A nurse has been pulled from the surgical unit to the ICU unit ...

[luvbio]

A nurse has been pulled from the surgical unit to the ICU unit and is asked by an ICU nurse to administer a medication that requires monitoring the cardiac rhythm.
 
  When asked about the client's cardiac rhythm after the medication was administered, the surgical nurse states, I don't know. What actions should be taken by the unit's nurse manager? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Meet with the ICU nurse to discuss the situation.
  2. Meet with the surgical nurse to discuss the situation.
  3. Give a written warning to the surgical nurse for not following policy.
  4. Give a written warning to the ICU nurse for not following policy.
  5. Meet with the nurses together and issue an informal verbal warning to both.

Question 2

The nurse asked the nurse manager to go home early because the census was low. When the request was denied, the nurse stated, I dont understand why I cant leave early.
 
  I will use vacation time and this will help minimize personnel costs for the shift. This statement is an example of: 1. Fogging.
  2. Negative assertion.
  3. Negative inquiry.
  4. Compromise.

[Athena23]

Answer to Question 1

1,2
Rationale 1: The manager should meet with the ICU nurse to determine if policy was followed in delegating medication administration.
Rationale 2: The manager should meet with the surgical nurse to determine if the nurse was aware of the policy requiring monitoring the cardiac rhythm.
Rationale 3: Until the manager meets with this nurse, it is unclear if a warning is indicated.
Rationale 4: Until the manager meets with this nurse, it is unclear if a warning is indicated.
Rationale 5: Until the manager has more facts, it is unclear whether a warning is necessary and, if so, what kind of warning is required.
Global Rationale:

Answer to Question 2

3
Explanation: 1. Once the rationale for the decision is understood, negative inquiry is an effective technique
provided the nurse does not become defensive or distraught. Fogging is a technique used
when the nurse is in partial agreement with what was said. Negative assertion involves some
acceptance of blame for what was said. Compromise implies that an agreement has occurred
between the nurse manager and the nurse.