The nurse manager learns that one of the staff nurses on the unit has a substance addiction and is arriving at work under the influence of the substance. Using Watson's theory, how should the nurse manager deal with this staff member?
Confront the nurse privately, order drug testing, and suggest a substance-abuse program.
Send the nurse home with instructions not to return until clear of the substance.
Notify the board of nursing and fire the nurse immediately.
Call the police and have the nurse arrested for working while impaired.
The Correct Answer is A
A. Confront the nurse privately, order drug testing, and suggest a substance-abuse program: Watson's theory emphasizes caring, support, and holistic approaches. Addressing the issue privately while providing resources for recovery aligns with a caring approach, promotes safety, and supports the nurse’s rehabilitation.
B. Send the nurse home with instructions not to return until clear of the substance: Sending the nurse home addresses immediate safety but does not provide support or guidance for recovery, which is a key aspect of Watson’s caring approach.
C. Notify the board of nursing and fire the nurse immediately: Immediate termination prioritizes punishment over support and does not align with the caring principles in Watson’s theory, which focus on empathy and holistic assistance.
D. Call the police and have the nurse arrested for working while impaired: Involving law enforcement focuses on legal consequences rather than care, support, or rehabilitation, and does not reflect Watson’s emphasis on caring and humanistic approaches.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. As a fluid, dynamic process that changes over time:Motivation is influenced by internal and external factors and can fluctuate depending on circumstances, needs, and experiences. Nurses recognize that understanding these changes helps tailor interventions effectively.
B. As a stagnant, unchanging force:Motivation is not fixed; assuming it is stagnant overlooks individual differences and changing circumstances that affect engagement and behavior.
C. As a process that requires great force to change:While interventions can enhance motivation, it is not inherently resistant or requiring excessive force; it naturally evolves with support, feedback, and reinforcement.
D. As a process that differs every day:Although motivation can vary, describing it as completely different each day is inaccurate. It is better understood as dynamic but influenced by consistent needs, goals, and experiences.
Correct Answer is C
Explanation
A. Making decisions quickly to save time:Rushing decisions can undermine patient autonomy by limiting their involvement in care planning. Autonomy is supported when patients have time and information to make informed choices about their care.
B. Implementing care without patient consultation:Acting without consulting the patient disregards their right to participate in their own care. Supporting autonomy requires collaboration and respect for the patient’s preferences and values.
C. Providing information to support informed choices:This behavior promotes patient autonomy by equipping patients with the knowledge needed to make decisions aligned with their values and preferences, fostering empowerment and active participation in care.
D. Following family wishes over patient preferences:Prioritizing family wishes over the patient’s undermines autonomy. Respecting patient choices, even when they differ from family opinions, is central to ethical and patient-centered care.
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