The hospital's disaster response plan is initiated to prepare for receiving victims from a bridge collapse. To increase bed capacity, which clients on a medical- surgical unit should the nurse identify as appropriate for discharge? Select all that apply.

Rationale:

A. While initially this may reduce immediate stress, it is not the most effective long-term strategy. Limiting exposure to complex clients does not teach time management or prioritization skills and may delay skill development.

B. This is highly effective. Mentorship provides guidance, feedback, and modeling of organizational and prioritization strategies. A mentor can help the new nurse develop safe, efficient workflows and build confidence in managing patient care.

C. Ongoing supervision and feedback are critical for a new nurse struggling with prioritization. Frequent check-ins allow the manager to correct unsafe practices early, provide advice on patient care sequencing, and reinforce time management techniques.

D. This is inappropriate for a nurse who is struggling. Without guidance, the new nurse may continue to use ineffective strategies, risking patient safety and incomplete care.

E. Formal training on prioritization, delegation, and workflow management equips the nurse with practical tools to organize patient care, handle multiple tasks, and improve efficiency.

Rationale:
A. While involving the director of nursing may eventually be necessary, this is not the best first step. Escalating the issue to upper administration too early can bypass those directly involved and limit opportunities for collaboration. Effective conflict resolution typically begins at the lowest appropriate level to encourage shared problem-solving and ownership of the solution.

B. This is the best answer because it promotes open communication and collaborative problem-solving between the two units. By arranging a meeting, staff can discuss concerns, clarify misunderstandings, and identify key issues affecting the transfer process. This approach supports teamwork, mutual respect, and development of practical solutions that are more likely to be accepted and sustained.

C. Allowing staff to handle the issue without guidance may lead to unresolved conflict, miscommunication, or inconsistent practices. Without structured discussion or facilitation, the disagreement could worsen or negatively impact patient care and workflow.

D. While involving managers can help, this option excludes the frontline staff who are directly involved in the transfer process. Solutions developed solely by managers may not fully address practical challenges faced by staff and may reduce staff engagement or buy-in.