You are the charge nurse. Two hours into the shift, you discover that two nurses (Nurse A and Nurse B) have switched patients because Nurse A does not like to take care of patients with prostate cancer. Which action should you take first?
Ask Nurse A to explain her position regarding prostate cancer patients and seek alternatives to prevent future issues.
Allow them this flexibility: as long as the patient is well cared for, it doesn't matter if the assignments are changed.
Insist that they switch back to the original patient assignments and talk to each of them at the end of the shift.
Explain to Nurse A and B that all patients deserve kindness and care regardless of their condition or the nurses' personal feelings.
The Correct Answer is D
Choice A reason: Asking Nurse A to explain her position is important for understanding her concerns. However, it does not immediately address the issue of equitable patient care, which is the priority.
Choice B reason: While flexibility can be important, allowing personal preferences to dictate patient assignments can lead to a slippery slope of discriminatory practices. Patient care should not be compromised by personal biases.
Choice C reason: Insisting on switching back to the original assignments without addressing the underlying issue may not resolve the conflict or lead to better patient care in the long term.
Choice D reason: This is the most appropriate first action as it addresses the core principle of nursing care — providing compassionate care to all patients. It sets a standard for professional behavior and ensures that personal feelings do not interfere with patient care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct answer because it demonstrates a leader's emotional intelligence through active engagement, showing interest in the team's concerns, and fostering open communication.
Choice B reason: Writing down thoughts for others to read does not necessarily illustrate emotional intelligence. Expecting immediate responses can be inconsiderate of others' time and does not foster a supportive environment.
Choice C reason: Holding meetings at the nurses' station may show responsiveness to emergencies, but rarely participating in bedside care could indicate a lack of hands-on leadership and empathy.
Choice D reason: While accountability is important, interrupting people and raising one's voice during disagreements can create a hostile environment and does not reflect emotional intelligence.
Correct Answer is A
Explanation
Choice A reason: This option is the most detailed and provides clear instructions for the UAP, including a specific task, a time frame, and what to do if there is an issue. It promotes patient safety and ensures proper communication and follow-up.
Choice B reason: This statement is inappropriate as it expresses doubt about the UAP's competence, which can undermine confidence and does not provide clear guidance or expectations.
Choice C reason: While this choice includes an action and a follow-up, it lacks specificity about the task and does not mention a time frame for reporting potential issues, which is crucial for patient safety and effective delegation.
Choice D reason: This option is too vague and does not provide specific instructions or expectations for the UAP, which could lead to confusion and potential neglect of important care details.
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