delegation and clarify responsibilities.

B. Report the issue to the unit manager is incorrect because reporting is premature. The charge nurse should attempt to resolve the situation directly with the LPN before escalating, unless patient safety is at immediate risk.

C. Verify the LPN knows how to do a dressing change is correct because the charge nurse has the responsibility to ensure that tasks are delegated to competent personnel. Failure to complete a delegated task may indicate a lack of understanding, training, or clarity regarding responsibilities. By verifying the LPN’s competence and providing clarification or support, the nurse ensures safe and effective client care and prevents future errors.

D. Reassign the task to another nurse is incorrect as an initial action because it bypasses addressing the competency or communication issue with the LPN. Reassigning may temporarily solve the problem but does not prevent recurrence or address potential gaps in knowledge or delegation processes.

Rationale:
A. A toddler who has both arms in casts and needs to be fed his breakfast is incorrect because, while this client requires assistance with feeding, the need is not immediately life-threatening. This task is important but does not take priority over clients with potential respiratory compromise.

B. An infant who has pertussis and is receiving oxygen via nasal cannula is correct because infants with pertussis are at high risk for respiratory distress due to airway obstruction from coughing. Oxygen therapy indicates potential compromise, and infants can deteriorate quickly. The nurse should assess airway patency, respiratory rate, oxygen saturation, and signs of increased work of breathing immediately, making this the highest-priority assessment.

C. An adolescent who was admitted in sickle cell crisis and is ready for discharge instructions is incorrect because discharge teaching, while important, is not urgent. The client is stable and ready for education, so assessment can occur after more acute needs are addressed.

D. A school-age child who has diabetes mellitus and requires blood glucose monitoring is incorrect because routine glucose checks are important but not immediately life-threatening if the child is stable. This task can be performed after the infant with pertussis is assessed.