The following are grounds for immediate dismissal except:
Stealing and selling the unit's narcotics.
Restraining a patient in bed for several hours unsupervised, as punishment for hitting a staff member.
Grabbing the unit manager and threatening further physical harm after a poor performance appraisal.
Failing to pursue further medical help for a patient who has unrelieved pain.
The Correct Answer is D
Choice A reason: Stealing and selling narcotics is a criminal act and a clear violation of trust and legal obligations, warranting immediate dismissal.
Choice B reason: Unsupervised and punitive restraint of a patient is unethical, potentially illegal, and against medical standards, justifying immediate dismissal.
Choice C reason: Physical assault or threats against any staff member, including the unit manager, are serious offenses that compromise safety and warrant immediate dismissal.
Choice D reason: While failing to pursue further medical help is a serious concern, it may not always result in immediate dismissal. It requires investigation to understand the context and whether it was a case of negligence or a different issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The primary challenge is finding candidates who are not only qualified but also fit well within the existing work culture. This ensures they can integrate seamlessly and contribute positively.
Choice B reason: While important, screening out candidates who cannot work well in a team is a standard part of the recruitment process and not the biggest challenge.
Choice C reason: Recruiting individuals with the right qualifications and experience is a fundamental requirement, but it does not address how they will adapt to the specific work culture.
Choice D reason: Determining past negative work experiences is part of a thorough background check, but it is not as challenging as ensuring a cultural fit, which has a long-term impact on team dynamics.
Correct Answer is C
Explanation
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.
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