A nurse manager is removing a nurse who is suspected of being chemically impaired from the facility.
Which of the following is an appropriate action by the nurse manager?
Scheduling a formal meeting with the nurse within 72 hours.
Arranging a way for the nurse to get home.
Searching for controlled substances in the nurse's belongings.
Documenting the nurse's behavior in detail.
The Correct Answer is B
Choice A rationale
While a formal meeting is necessary, scheduling it within 72 hours might not be immediate enough to address the potential danger posed by a chemically impaired nurse. The immediate priority is to ensure the safety of the nurse and clients, which necessitates prompt removal and ensuring safe transport.
Choice B rationale
Ensuring a safe way for the nurse to get home is an immediate and appropriate action. This prioritizes the nurse's safety and prevents potential harm, such as driving under the influence. It also demonstrates a duty of care, preventing the nurse from causing harm to themselves or others.
Choice C rationale
Searching a nurse's belongings for controlled substances without proper legal authorization or clear policy guidelines could violate the nurse's privacy rights and potentially lead to legal issues for the facility. This action is generally not the first or most appropriate step in such a situation.
Choice D rationale
Documenting the nurse's behavior in detail is crucial for subsequent actions, but it is not the immediate priority when removing a potentially impaired nurse. Documentation occurs concurrently or immediately after the primary action of ensuring safety and removing the nurse from the care environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Assisting in meeting workplace expectations is a primary function of a preceptor. A preceptor focuses on orienting a new nurse to the specific unit and organizational policies, ensuring they can perform their daily duties effectively and meet the immediate demands of the work environment. This involves practical skill development and adherence to protocols.
Choice B rationale
Providing feedback to the nurse manager about a nurse's productivity is a characteristic role of a preceptor. Preceptors are often involved in evaluating the new nurse's performance, identifying areas for improvement, and reporting progress or concerns directly to management to ensure safe and efficient patient care.
Choice C rationale
Providing guidance in career decisions aligns with the long-term, developmental focus of a mentor. A mentor offers broader professional advice, helping the mentee navigate career pathways, set future goals, and develop leadership qualities beyond the immediate demands of their current role, fostering sustained professional growth.
Choice D rationale
Focusing primarily on skill acquisition and competency is a defining characteristic of a preceptor. Preceptors are responsible for ensuring that a new nurse gains the necessary clinical skills and achieves a foundational level of competence required to provide safe and effective patient care within the specific clinical setting.
Correct Answer is A
Explanation
Choice A rationale
Maintaining client privacy during nursing care demonstrates human dignity by respecting the individual's personal space and autonomy. This aligns with ethical principles emphasizing the inherent worth of each person, ensuring that sensitive information and bodily exposure are handled with discretion. It prevents emotional distress and fosters trust in the nurse-client relationship.
Choice B rationale
Prioritization of client needs is a crucial aspect of efficient care delivery, but it primarily reflects professional responsibility and clinical judgment rather than directly embodying human dignity. While effective prioritization benefits the client, the act itself is a managerial skill rather than a direct affirmation of the client's intrinsic worth.
Choice C rationale
Participating in continuing education to improve skills reflects a commitment to professional development and competence. This benefits clients through enhanced care quality, but it is more closely related to the ethical principle of beneficence and professional accountability rather than the core concept of human dignity.
Choice D rationale
Adhering to facility policies and procedures ensures consistency and safety in care, reflecting professional compliance and accountability. While indirectly contributing to a safe environment for clients, it does not directly express or promote the fundamental concept of human dignity, which focuses on the individual's intrinsic worth and respect.
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