A nurse manager recognizes a change in another nurse's behavior and suspects the nurse is practicing while chemically impaired.
After ensuring the client's safety, which of the following actions should the nurse manager take first?
Clarify performance expectations for the nurse.
Report to the state board of nursing.
Discuss concerns with the nurse privately.
Immediately terminate the nurse's employment.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Significant job responsibilities are characteristic of many occupations and do not singularly define professionalism. While nursing roles involve substantial accountability, this aspect alone does not differentiate it from other demanding jobs that may not be considered professions in the same sense, as it lacks the underlying intellectual and ethical frameworks.
Choice B rationale
Adequate compensation for service is an expectation for any occupation and reflects fair labor practices, not necessarily professionalism. While financial reward is important for sustaining a workforce, it is not an inherent characteristic that elevates an occupation to a profession, which is defined by a broader commitment to public service and ethical conduct.
Choice C rationale
Commitment to continuous learning is a cornerstone of nursing professionalism, reflecting a dedication to lifelong knowledge acquisition and skill refinement. This embodies the scientific principle of adapting to new evidence and advancing practice, ensuring nurses remain competent and provide high-quality, up-to-date care based on the latest scientific discoveries.
Choice D rationale
Adherence to a strict work schedule is a logistical aspect of employment common to most jobs and does not exemplify professional attitude. While punctuality and reliability are important for operational efficiency, they do not encapsulate the deeper ethical, intellectual, and service-oriented values that define a professional discipline.
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale
Taking on additional responsibilities typically increases workload and demands, which can significantly escalate stress levels rather than reduce them. Stress reduction strategies focus on managing existing stressors and incorporating activities that promote relaxation and well-being, not adding more pressure. This choice directly contradicts effective stress management principles by increasing physiological and psychological demands.
Choice B rationale
Limiting vacation time is counterproductive to stress reduction. Vacations provide essential opportunities for physical and mental rejuvenation, allowing individuals to step away from daily stressors, recover from work-related fatigue, and engage in activities that promote well-being. Reducing this restorative period can lead to burnout and increased chronic stress levels, negatively impacting overall health.
Choice C rationale
Being a good listener facilitates effective communication and strengthens interpersonal relationships, which are vital components of social support. Social support networks act as a buffer against stress by providing emotional, informational, and tangible assistance. Engaging actively in listening can also reduce personal rumination by focusing on others, thus promoting a more balanced mental state.
Choice D rationale
Wearing comfortable clothing can directly influence physiological and psychological comfort. Restrictive or uncomfortable attire can contribute to physical tension, discomfort, and even pain, which can exacerbate stress. Conversely, comfortable clothing promotes relaxation and a sense of ease, reducing superficial irritants that can contribute to overall stress levels and improving body image.
Choice E rationale
Maintaining contact with friends provides a crucial social support system. Strong social connections offer emotional support, opportunities for shared experiences, and a sense of belonging, all of which are protective factors against stress. Engaging with friends can alleviate feelings of isolation, provide different perspectives, and offer a positive outlet for processing emotions, thereby reducing the burden of stress.
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