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 D

Explanation

A. Providing advice over the telephone requires clinical judgment and assessment, which are beyond the scope of practice for assistive personnel (AP). This task should not be delegated.

B. Inserting an NG tube is an invasive procedure that requires advanced training and skill, so it is not within the scope of the AP. This task must be performed by a nurse or another licensed provider.

C. Teaching a client how to walk on crutches involves instruction and monitoring, which requires the clinical judgment and teaching skills of a nurse or physical therapist, making it unsuitable for AP delegation.

D. Performing a simple dressing change is a routine and basic task that can be safely delegated to an AP, as long as the task does not require sterile technique or complex wound care.

A. Explain the risks of the procedure to the client. B. Notify the provider about the client's concerns. C. Check to see if the medical record indicates the provider explained the procedure to the client. D. Convey the client's request to the nurse who witnessed the consent.

Correct Answer is B

Explanation

A. It is not within the nurse's scope of practice to explain the specific risks of a procedure; this responsibility lies with the provider who is performing the procedure.

B. If the client expresses concerns about the risks of the procedure, the nurse should notify the provider. This ensures that the provider can give detailed information to the client regarding the risks and benefits.

C. While checking the medical record may show whether the provider explained the procedure, it does not address the client's immediate concerns. The provider should still be notified.

D. It is not appropriate to pass the responsibility to the nurse who witnessed the consent; instead, the nurse should directly involve the provider in addressing the client's concerns.

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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.

Nursing Test Bank

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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.