The nursing supervisor is assessing the organization by spending ...

[hubes95]

The nursing supervisor is assessing the organization by spending time on each unit. The nurse manager seems overwhelmed and stressed trying to address many client complaints. The charge nurse is trying to help everyone at once.
 
  In this situation, what might this supervisor conclude based on this assessment? Select all that apply. 1. The nurse manager is inexperienced and needs time to adjust.
  2. The unit culture fosters distrust and poor communication among staff.
  3. Client complaints are usually an indicator of a larger unit problem.
  4. Nurses on the unit are in need of additional training and skills.
  5. The unit must have had several call-ins or is short staffed.
  6. Delegation may be seen as too time consuming to undertake.

Question 2

A nursing leader wishes to maintain an image of power on a multidisciplinary committee. In a meeting, a committee member makes a statement that the nurse believes is in error. How should the nurse respond?
 
  1. I don't think what you are saying is correct.
  2. Would you clarify what you just said?
  3. What evidence supports that statement as accurate?
  4. Say nothing and research the topic before the next meeting.

[Bison]

Answer to Question 1

2, 3, 4, 6
Explanation: 1. The unit clearly is having problems getting client responsibilities completed in a timely
manner, resulting in stress and complaints. Reasons behind this might include distrust, poor
communication, and a lack of delegation training. There is no indication the nurse manager is
inexperienced or that the unit is short-staffed.

Answer to Question 2

3
Rationale 1: The nurse should do further assessment before confronting the person.
Rationale 2: Asking for clarification is not the strongest response to this statement.
Rationale 3: The nurse should not take the statement at face value, but should ask for evidence that it is correct.
Rationale 4: By not saying anything, the nurse allows the rest of the committee to hear and perhaps believe the statement is true. The time to speak up is now.
Global Rationale:

[hubes95]

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[cam1229]

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