A nurse manager is overseeing employees on their unit.
Remove the employee from the work environment.
Create a plan for the employee to overcome their substance use Coordinate a ride home for the employee.
Schedule a meeting with the employee to address the occurrence within 24 hr.
Coordinate a ride home for the employee.
Have the employee sign a contract acknowledging that substance use will not be tolerated
The Correct Answer is C
A. Remove the employee from the work environment. While safety is paramount, removing the employee should be a last resort after determining the underlying issues. It does not address the reasons behind the employee's behavior, and it may further exacerbate the problem if there are underlying stressors or personal issues.
B. Create a plan for the employee to overcome their substance use. This option assumes that substance use is the primary issue without further evidence. Addressing potential substance use is important, but creating a detailed plan should come after understanding the employee's situation in a more personalized meeting.
C. Schedule a meeting with the employee to address the occurrence within 24 hr. This action allows the nurse manager to have a direct conversation with the employee to understand their perspective and any potential issues affecting their performance. It demonstrates an attempt to support the employee while addressing performance concerns, creating an opportunity for the employee to express any challenges they may be facing.
D. Coordinate a ride home for the employee. This option may seem compassionate but does not directly address the issue of the employee's behavior or performance. Coordinating transportation does not resolve the ongoing attendance and performance problems and might only serve as a temporary fix without long-term solutions.
E. Have the employee sign a contract acknowledging that substance use will not be tolerated. Although setting clear expectations regarding substance use is important, this should occur after understanding the employee's situation. Simply having the employee sign a contract without discussion may not be effective and could create further resistance or defensiveness in the employee.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Requesting a consultation only after several treatments may delay appropriate care. Consults should be made promptly based on the client's needs.
B. Providing subjective opinions and beliefs is inappropriate; objective, factual information about the client’s condition and treatment should be shared with the consultant.
C. Daily visits by the wound care specialist may not be necessary and could strain resources; a consult should focus on evaluating and advising rather than ongoing daily visits.
D. Scheduling the consultation at a time when the nurse caring for the client can attend ensures continuity of care and allows the nurse to discuss the client's condition and treatment plan directly with the specialist.
Correct Answer is C
Explanation
A. Green is used for clients who are non-urgent and can wait for care, typically those with minor injuries.
B. Yellow is for clients who require monitoring but are stable and not in immediate danger.
C. Black is the appropriate triage tag for a client with full-thickness burns covering 72% of their body, indicating a likely fatal condition and prioritizing resources for those with a better chance of survival.
D. Red is assigned to clients who are critical and require immediate care but can survive with intervention, which does not apply in this case due to the extent of the burns.
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