The primary strategy a nurse should adopt when dealing with an emotionally distressed employee is to:

Assist the employee in obtaining professional help.

Adjust the standard of care to assist the employee.

Adjust the employee’s work schedule to decrease stress.

Act as a therapist for the employee.

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Assisting the employee in obtaining professional help is the most appropriate strategy. Emotional distress can significantly impact an employee’s well-being and job performance. Professional help, such as counseling or therapy, provides the necessary support and resources to address the underlying issues effectively. This approach ensures that the employee receives specialized care from trained professionals, which is crucial for their mental health and recovery.

Choice B Reason:

Adjusting the standard of care to assist the employee is not a practical or sustainable solution. The standard of care is established to ensure consistent and high-quality service delivery. Altering it for individual employees can compromise the overall quality of care and create inconsistencies in service provision. Instead, supporting the employee through professional help is a more effective way to address their emotional distress without impacting the standard of care.

Choice C Reason:

Adjusting the employee’s work schedule to decrease stress can be a helpful short-term measure, but it does not address the root cause of the emotional distress. While reducing stress through schedule adjustments can provide temporary relief, it is not a comprehensive solution. The employee may still need professional support to manage their emotional health effectively. Therefore, this option should be considered as a supplementary measure rather than the primary strategy.

Choice D Reason:

Acting as a therapist for the employee is not appropriate for a nurse manager. While providing support and understanding is important, nurse managers are not trained mental health professionals. Attempting to act as a therapist can blur professional boundaries and may not provide the employee with the specialized care they need. It is essential to refer the employee to qualified mental health professionals who can offer the appropriate support and interventions.

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Correct Answer is B

Explanation

Choice A Reason:

Saying “You have been very inconsiderate of others by not completing your share of the work” is confrontational and accusatory. This approach can lead to defensiveness and conflict rather than a constructive conversation. Effective communication in nursing should be respectful and focused on resolving issues collaboratively.

Choice B Reason:

“I need to speak with you about unit expectations regarding delegating and completing tasks” is the most appropriate statement. It is direct yet respectful, focusing on the expectations and standards of the unit rather than personal shortcomings. This approach opens the door for a constructive dialogue about performance and responsibilities, which is essential for resolving the issue and improving teamwork.

Choice C Reason:

“If you don’t do your share of the work, I will have to inform the nurse manager” is a threat and can create a hostile work environment. While it is important to address performance issues, using threats can escalate the situation and damage professional relationships. Constructive feedback should aim to support improvement rather than instill fear.

Choice D Reason:

“Several staff members have commented that you don’t do your fair share of the work” relies on hearsay and can be perceived as gossip. This approach can undermine trust and does not address the issue directly. It is more effective to focus on specific behaviors and expectations rather than what others have said.

A. Formulate a strategy in collaboration with an interdisciplinary team. B. Create a vision and mission statement for the upcoming challenge. C. Analyze the environment to identify its strengths, weaknesses, opportunities, and threats. D. Put into effect a plan of action that’s grounded in evidence.

Correct Answer is C

Explanation

Choice A Reason:

Formulating a strategy in collaboration with an interdisciplinary team is an important step in the planning process. However, it is not the initial step. Before developing a strategy, it is crucial to understand the current environment and context in which the program will be implemented. This understanding helps in creating a more effective and targeted strategy.

Choice B Reason:

Creating a vision and mission statement for the upcoming challenge is also a vital part of strategic planning. These statements provide direction and purpose for the program. However, they should be developed after a thorough analysis of the environment. This ensures that the vision and mission are aligned with the realities and needs of the organization and its stakeholders.

Choice C Reason:

Analyzing the environment to identify its strengths, weaknesses, opportunities, and threats (SWOT analysis) is the most appropriate initial step. This analysis provides a comprehensive understanding of the internal and external factors that can impact the success of the fall prevention program. By identifying these factors early on, the manager can develop a strategic plan that leverages strengths, addresses weaknesses, capitalizes on opportunities, and mitigates threats. This foundational step ensures that subsequent planning efforts are grounded in a realistic assessment of the current situation.

Choice D Reason:

Putting into effect a plan of action that’s grounded in evidence is essential for the success of any program. Evidence-based practices ensure that the interventions are effective and supported by research. However, implementing a plan should come after the initial steps of environmental analysis, strategy formulation, and vision and mission development. Skipping these preliminary steps can lead to a plan that is not well-aligned with the organization’s needs and context.

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The primary strategy a nurse should adopt when dealing with an emotionally distressed employee is to:

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Correct Answer is B

Explanation

Planning is intended to attain objectives in ever-changing, competitive settings. As a new manager, what is the most appropriate initial step in creating a strategic plan of action for a fall prevention program?

Correct Answer is C

Explanation

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