Which of the following strategies is most effective in providing growth opportunities for nurses within the first three years to enhance retention?

A. Respiratory rate is correct. In acute adrenal insufficiency (also known as adrenal crisis), there is a severe deficiency of cortisol, which can lead to hypotension, shock, and respiratory distress. Assessing the respiratory rate is crucial to identify any signs of respiratory compromise or distress, which can occur in adrenal crisis due to circulatory and metabolic instability.
B. Cranial nerves is incorrect. While cranial nerve assessment is important in neurological evaluations, it is not the priority assessment for acute adrenal insufficiency. Respiratory and circulatory assessments take precedence in this emergency situation.
C. Blood glucose levels is incorrect. While blood glucose levels should be monitored in adrenal crisis (due to potential hypoglycemia), the priority assessment is focused on respiratory function and signs of shock, as these are the most immediate threats to the client's life.
D. Range of motion is incorrect. While it’s important to assess mobility in general nursing care, assessing the range of motion is not a priority in acute adrenal insufficiency, where immediate concerns are more related to respiratory status and hemodynamic stability.

A. Providing mandatory workshops on hospital policies may be necessary for compliance and orientation, but these are not typically focused on personal or professional growth and are less likely to enhance long-term retention.
B. Offering mentorship programs is the most effective strategy for growth and retention. Mentorship provides support, guidance, and professional development opportunities, which are especially valuable for nurses in their early years of practice. It helps build confidence, fosters engagement, and increases job satisfaction.
C. Increasing the frequency of shift rotations can lead to fatigue and dissatisfaction, particularly in early-career nurses who are still adapting to the demands of the job. It’s unlikely to support growth or retention.
D. Implementing stricter supervision protocols may create a controlling environment that undermines trust and autonomy, which could negatively impact morale and retention among new nurses.