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. Meta-analysis. B. Cohort study. C. Randomized controlled trial. D. Systematic review.

Correct Answer is C

Explanation

Choice A Reason:

Meta-analysis. A meta-analysis is a statistical technique that combines the results of multiple scientific studies to identify patterns, discrepancies, or other interesting insights. It is not a primary research method but rather a way to synthesize data from various studies to draw broader conclusions. In this scenario, the study described involves primary data collection through random assignment and intervention, which is not characteristic of a meta-analysis.

Choice B Reason:

Cohort study. A cohort study is an observational study where a group of individuals (the cohort) is followed over time to observe outcomes such as the development of diseases. Participants are not randomly assigned to different groups; instead, they are observed in their natural settings. The described study involves random assignment and a control group, which are not features of a cohort study.

Choice C Reason:

Randomized controlled trial. A randomized controlled trial (RCT) is a type of scientific experiment that aims to reduce bias when testing the effectiveness of new treatments. Participants are randomly assigned to either the treatment group or the control group, which receives a placebo. This randomization helps ensure that any differences observed between the groups are due to the treatment itself and not other factors. The described study fits this definition perfectly, as it involves random assignment and the use of a placebo control group.

Choice D Reason:

Systematic review. A systematic review is a comprehensive summary of all the available evidence on a specific research question, using a standardized methodology to identify, select, and critically appraise relevant research. It does not involve primary data collection or random assignment of participants. The described study involves conducting an experiment with random assignment, which is not characteristic of a systematic review.

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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

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Correct Answer is C

Explanation

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