Author Question: As a result of retirements, resignations, and reorganization, a nurse became nurse manager of a ... (Read 47 times)

awywial · **on:** Jul 8, 2018

As a result of retirements, resignations, and reorganization, a nurse became nurse manager of a high-acuity unit 3 months after being licensed. The manager struggles with the responsibilities of the position and is often unable to make decisions.

Which component of the AONE management competencies does this nurse probably lack? 1. Foundational thinking skills
2. Personal and professional accountability
3. Clinical practice knowledge
4. Effective communication skills

Question 2

The nurse finds a client on the previous shift received 100 mg of Demerol intravenously instead of the ordered 50 mg of Demerol. Which statement should be documented in the clients chart?

1. Demerol 100 mg given IV at 0800. Clients vital signs unchanged.
2. Demerol 100 mg given IV instead of the ordered dose of Demerol 50 mg.
3. Demerol 100 mg given accidentally instead of Demerol 50 mg.
4. Demerol 100 mg given IV and client notified.

Yixagurpuldink · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

3
Rationale 1: There is no evidence that this nurse lacks foundational thinking skills.
Rationale 2: There is no evidence that this nurse lacks personal and professional accountability.
Rationale 3: To effectively manage a high-acuity unit, the nurse must have sufficient experience to develop clinical practice knowledge. Three months is not long enough for that to occur.
Rationale 4: There is no evidence that this nurse does not have effective communication skills.
Global Rationale:

Answer to Question 2

1
Explanation: 1. The documentation in the chart should be a statement of the facts as well as the clients
physical status after the incident. Demerol given IV instead of the ordered dose is incorrect
because this information should be placed on the detailed incident report that documents the
error in depth. Demerol given accidentally is incorrect because words such as error and
accident should not be written on the clients chart. Demerol given IV and the client notified
is incorrect because documentation in the chart should address notifying the physician, not the
client.