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 C
Explanation
A. Linda Richards:Linda Richards is recognized as the first trained American nurse and emphasized nursing education and record-keeping. Her contributions focus on professionalization rather than direct application of observation to assess patient data accuracy.
B. Annie Goodrich:Annie Goodrich is known for advancing nursing education and administration. Her work emphasized institutional organization and training rather than clinical observation and environmental assessment for patient care decisions.
C. Florence Nightingale:Florence Nightingale’s theory emphasizes careful observation of patients and the environment to guide nursing care. The nurse assessing the patient’s clinical signs against the pulse oximeter reading reflects Nightingale’s focus on evidence-based observation and critical thinking.
D. Lillian D. Wald:Lillian Wald is credited with developing public health nursing and community-based care. While her work emphasized holistic care and social determinants of health, it does not directly relate to clinical assessment of device accuracy at the bedside.
Correct Answer is C
Explanation
A. Detached:A detached attitude does not reflect transpersonal caring, as it creates emotional distance and limits the nurse’s ability to connect with the patient’s experience.
B. Friendly:Being friendly is positive, but transpersonal caring requires a deeper, professional connection that transcends superficial interactions.
C. Nonjudgmental:Maintaining a nonjudgmental attitude allows the nurse to accept patients as they are, fostering trust, emotional support, and a therapeutic relationship that reflects transpersonal caring principles.
D. Loving:While compassionate care is important, transpersonal caring emphasizes professional, respectful connection rather than personal affection or emotional attachment.
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