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 B
Explanation
Choice B rationale
The immediate priority following a medication error, even without harm, is to notify the prescribing provider. This allows the provider to assess the situation, determine if any interventions are necessary for the client, and make informed decisions about the client's ongoing care. Prompt communication ensures client safety and facilitates timely adjustments.
Choice A rationale
Documenting the error in the client's medical record is crucial for legal and professional accountability, and for continuity of care. However, it should occur after the provider has been notified and any immediate client safety concerns have been addressed. The initial focus is on client well-being and assessment.
Choice C rationale
Contacting risk management is an important step in the institutional process for addressing errors, facilitating analysis and prevention of future incidents. However, direct notification of the provider takes precedence because it directly impacts the client's immediate care and allows for prompt clinical assessment and decision-making regarding the client's condition.
Choice D rationale
Completing an incident report is a procedural step for internal tracking, analysis, and quality improvement. While essential for organizational learning and preventing recurrence, it is secondary to ensuring the immediate safety and clinical management of the client by notifying the provider first.
Correct Answer is D
Explanation
Choice A rationale
Self-reflection is a continuous and iterative process, not a one-time intervention. Its effectiveness stems from repeated engagement, allowing individuals to track progress, identify recurring patterns in their thinking and behavior, and integrate new insights over time. A single instance provides limited benefit compared to sustained practice.
Choice B rationale
While self-reflection primarily focuses on individual internal processes, it can involve more than one person through guided debriefing sessions, peer feedback, or mentorship discussions. External perspectives can offer valuable insights, challenge assumptions, and broaden the scope of reflection, enhancing its depth and utility as an assessment tool.
Choice C rationale
Self-reflection is a powerful tool for analyzing thinking processes. It allows individuals to critically examine their cognitive biases, decision-making strategies, emotional responses, and underlying assumptions. By consciously reviewing these elements, individuals can identify flaws, enhance clarity, and improve the logic and efficacy of their future thought processes.
Choice D rationale
Self-reflection directly promotes critical thinking by requiring individuals to analyze their experiences, evaluate their actions, and identify underlying assumptions. This process fosters a deeper understanding of situations and personal responses, leading to enhanced problem-solving abilities, improved decision-making, and significant personal and professional growth.
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