A Registered Nurse (RN) who has been employed in the ambulatory care unit for six weeks is consistently 10-20 minutes late for work. The nurse's lateness has caused unrest among other staff members. The nurse is due to receive a 3-month probation evaluation in one month. How should the manager appropriately deal with this situation?

Choice A:

While nurse case managers do oversee the overall care of their patients, their role is not typically to supervise the nursing staff members who implement the care map. Their focus is more on coordinating care, communicating with the healthcare team, and ensuring the patient's needs are met.

Choice B:

While reducing the client's financial cost can be a part of a nurse case manager's role, it is not the primary consideration. The main goal is to ensure the patient receives the best possible care. While cost-effectiveness is important, it should not compromise the quality of care.

Choice C:

This is the correct answer. One of the main goals of a nurse case manager, especially when working with a client with a chronic condition like end-stage renal disease, is to prevent additional hospitalizations. This is achieved by coordinating care, educating the patient and their family, and closely monitoring the patient's condition.

Choice D:

While nurse case managers are registered nurses and capable of providing direct nursing care, their role is more focused on coordinating and managing care rather than providing direct care. They work closely with the healthcare team to ensure the patient's needs are met, but they do not typically provide bedside care.

Choice A reason: Accepting the security levels as a consequence of funding realities may be seen as passive and could potentially compromise the safety of the nurses and patients. It does not address the concerns of the nurses or seek to improve the situation.

Choice B reason: Referring the matter to the head of security and letting them deal with it removes the opportunity for nurses to be informed and involved in the decision-making process, which can lead to feelings of helplessness and frustration.

Choice C reason: Providing nurses with information about the rationale for recent changes in security staffing empowers them with knowledge and may help in understanding the broader context of the decisions made, which can alleviate concerns and foster a sense of inclusion in the workplace.

Choice D reason: While providing mentors to help nurses defuse aggressiveness can be beneficial in managing difficult situations, it does not address the root concern of decreased security presence and the reasons behind it.