A nurse manager is overseeing employees on their unit.

Exhibits
Which of the following actions is the nurse manager's priority? Select the action that the nurse manager should take first.

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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. A client with schizophrenia using neologisms may have communication challenges, but this does not indicate immediate risk.

B. A client with bipolar disorder who displays constant pacing may be in a manic state, which can lead to agitation or unsafe behaviors, making this client the highest priority for assessment and intervention.

C. A client with depressive disorder and poor personal hygiene requires support but does not present an immediate risk to themselves or others.

D. A client with dementia exhibiting aphasia requires assistance with communication but is not in a critical situation that requires urgent intervention.

A. "I will use an alcohol-based hand cleanser when caring for a client who has Clostridium difficile." B. "I will wear a cover gown when caring for a client who has herpes simplex." C. "I will wear an N95 respirator mask when caring for a client who is on contact precautions." D. "I will place a client who requires protective isolation in a negative airflow room."

Correct Answer is B

Explanation

A. Alcohol-based hand cleansers are not effective against Clostridium difficile spores; handwashing with soap and water is necessary.

B. Wearing a cover gown when caring for a client with herpes simplex is appropriate for contact precautions, indicating an understanding of isolation guidelines.

C. An N95 respirator mask is required for airborne precautions, not contact precautions.

D. Clients requiring protective isolation typically do not need to be placed in a negative airflow room, which is reserved for airborne precautions.

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A nurse manager is overseeing employees on their unit. Exhibits Which of the following actions is the nurse manager's priority? Select the action that the nurse manager should take first.

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A nurse manager is overseeing employees on their unit.

Exhibits
Which of the following actions is the nurse manager's priority? Select the action that the nurse manager should take first.