A nurse manager is preparing an inservice on effective delegation for his unit's nursing staff.
Which of the following should the nurse manager include as an example of delegation?

Choice A rationale

Clarifying performance expectations would be a subsequent step if the nurse's behavior continues to be problematic after initial intervention. The immediate priority is to address the suspected impairment, which directly impacts client safety and professional conduct, before focusing solely on performance metrics.

Choice B rationale

Reporting to the state board of nursing is a serious action typically taken after internal measures have been exhausted or if the impairment poses an immediate and grave risk that cannot be managed internally. The initial step focuses on a more direct, supportive, yet firm approach.

Choice C rationale

Discussing concerns with the nurse privately is the appropriate first action. This allows the manager to directly address the observed behavioral changes, express concern, and assess the situation without immediately escalating to more punitive measures. It provides an opportunity for the nurse to seek help while maintaining privacy.

Choice D rationale

Immediately terminating the nurse's employment is a premature and potentially unjust action without proper investigation and adherence to organizational policies. Due process and opportunities for intervention or rehabilitation should typically be explored before resorting to termination, unless an immediate, severe threat to safety exists.

Choice A rationale

Role-modeling involves demonstrating desired behaviors or attitudes for others to emulate. While the nurse might implicitly role-model professional engagement, the primary activity described—gathering information at a meeting—is more active and reciprocal than simply observing and imitating. It emphasizes direct engagement rather than passive observation.

Choice B rationale

Networking involves building and maintaining relationships with others in the same profession or field for mutual benefit, such as sharing information, resources, or opportunities. Attending a professional organization meeting to gather information on a new healthcare policy is a quintessential example of networking, facilitating professional growth and knowledge exchange.

Choice C rationale

Coaching typically involves a more structured relationship where an individual provides guidance and support to another to develop specific skills or achieve particular goals. While elements of learning are present, the scenario focuses on information gathering from a group, not individualized skill development under direct guidance.

Choice D rationale

Mentoring is a long-term, supportive relationship where an experienced individual guides a less experienced person in their career development. While professional meetings can lead to mentorship opportunities, the immediate action described—gathering information on a policy—is a discrete activity rather than an ongoing developmental relationship.