As the clinical director of 24 employees, you have been asked to explain to staff members why they are not getting a raise this year, even though they have been working short-handed for many months and patient satisfaction scores have never been higher. Because you believe yourself to be a transformational leader, you will approach this problem by:

Choice A reason: Calling the provider is important but not the first step in response to a severe weather code. The immediate safety and assessment of the client take precedence.

Choice B reason: Checking vital signs is the first step in assessing the client’s current health status and determining the need for immediate interventions during severe weather conditions.

Choice C reason: Notifying risk management is a subsequent step after initial client assessment and ensuring safety, as they will coordinate the broader institutional response to the severe weather event.

Choice D reason: Completing an incident report is one of the final steps after managing the immediate risks and communicating with the necessary parties, to document the event and the response taken.

Choice E reason: Instructing the client to remain in bed until further notice is a critical early step to ensure the client’s safety, especially if there is a risk of injury from the severe weather conditions.

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.