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?

Tell the nurse that she will be fired if her behavior does not change.

Confront the nurse to discuss the lateness and initiate problem-solving measures.

Tell the other staff members to cover for the nurse until she arrives.

Address the lateness with the nurse at the 3-month probation evaluation.

Answer and Explanation

The Correct Answer is B

Choice A reason: Telling the nurse she will be fired if her behavior does not change is a final warning and may not be the best initial approach. It can create a hostile work environment and does not facilitate a solution to the underlying issue.

Choice B reason: Confronting the nurse to discuss the issue and initiate problem-solving measures is a proactive approach. It allows the manager to understand the reasons behind the lateness and work with the nurse to find a solution, which could include time management strategies.

Choice C reason: Telling other staff members to cover for the late nurse does not address the problem and may lead to further unrest and resentment among the team.

Choice D reason: Waiting to address the issue at the 3-month probation evaluation delays dealing with the problem and allows the disruptive behavior to continue, potentially affecting patient care and team dynamics.

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Correct Answer is ["A","B","E"]

Explanation

Choice A reason: Moving the beds of non-ambulatory patients away from windows is crucial to protect them from potential harm caused by shattered glass or debris during severe weather events. It is a standard safety procedure in such situations.

Choice B reason: Relocating ambulatory patients into the hallways helps to ensure their safety, as hallways are typically more structurally reinforced and do not have windows that can pose a risk during severe weather.

Choice C reason: Using elevators during severe weather, especially when there is a risk of power failure, is not recommended. It is safer to use the stairs to move clients to lower levels if necessary.

Choice D reason: Opening window shades or drapes is not advisable during severe weather as it increases the risk of harm from flying debris or broken glass. It is better to keep them closed to act as a barrier.

Choice E reason: Turning the radio on for severe weather warnings is important to stay informed about the weather conditions and receive instructions from local authorities or the facility's emergency management team.

A. Clyde requires an anticoagulant. He tells the nurse about his medications. He neglects to mention he's taking an herbal supplement. B. Claude is booked for bowel surgery. His doctor explains about the colostomy. Later, Claude tells his wife that he really doesn't know what the doctor meant by colostomy. C. Sarah is a new parent who finds that nurses on the children's unit are very helpful. She is eager to accept all suggestions, including those that she does not understand. D. George keeps a list of all medications, including OTC and natural remedies. Before every appointment, he makes a list of questions to bring and asks for clarification when he has conflicting information.

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Clyde is at risk because he fails to disclose the use of an herbal supplement, which could interact with his prescribed anticoagulant medication. It's important for healthcare providers to have a complete understanding of all substances a patient is taking to avoid adverse drug interactions.

Choice B reason: Claude is at risk because he does not understand the medical procedure he is about to undergo. Informed consent is a critical component of healthcare, and misunderstanding the nature of a procedure can lead to unexpected outcomes and dissatisfaction with care.

Choice C reason: Sarah is at risk because she accepts medical advice without understanding it. This can lead to misuse of medications or failure to follow treatment plans, which can compromise the effectiveness of care and potentially lead to harm.

Choice D reason: George is not considered at risk because he is proactive about his healthcare. He keeps detailed records and actively seeks to understand his treatment, which is indicative of an active healthcare consumer.

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Naxlex Comprehensive Predictor Exams

A nurse on a 6th-floor medical/surgical unit is advised that a severe weather code has been activated. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

Which patients would be considered 'at risk' non-active healthcare consumers during a healthcare visit? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

To reduce the incidence of falls in a skilled nursing unit, the nurse manager contacts the risk manager. Risk management is a process that attempts to identify potential hazards and:

A nurse manager is aware that which of the following is an internal factor that impacts staffing?

A group of staff nurses is dissatisfied with the new ideas presented by the newly hired nurse manager. The staff wants to keep their old procedures, and they resist the changes. Conflict arises from:

Decentralization occurs when:

In opening a new dialysis unit, the nurse manager has to develop a philosophy for the unit. This philosophy needs to:

A health care organization characterized by clear, precise rules for employees, nursing care delineated by procedures and protocols, and a majority of decisions made by senior administrators is best described as: